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To elucidate trauma-related and post-traumatic stress disorder\u2013related alterations in cortical intrinsic activity at the whole-brain level, we recruited 47 survivors diagnosed with post-traumatic stress disorder, 64 trauma-exposed controls from a major earthquake, and 46 age- and sex-matched healthy controls. All subjects were scanned with an echo-planar imaging sequence, and 5 parameters including the amplitude of low-frequency fluctuations, fractional amplitude of low-frequency fluctuations, regional homogeneity, degree centrality, and voxel-mirrored homotopic connectivity were calculated. We found both post-traumatic stress disorder patients and trauma-exposed controls exhibited decreased amplitude of low-frequency fluctuations in the bilateral posterior cerebellum and inferior temporal gyrus, decreased fractional amplitude of low-frequency fluctuation and regional homogeneity in the bilateral anterior cerebellum, and decreased fractional amplitude of low-frequency fluctuation in the middle occipital gyrus and cuneus compared to healthy controls, and these impairments were more severe in post-traumatic stress disorder patients than in trauma-exposed controls. Additionally, fractional amplitude of low-frequency fluctuation in left cerebellum was positively correlated with Clinician-Administered PTSD Scale scores in post-traumatic stress disorder patients. We identified brain regions that might be responsible for the emergence of post-traumatic stress disorder, providing important information for the treatment of this disorder.<\/jats:p>","DOI":"10.1093\/cercor\/bhae307","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T19:53:26Z","timestamp":1722369206000},"source":"Crossref","is-referenced-by-count":3,"title":["Elucidating trauma-related and disease-related regional cortical activity in post-traumatic stress disorder"],"prefix":"10.1093","volume":"34","author":[{"given":"Ruihan","family":"Zhong","sequence":"first","affiliation":[{"name":"West China Hospital, Sichuan University Department of Radiology and Huaxi MR Research Center (HMRRC), Functional and Molecular Imaging Key Laboratory of Sichuan Province, , Chengdu, 610041, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lianqing","family":"Zhang","sequence":"additional","affiliation":[{"name":"West China Hospital, Sichuan University Department of Radiology and Huaxi MR Research Center (HMRRC), Functional and Molecular Imaging Key Laboratory of Sichuan Province, , Chengdu, 610041, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hailong","family":"Li","sequence":"additional","affiliation":[{"name":"West China Hospital, Sichuan University Department of Radiology and Huaxi MR Research Center (HMRRC), Functional and Molecular Imaging Key Laboratory of Sichuan Province, , Chengdu, 610041, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingying","family":"Wang","sequence":"additional","affiliation":[{"name":"West China Hospital, Sichuan University Department of Radiology and Huaxi MR Research Center (HMRRC), Functional and Molecular Imaging Key Laboratory of Sichuan Province, , Chengdu, 610041, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lingxiao","family":"Cao","sequence":"additional","affiliation":[{"name":"West China Hospital, Sichuan 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