基于fNIRS脑激活特征的中枢性性早熟分类模型研究
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1.天津大学 精密仪器与光电子工程学院,天津 300072;2.天津大学 医学部,天津 300072;3.天津市天津医院,天津 300211

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基金项目:

国家自然科学基金(62205239, 81971656, 62075156);中国博士后自然科学基金(2023M732600);


Research on the classification model of central precocious puberty based on features from functional near-infrared spectroscopy
Author:
Affiliation:

1.College of Precision Instruments and Optoelectronics Engineering, Tianjin University, Tianjin 300072, China;2.Medical School, Tianjin University, Tianjin 300072, China;3.Tianjin Hospital, Tianjin University, Tianjin 300211, China

Fund Project:

National Natural Science Foundation of China (62205239, 81971656, 62075156); China Postdoctoral Foundation of China (2023M732600)

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    摘要:

    中枢性性早熟(central precocious puberty, CPP)主要由下丘脑-垂体-性腺轴提前激活引起,这会导致激素水平异常并引发大脑结构与功能变化,使CPP患儿的神经血管耦合机制在任务状态下与正常儿童不同。针对现有临床诊断存在假阴性、肥胖干扰和生理痛苦等问题,基于功能性近红外光谱(functional near-infrared spectroscopy, fNIRS)技术,对来自天津医院的167名儿童(正常85例,CPP患者82例)任务相关脑激活特征进行了分析,并构建了CPP辅助诊断模型。研究发现,正常组在心算(mental arithmetic, MA)期间的前额叶激活区域多于CPP组,女性激活区域多于男性。通过选取相关性出现频次最多和负相关幅度最大的两个通道的均值、方差、峰度和偏度作为输入特征,所构建模型的分类准确率达到79.1%。本研究为CPP的快速筛查及发病机理研究提供了新的重要参考。

    Abstract:

    Central precocious puberty (CPP) is mainly caused by the premature activation of the hypothalamic-pituitary-gonadal axis, which leads to abnormal hormone levels and triggers structural and functional changes in the brain, making the neurovascular coupling mechanisms of children with CPP different from those of normal children in the task state. Addressing current limitations of clinical diagnosis, such as false negatives, interference from obesity, and physiological discomfort, this study utilized functional near-infrared spectroscopy (fNIRS) to analyze task-related brain activation characteristics in 167 children from Tianjin Hospital, including 85 normal children and 82 children with CPP. An auxiliary diagnostic model for CPP was established based on these analyses. It was found that the prefrontal activation areas during mental arithmetic (MA) were more in the normal group than in the CPP group, and the activation areas were more in females than in males. By selecting mean, variance, kurtosis, and skewness from the two channels with the highest frequency of correlation and the highest magnitude of negative correlation as input features, the constructed classification model achieved an accuracy rate of 79.1%. This study provides a new and important reference for the rapid screening and pathogenesis study of CPP.

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  • 收稿日期:2025-01-24
  • 最后修改日期:2025-03-10
  • 录用日期:2025-03-11
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