Evaluation of brain default network fMRI of Insomnia with Depression patients at Resting state

Research Purpose: By conducting fMRI research on insomniacs with depression in resting state, this experiment reveals the abnormality in the patient's DMN and its neural pathogenesis, and different degrees of depression's impact on the neural networks causing weakened cognitive function. Consequently, it offers objective imageological basis for clinical cognitive impairment treatment and evaluation of such treatment. Method: a group of 40 cases are selected as the insomniac group, consisting of 20 as mild depression group and 20 as moderate depression group. And another 40 cases are selected as the HC group. All the testees take PSQI, HAMD, 3.0T routine MRI examination and fMRI, and cases with abnormal brain structures are excluded. Then on the basis of PCC as the seed point, comparisons are made between the insomniac group and HC group, between mild and moderate depression group in terms of their DMN differences. Result: Depressive Insomniac Group have stronger functional connection with PCC/pC: bilateral superior frontal gyri and bilateral middle cingulate gyri; the following regions have weaker functional connection: left occipital lobe lingual gyrus/ parahippocampal gyrus/ fusiform gyrus, right superior temporal gyrus/temporal pole, right middle temporal gyrus/middle occipital gyrus, and left occipital lobe/middle temporal gyrus. Compared with Mildly Depressive Group, the following encephalic regions of Moderately Depressive Insomniac Group have stronger functional connection with PCC/pC: right middle cingulate cortex and right frontal gyrus; the following regions have weaker functional connection: left parahippocampal gyrus. Conclusion: There is abnormity in the brain default mode network of insomniacs with depressive symptoms. The depression degree of insomniacs varies. There are differences in the brain default mode network. It is suggested that there is a positive correlation between the middle cingulate gyrus and insomnia and depression, this is also shown between the activated degree of the middle frontal gyrus and insomnia and depression. There is a negative correlation between the activated degree of the parahippocampal gyrus and insomnia and depression. This research also suggested that there is a cognitive disorder and a neutral network mechanism of emotion regulation disorder among depressive insomniacs. (Yongli L, Shewei D, Enfeng W. Evaluation of brain default network fMRI of Insomnia with Depression patients at Resting state. Life Sci J 2014;11(8):794-801). (ISSN:1097-8135). http://www.lifesciencesite.com . 119