Clinical value of predicting relapse within 3 months in alcohol-dependent patients using fNIRS in verbal fluency task

Bibliographic Details
Title: Clinical value of predicting relapse within 3 months in alcohol-dependent patients using fNIRS in verbal fluency task
Authors: Anqi Huang, Ran Wang, Aiping Wen, Lin Xu, Na Li, Yuanyuan Gao, Wenting Lu, Shijie Guo, Jincheng Wang, Lan Wang
Source: Scientific Reports, Vol 15, Iss 1, Pp 1-13 (2025)
Publisher Information: Nature Portfolio, 2025.
Publication Year: 2025
Collection: LCC:Medicine
LCC:Science
Subject Terms: Alcohol dependence, Functional near-infrared spectroscopy, Verbal fluency task, Relapse, Medicine, Science
More Details: Abstract To investigate the hemodynamic differences in various brain regions between alcohol dependence (AlcD) patients and healthy controls during a verbal fluency task (VFT) using functional near-infrared spectroscopy (fNIRS), and to further explore the clinical predictive value of fNIRS before therapy for the outcome of relapse in AlcD patients after 3 months. A retrospective survey was conducted on 123 AlcD patients and 149 healthy controls during the same period. Baseline assessment of fNIRS was performed to analyze the hemodynamic differences between the two groups in different brain regions. During hospitalization, AlcD patients underwent a 3-week benzodiazepine substitution therapy, gradually tapering off the medication to achieve alcohol withdrawal treatment goals. Three months after discharge, we conducted follow-up phone calls to assess the relapse status of the patients. Compared to the control group, the AlcD group had significantly lower integral values in the frontal and bilateral temporal lobes, as well as lower β-values in all channels of the frontal lobe except for Ch13, and in all channels of the bilateral temporal lobes (p 0.05). ROC (Receiver Operating Characteristic Curve) analysis for predicting relapse within 3 months showed that the area under the curve for all channels was highest (0.951, sensitivity 0.924, specificity 0.886). Patients with AlcD exhibit functional impairments in the frontal and temporal lobes. fNIRS channels in the frontal and parietal lobes based on VFT have good clinical predictive value for relapse within 3 months after pharmacotherapy in AlcD and can be applied in clinical practice.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2045-2322
Relation: https://doaj.org/toc/2045-2322
DOI: 10.1038/s41598-025-89775-7
Access URL: https://doaj.org/article/1d2c47a7b2bc483ca99856a2f8035585
Accession Number: edsdoj.1d2c47a7b2bc483ca99856a2f8035585
Database: Directory of Open Access Journals
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More Details
ISSN:20452322
DOI:10.1038/s41598-025-89775-7
Published in:Scientific Reports
Language:English