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Functional connectivity of posterior cingulate gyrus in heroin dependents treated by methadone maintenance and protracted abstinence measures: an event-related fMRI study

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单位: [1]Department of Radiology, Tangdu Hospital, Air Force Medical University, 569 Xinsi Road, BaQiao District,Xi’an 710038, Shaanxi, China [2]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, No.95, Yong An Road, Xicheng District, Beijing 100050, China
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关键词: Heroin dependence Protracted abstinence Methadone maintenance treatment Craving Psychophysiological interaction

摘要:
Protracted abstinence (PA) and Methadone maintenance treatment (MMT) are two main types of heroin addiction treatment, however, the effects of both measures on the functional connectivity (FC) of the brain in heroin dependents in the drug cue event-related response are unclear. Functional magnetic resonance imaging (fMRI) based drug cue-reactivity task has been widely used in addiction research, which may provide a new way to understand the change of brain function during a certain period of treatment. The default function network (DMN) with posterior cingulate cortex (PCC) as the core is generally involved in the process of addiction. The aim of the present study was to explore the brain response of FC in patients with heroin-dependent during PA, MMT treatment under task-fMRI. Twenty-two heroin-dependent patients during PA, 18 heroin-dependent patients during MMT and 16 healthy control (HC) individuals were included to conduct the heroin cue-reactivity task during fMRI. The MMT and PA patients' subjective craving for heroin was evaluated. The psychophysiological interaction (PPI) analysis of SPM12 was used to get FC during the task state. There was a significant difference on FC between PCC and the right medial Prefrontal Cortex (mPFC) in three groups. The post-hoc analysis showed that there was a significant difference of brain regions between the MMT and the PA group. The FC of PCC-mPFC in the MMT group was significantly stronger than that in the PA group. Compared with the PA group, the FC of the DMN in the MMT group was significantly increased under drug cue response. Therefore, PA is more beneficial for the heroin-dependent patients to lower the salience value of drug related cues, in turn to reduce relapse risks. It also reflected the important role of PCC-mPFC pathway in heroin dependents induced by heroin cues.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 神经成像
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 神经成像
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出版当年[2019]版:
Q2 NEUROIMAGING
最新[2023]版:
Q2 NEUROIMAGING

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第一作者单位: [1]Department of Radiology, Tangdu Hospital, Air Force Medical University, 569 Xinsi Road, BaQiao District,Xi’an 710038, Shaanxi, China [2]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, No.95, Yong An Road, Xicheng District, Beijing 100050, China
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