Abnormal cortical surface-based spontaneous and functional connectivity in the whole brain in lifelong premature ejaculation patients  

作　　者：Si-Yan Xing Jia-Ming Lu Yue-Hui Jiang Tong Wang Guang-Jun Du Bai-Bing Yang Qing-Qiang Gao Bin Wang Ning Wu Chun-Lu Xu Tao Song Yu-Tian Dai 

机构地区：[1]Department of Andrology,Nanjing Drum Tower Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing 210008,China [2]Department of Radiology,Nanjing Drum Tower Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing 210008,China [3]Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine,Nanjing 210046,China

出　　处：《Asian Journal of Andrology》2023年第6期699-703,共5页亚洲男性学杂志（英文版）

基　　金：This work was financially supported by the National Natural Science Foundation of China(grant No.82001793);Social Development Project of Science and Technology in Jiangsu Province(grant No.BE2019606)。

摘　　要：Recent research has highlighted structural and functional abnormalities in the cerebral cortex of patients with premature ejaculation(PE).These anomalies could play a pivotal role in the physiological mechanisms underlying PE.This study leveraged functional magnetic resonance imaging(fMRI),a noninvasive technique,to explore these neural mechanisms.We conducted resting-state fMRI scans on 36 PE patients and 22 healthy controls(HC),and collected data on Premature Ejaculation Diagnostic Tool(PEDT)scores and intravaginal ejaculation latency time(IELT).Employing a surface-based regional homogeneity(ReHo)approach,we analyzed local neural synchronous spontaneous activity,diverging from previous studies that utilized a volume-based ReHo method.Areas with significant ReHo differences between PE and HC groups underwent surface-based functional connectivity(FC)analysis.Significant discrepancies in ReHo and FC across the cortical surface were observed in the PE cohort.Notably,PE patients exhibited decreased ReHo in the left triangular inferior frontal gyrus and enhanced ReHo in the right middle frontal gyrus.The latter showed heightened connectivity with the left lingual gyrus and the right orbital superior frontal gyrus.Furthermore,a correlation between ReHo and FC values with PEDT scores and IELT was found in the PE group.Our findings,derived from surface-based fMRI data,underscore specific brain regions linked to the neurobiological underpinnings of PE.

关 键 词：functional connectivity functional magnetic resonance imaging lifelong premature ejaculation regional homogeneity surface-based 

分 类 号：R697[医药卫生—泌尿科学]