Sains Malaysiana 47(8)(2018): 1843–1852
http://dx.doi.org/10.17576/jsm-2018-4708-24
Kesan
Penuaan ke atas Kehubungan Berkesan Otak semasa Pemprosesan Persepsi Pertuturan
daripada Perspektif Pemodelan Sebab dan Akibat Dinamik: Satu Kajian fMRI
(Effects
of Aging on Effective Brain Connectivity during Speech Perception Processing
from
Dynamic Causal Modeling Perspective: An fMRI Study)
HANANI ABDUL MANAN1*, AHMAD NAZLIM YUSOFF2 & SITI ZAMRATOL-MAI SARAH MUKARI3
1Department of Radiology, University Kebangsaan Malaysia Medical
Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000
Cheras, Kuala Lumpur, Wilayah Persekutuan, Malaysia
2Diagnostic
Imaging & Radiotherapy Program, School of Diagnostic & Applied Health
Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan
Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Wilayah Persekutuan, Malaysia
3Audiology Program, School
of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan
Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Wilayah Persekutuan, Malaysia
Received: 29 September 2017/Accepted: 23 March 2018
ABSTRAK
Proses penuaan seringkali dikaitkan dengan kemerosotan pada sistem
kognitif. Kemerosotan kognitif bermula seawal usia dua puluhan dan berterusan
secara linear. Selain itu, kemerosotan kognitif juga menjadi lebih nyata dengan
kehadiran hingar latar. Walau bagaimanapun, kesan penuaan ke atas mekanisme
pemprosesan persepsi pertuturan menggunakan tugasan mengulang secara terus (FRT)
dalam senyap dan hingar belum difahami dengan jelas. Dalam kajian ini,
pengimejan resonans magnet kefungsian (fMRI) digunakan untuk membandingkan
kesan penuaan ke atas kehubungan efektif otak yang terhasil daripada tugasan FRT ke
atas subjek normal dengan empat kumpulan umur yang berlainan iaitu 20 - 29
tahun (n = 15), 30 - 39 tahun (n = 15), 40 - 49 tahun (n = 10) dan 50 - 65
tahun (n = 14). Satu siri lima perkataan yang diselang-seli dalam
keadaan hingar dengan senyap diberikan secara auditori. Pemetaan statistik
berparameter (SPM8) dan pemodelan dinamik penyebab (DCM10)
digunakan untuk menentukan kehubungan efektif otak. Kawasan yang terlibat dalam
pembinaan model kehubungan efektif otak adalah STG, HG dan PCG.
Model optimum yang dipilih dalam kajian ini adalah model yang menunjukkan
keseimbangan antara ketepatan dan kesukaran. Keputusan fMRI kehubungan efektif
menunjukkan bahawa komunikasi antara intrahemisfera tidak berubah dengan
menggunakan tugasan FRT ini apabila seseorang semakin
berusia, tetapi komunikasi antara interhemisfera menjadi semakin kompleks.
Kata kunci: DCM; fMRI; kehubungan efektif;
pemprosesan auditori; penuaan
ABSTRACT
Aging process is often associated with a deterioration in
cognitive system. The decline begins as early as in the twenties and continues
linearly. Other than that, the decline also becomes more pronounced in the
presence of background noise. However, the effects of aging on the mechanisms
of speech perception processing using forward repeat task (FRT)
in quiet and in noise have not yet clearly understood. In this study,
functional magnetic resonance imaging (fMRI) was used to compare the effects of
aging on effective connectivity resulting from FRT tasks on normal subjects
with four different age groups which are 20 - 29 years (n = 15), 30 - 39
years (n = 15), 40 - 49 years (n = 10) and 50 - 65 years (n = 14). A series of five words interspersed in noise and in quiet were given
using auditory stimulus. Statistical parametric mapping (SPM8)
and dynamic causal modeling (DCM10) was used to determine
the effective connectivity. Three areas, STG, HG and PCG were selected to built effective connectivity models. The
effective connectivity results using FRT task showed there is no
significant changes in the intrahemispheric connectivity when a person gets
older, however the interhemispheric communication becomes more complex.
Keywords: Ageing; auditory processing; DCM; effective connectivity; fMRI
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*Corresponding
author; email: hanani@ukm.edu.my