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  <title>NITRC News Group Forum: increased-insular-connectivity-with-emotional-regions-in-primary-insomnia-patients--a-resting-state-fmri-study.</title>
  <link>http://www.nitrc.org/forum/forum.php?forum_id=7060</link>
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	&lt;table border=&quot;0&quot; width=&quot;100%&quot;&gt;&lt;tr&gt;&lt;td align=&quot;left&quot;/&gt;&lt;/tr&gt;&lt;/table&gt;
        &lt;p&gt;&lt;b&gt;Increased insular connectivity with emotional regions in primary insomnia patients: a resting-state fMRI study.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;Eur Radiol. 2017 Jan 31;:&lt;/p&gt;
        &lt;p&gt;Authors:  Wang T, Yan J, Li S, Zhan W, Ma X, Xia L, Li M, Lin C, Tian J, Li C, Jiang G&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        OBJECTIVE: To explore the abnormal connectivity patterns between the insular and the voxels of the brain in primary insomnia (PI) with insular-based functional connectivity (FC).&lt;br/&gt;
        METHODS: With the resting-state fMRI data acquired from 57 PI patients and 46 healthy controls, a two-sample t test was performed on individual FC correlation maps from two groups. The person correlation analysis was used to evaluate the relationship between the abnormal FC and clinical features.&lt;br/&gt;
        RESULTS: PI patients show enhanced connectivity between the left insula with the right anterior cingulate cortex (p &amp;lt; 0.05 and p &amp;lt; 0.001, AlphaSim-corrected), right frontal sup orb, bilateral thalamus and left precuneus,as well as decreased connectivity with the left middle temporal gyrus and right fusiform (p &amp;lt; 0.05, AlphaSim-corrected). Correlation analysis indicated the enhanced connectivities in the PI patients have significant negative correlations with Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)scores. In addition, the decreased functional connectivities showed positive correlations with SDS and SAS scores.&lt;br/&gt;
        CONCLUSION: Our study showed the increased connectivity regions with insula were mainly in the emotional circle and decreased connectivity was in cognitive-related regions. These provide additional evidence from functional integration view to understand the possible underlying neural- mechanisms of PI.&lt;br/&gt;
        KEY POINTS: • The aberrant insular-based connectivity pattern of PI patients was detected. • Regions showing increased connectivity with left insular were mainly in emotional circle. • Significant correlations between changed FC and SDS and SAS score were found.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 28144739 [PubMed - as supplied by publisher]&lt;/p&gt;
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