putamen

  • 文章类型: Journal Article
    背景:家族中有多个前几代人患有抑郁症会增加后代患精神病理学的风险。父母的抑郁症与孩子的皮质下脑容量较小有关,但是前两代人的抑郁症是否与进一步减少有关尚不清楚。
    方法:使用两个独立的队列,1)三代研究(TGS,N=65),对所有三代人的成人和儿童进行直接临床访谈,和2)青少年大脑认知发育研究(ABCD,N=10,626)由护理人员评估的具有家族史的9-10岁儿童,我们测试了家族中抑郁代较多是否与皮质下体积较小相关(使用结构性MRI).
    结果:在TGS中,尾状,苍白球和壳核显示体积减少,患抑郁症的家族性风险较高。与这些地区没有家族性抑郁症相比,父母和祖父母患有抑郁症与体积减少有关。在8年的随访中,蒲团体积与抑郁症有关。在ABCD中,较小的苍白球和壳核与家族史有关,这是由父母的抑郁症引起的,不管祖父母的抑郁症。
    结论:队列之间的差异可能是由于访谈类型(临床或自我报告)和线人(个人或普通线人),样本量或年龄。未来对后续ABCD波的分析将能够评估随着儿童进入成年,祖父母抑郁症对大脑标志物的影响是否变得更加明显。
    结论:在两个独立的队列中,有抑郁家族史的后代的基底神经节区域体积明显较小。
    BACKGROUND: Having multiple previous generations with depression in the family increases offspring risk for psychopathology. Parental depression has been associated with smaller subcortical brain volumes in their children, but whether two prior generations with depression is associated with further decreases is unclear.
    METHODS: Using two independent cohorts, 1) a Three-Generation Study (TGS, N = 65) with direct clinical interviews of adults and children across all three generations, and 2) the Adolescent Brain Cognitive Development Study (ABCD, N = 10,626) of 9-10 year-old children with family history assessed by a caregiver, we tested whether having more generations of depression in the family was associated with smaller subcortical volumes (using structural MRI).
    RESULTS: In TGS, caudate, pallidum and putamen showed decreasing volumes with higher familial risk for depression. Having a parent and a grandparent with depression was associated with decreased volume compared to having no familial depression in these regions. Putamen volume was associated with depression at eight-year follow-up. In ABCD, smaller pallidum and putamen were associated with family history, which was driven by parental depression, regardless of grandparental depression.
    CONCLUSIONS: Discrepancies between cohorts could be due to interview type (clinical or self-report) and informant (individual or common informant), sample size or age. Future analyses of follow-up ABCD waves will be able to assess whether effects of grandparental depression on brain markers become more apparent as the children enter young adulthood.
    CONCLUSIONS: Basal ganglia regional volumes are significantly smaller in offspring with a family history of depression in two independent cohorts.
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  • 文章类型: Journal Article
    背景:与其他精神病性精神障碍相比,通过神经影像学技术探索妄想障碍的神经生物学基础较少。本研究旨在通过磁共振成像(MRI)纹理分析检查某些基底核的神经解剖特征,提供有关妄想症(DD)的神经起源的信息。
    方法:20名DD患者和20名健康人纳入研究。苍白无力,壳核,在轴向MRI图像上单独选择尾状核和感兴趣区域(ROI)。应用于所有选择的ROI的整个纹理分析算法是用内部软件完成的。取两侧的核作为单独的样品。
    结果:两组之间在年龄和性别方面没有显着差异。平均“意味着,DD患者3个细胞核的中值和最大值均降低.妄想症患者中所有三个核的小壳核面积和在不同组织参数中检测到的差异表明它们在妄想症方面与正常对照不同(p<0.05)。
    结论:在所有三个核的质地参数中检测到的差异表明,DD与正常对照中存在差异。将来使用更大样本和不同技术的神经影像学研究可能会阐明妄想症的病因。
    BACKGROUND: The neurobiological basis of delusional disorder is less explored through neuroimaging techniques than in other psychotic disorders. This study aims to provide information about the neural origins of delusional disorder (DD) by examining the neuroanatomical features of some basal nuclei with magnetic resonance imaging (MRI) texture analysis.
    METHODS: Twenty DD patients and 20 healthy individuals were included in the study. Globus pallidus, putamen, and caudate nuclei were selected individually with a region of interest (ROI) on the axial MRI images. The entire texture analysis algorithm applied to all selected ROIs was done with an in-house software. Nuclei on both sides were taken as separate samples.
    RESULTS: There were no significant differences between groups in terms of age and gender. The average \"mean, median and maximum\" values of all three nuclei were decreased in DD patients. The small putamen area and the differences detected in different tissue parameters for all three nuclei in delusional disorder patients indicate that they differ in delusional disorder from normal controls (p < 0.05).
    CONCLUSIONS: The differences detected in the texture parameters for all three nuclei indicate that there is something different in the DD from in the normal controls. Neuroimaging studies with larger samples and different techniques in the future may shed light on the etiology of delusional disorder.
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  • 文章类型: Journal Article
    运动和肌肉控制对于所有自由生物的生存至关重要。本研究旨在使用功能磁共振成像(fMRI)探索肌肉控制不同阶段的皮质和皮质下激活的差异模式。采用了与事件相关的设计。在每次审判中,参与者(n=10)被指示用右手食指轻轻按下按钮,自然保持几秒钟,然后放松手指.使用一般线性模型分析这些时间上分离的阶段中的神经激活。我们的发现揭示了一个广泛分布的皮层网络,包括辅助运动区和脑岛,不仅牵涉到紧迫阶段,而且在放松阶段,而只有部分网络参与了稳定的保持阶段。此外,支持皮质下基底神经节的直接/间接途径模型,它们的子结构在肌肉控制的不同阶段发挥着不同的作用。尾状核表现出更大的参与肌肉收缩,而壳核显示出与肌肉松弛的更强关联;这两个结构都与压迫阶段有关。此外,在肌肉松弛阶段,丘脑底核仅参与其中。我们得出的结论是,即使控制简单的肌肉运动也涉及复杂的自动高级感觉-运动整合,特别是在协调相对肌肉运动时,包括肌肉收缩和肌肉松弛;皮质和皮质下区域在肌肉控制的不同阶段承担不同但协调的作用。
    Movement and muscle control are crucial for the survival of all free-living organisms. This study aimed to explore differential patterns of cortical and subcortical activation across different stages of muscle control using functional magnetic resonance imaging (fMRI). An event-related design was employed. In each trial, participants (n = 10) were instructed to gently press a button with their right index finger, hold it naturally for several seconds, and then relax the finger. Neural activation in these temporally separated stages was analyzed using a General Linear Model. Our findings revealed that a widely distributed cortical network, including the supplementary motor area and insula, was implicated not only in the pressing stage, but also in the relaxation stage, while only parts of the network were involved in the steady holding stage. Moreover, supporting the direct/indirect pathway model of the subcortical basal ganglia, their substructures played distinct roles in different stages of muscle control. The caudate nucleus exhibited greater involvement in muscle contraction, whereas the putamen demonstrated a stronger association with muscle relaxation; both structures were implicated in the pressing stage. Furthermore, the subthalamic nucleus was exclusively engaged during the muscle relaxation stage. We conclude that even the control of simple muscle movements involves intricate automatic higher sensory-motor integration at a neural level, particularly when coordinating relative muscle movements, including both muscle contraction and muscle relaxation; the cortical and subcortical regions assume distinct yet coordinated roles across different stages of muscle control.
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  • 文章类型: Journal Article
    对儿童早期纹状体和丘脑的发育和不对称的研究很少。在整个生命周期中调查这些结构的研究没有详细介绍它们在童年和青春期的变化。由于这些原因,这项研究调查了年龄和性别因素对1-18岁年龄组纹状体和丘脑发育和不对称的影响。在这项回顾性研究中,我们纳入了2012年至2021年间1~18岁脑MRI正常的652例个体[362例(56%)男性].通过用volBrain1.0分割三维T1加权MRI,获得纹状体和丘脑的绝对和相对体积。我们在SPSS(第28版)的帮助下创建了特定年龄的体积数据和基于月份的开发模型。纹状体和丘脑具有立方绝对体积发育模型。尾状核和丘脑的相对体积(仅雄性)与递减的“生长”模型一致,其他的立方模型递减。男性双侧纹状体和丘脑的绝对体积以及女性的尾状部和丘脑的相对体积显着较大(P<0.05)。尾状显示右>左偏侧;壳核,苍白球,丘脑呈左偏右。
    Studies of the development and asymmetry of the corpus striatum and thalamus in early childhood are rare. Studies investigating these structures across the lifespan have not presented their changes during childhood and adolescence in detail. For these reasons, this study investigated the effect of age and sex factors on the development and asymmetry of the corpus striatum and thalamus in the 1-18 age group. In this retrospective study, we included 652 individuals [362 (56%) males] aged 1-18 years with normal brain MRI between 2012 and 2021. Absolute and relative volumes of the corpus striatum and thalamus were obtained by segmentation of three-dimensional T1-weighted MRIs with volBrain1.0. We created age-specific volume data and month-based development models with the help of SPSS (ver.28). The corpus striatum and thalamus had cubic absolute volumetric developmental models. The relative volume of the caudate and thalamus (only males) is consistent with the decreasing \"growth\" model, the others with the decreasing cubic model. The absolute volumes of the males\' bilateral corpus striatum and thalamus and the relative volumes of the caudate and thalamus of the females were significantly larger (P < 0.05). The caudate showed right > left lateralization; putamen, globus pallidus, and thalamus showed left > right lateralization.
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  • 文章类型: Journal Article
    强迫症状(OCS)在青春期相对常见,尽管大多数人不符合强迫症(OCD)的诊断标准。尽管如此,青春期的OCS与合并症的精神病理学和行为问题有关。先前,相对于健康对照,强迫症患者的环境应激水平提高以及躯体运动网络与壳核之间的功能连通性增强与OCS升高有关。然而,这些因素在同一个体样本中的相互作用一直没有得到充分研究。这项研究检查了躯体运动-壳核静息状态的连通性,压力,以及他们对9-12岁青少年OCS的互动。参与者(n=6,386)来自ABCD研究4.0版本。使用多级建模来解释数据中的嵌套并评估该年龄范围内OCS的变化。应激缓和了躯体运动-壳核连通性与OCS之间的关联(β=0.35,S.E.=0.13,p=0.006)。参与者报告的压力比他们的平均水平更大,并且有更大的躯体运动-左壳核连接报告了更多的OCS,而报告压力低于平均水平且具有更大的躯体运动-左壳核连接的参与者报告OCS较少。这些数据表明,应激会不同程度地影响躯体运动-壳核连接与OCS之间的关联方向。在具有更大的躯体运动-壳核连接的青少年中,个体对压力的体验或感知的差异可能会导致更多的OCS。
    Obsessive-compulsive symptoms (OCS) are relatively common during adolescence although most individuals do not meet diagnostic criteria for obsessive-compulsive disorder (OCD). Nonetheless, OCS during adolescence are associated with comorbid psychopathologies and behavioral problems. Heightened levels of environmental stress and greater functional connectivity between the somatomotor network and putamen have been previously associated with elevated OCS in OCD patients relative to healthy controls. However, the interaction of these factors within the same sample of individuals has been understudied. This study examined somatomotor-putamen resting state connectivity, stress, and their interaction on OCS in adolescents from 9-12 years of age. Participants (n = 6386) were drawn from the ABCD Study 4.0 release. Multilevel modeling was used to account for nesting in the data and to assess changes in OCS in this age range. Stress moderated the association between somatomotor-putamen connectivity and OCS (β = 0.35, S.E. = 0.13, p = 0.006). Participants who reported more stress than their average and had greater somatomotor-left putamen connectivity reported more OCS, whereas participants who reported less stress than their average and had greater somatomotor-left putamen connectivity reported less OCS. These data suggest that stress differentially affects the direction of association between somatomotor-putamen connectivity and OCS. Individual differences in the experience or perception of stress may contribute to more OCS in adolescents with greater somatomotor-putamen connectivity.
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  • 文章类型: Journal Article
    我们研究了在疑似帕金森病患者中使用多巴胺转运蛋白(DaT)示踪剂配体([123I]FP-CIT)和新型多针孔脑准直器进行动态脑单光子发射计算机断层扫描(SPECT)的可行性。13例患者在标准成像前进行了动态示踪剂采集。针对部分体积效应校正了摄取值。计算特异性结合比(SBRcalc),相对于皮质中的不可置换结合(BPND),反映了结合潜力。其他药代动力学参数(BPND,R1,k2)使用简化的参考组织模型进行估计,揭示Kahraman低评分(LS)和高评分(HS)组之间的差异。结果显示纹状体示踪剂摄取增加,直到注射后100分钟,之后具有一致的值。摄取和SBRcalc比率与视觉评估相匹配。LS患者的壳核比尾状核示踪剂摄取低,BPND值降低,而R1和k2值与HS患者相当。总之,使用DaT示踪剂提取药代动力学参数的动态多针孔SPECT是可行的,可以帮助早期区分降低和正常的DaT值。
    We investigated the feasibility of using a dopamine transporter (DaT) tracer ligand ([123I]FP-CIT) along with novel multi-pinhole brain collimators for dynamic brain single photon emission computed tomography (SPECT) in suspected Parkinson\'s disease patients. Thirteen patients underwent dynamic tracer acquisitions before standard imaging. Uptake values were corrected for partial volume effects. Specific binding ratio (SBRcalc) was calculated, reflecting binding potential relative to non-displaceable binding (BPND) in the cortex. Additional pharmacokinetic parameters (BPND, R1, k2) were estimated using the simplified reference tissue model, revealing differences between Kahraman low-score (LS) and high-score (HS) groups. Results showed increasing striatal tracer uptake until 100 min post-injection, with consistent values afterward. Uptake and SBRcalc ratios matched visual assessment. LS patients had lower putamen than caudate nucleus tracer uptake, decreased BPND values, while R1 and k2 values were comparable to HS patients. In conclusion, dynamic multi-pinhole SPECT using DaT tracer with the extraction of pharmacokinetic parameters is feasible and could help enable early differentiation of reduced and normal DaT values.
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  • 文章类型: Journal Article
    亨廷顿病综合分期系统(HD-ISS)使用源自Freesurfer6(FS6)的尾状核和壳核的体积截止值来定义疾病发作。最新软件更新(FS7)对卷的影响仍然未知。亨廷顿病年轻成人研究(HD-YAS)被适当地定位,以探索检测早期萎缩时FS偏倚的差异。
    探索原始尾状核和壳核体积之间的关系和差异,计算的颅内总容积(cTICV),调整了尾状核和壳核的体积,来自FS6和FS7,来自HD-YAS。
    对来自123名参与者的图像进行了分割和质量控制。使用组内相关性(ICC)和Bland-Altman分析探索了体积之间的关系和差异。
    在整个队列中,原始尾状和壳核的ICC为0.99,cTICV为0.93,调整尾状0.87,调整壳核0.86(所有p<0.00005)。与FS6相比,FS7计算出:i)较大的原始尾状(+0.8%,p<0.00005)和壳核(+1.9%,p<0.00005),体积越大,差异越大;ii)cTICV越小(-5.1%,p<0.00005),对于较小的体积,差异更大。cTICV的系统和比例差异大于原始体积。当针对cTICV调整原始体积时,这些影响复合(调整后尾状+7.0%,p<0.00005;调整的壳核+8.2%,p<0.00005),对于更大的体积,差异更大。
    随着新软件的发布,研究偏差是至关重要的,因为差异有可能显著改变HD试验的结果.在定义转换因子之前,必须使用FS6来应用HD-ISS。这应该被纳入HD-ISS在线计算器。
    UNASSIGNED: The Huntington\'s Disease Integrated Staging System (HD-ISS) defined disease onset using volumetric cut-offs for caudate and putamen derived from FreeSurfer 6 (FS6). The impact of the latest software update (FS7) on volumes remains unknown. The Huntington\'s Disease Young Adult Study (HD-YAS) is appropriately positioned to explore differences in FS bias when detecting early atrophy.
    UNASSIGNED: Explore the relationships and differences between raw caudate and putamen volumes, calculated total intracranial volumes (cTICV), and adjusted caudate and putamen volumes, derived from FS6 and FS7, in HD-YAS.
    UNASSIGNED: Images from 123 participants were segmented and quality controlled. Relationships and differences between volumes were explored using intraclass correlation (ICC) and Bland-Altman analysis.
    UNASSIGNED: Across the whole cohort, ICC for raw caudate and putamen was 0.99, cTICV 0.93, adjusted caudate 0.87, and adjusted putamen 0.86 (all p < 0.0005). Compared to FS6, FS7 calculated: i) larger raw caudate (+0.8%, p < 0.00005) and putamen (+1.9%, p < 0.00005), with greater difference for larger volumes; and ii) smaller cTICV (-5.1%, p < 0.00005), with greater difference for smaller volumes. The systematic and proportional difference in cTICV was greater than raw volumes. When raw volumes were adjusted for cTICV, these effects compounded (adjusted caudate +7.0%, p < 0.00005; adjusted putamen +8.2%, p < 0.00005), with greater difference for larger volumes.
    UNASSIGNED: As new software is released, it is critical that biases are explored since differences have the potential to significantly alter the findings of HD trials. Until conversion factors are defined, the HD-ISS must be applied using FS6. This should be incorporated into the HD-ISS online calculator.
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  • 文章类型: Observational Study
    目的:探讨神经精神症状(NPS)与营养状况的关系,并探索它们在阿尔茨海默病(AD)连续体上的共同调节大脑区域。
    方法:纵向,观察性队列研究。
    方法:数据来自中国影像学,生物标志物,以及2021年6月1日至2022年12月31日之间的生活方式研究。
    方法:总的来说,432名AD连续体患者,包括遗忘型轻度认知障碍和AD痴呆,在基线评估,仅165例患者完成了(10.37±6.08)个月的随访。
    方法:使用迷你营养评估(MNA)和神经精神量表(NPI)评估营养状况和NPS,分别。分析了通过饮食营养相关脑区的伪连续动脉自旋标记测量的校正脑血流量(cCBF)。使用广义线性混合模型检查基线时NPS与随后营养状况变化之间的关联以及NPS严重程度变化与营养状况之间的关联。
    结果:左壳核cCBF增加与营养不良有关,一般NPS,情感症状,多动症(P<0.05)。一般NPS的存在(β=-1.317,P=0.003),情感症状(β=-1.887,P<0.001),基线时的食欲/进食障碍(β=-1.714,P<0.001)与随访期间MNA评分下降相关。一般NPI得分越高(β=-0.048),情感症状(β=-0.181),和食欲/进食障碍(β=-0.416;所有P<0.001)在校正混杂因素后与较低的MNA评分纵向相关。
    结论:我们发现基线NPS是AD连续体营养状况下降的预测因子。情感症状和食欲/进食障碍的严重程度越严重,营养状况越差。此外,壳核的异常灌注可能调节营养不良和NPS之间的关系,这表明了他们潜在的共同神经调控基础。
    To investigate the association between neuropsychiatric symptoms (NPS) and nutritional status, and explore their shared regulatory brain regions on the Alzheimer\'s disease (AD) continuum.
    A longitudinal, observational cohort study.
    Data were collected from the Chinese Imaging, Biomarkers, and Lifestyle study between June 1, 2021 and December 31, 2022.
    Overall, 432 patients on the AD continuum, including amnestic mild cognitive impairment and AD dementia, were assessed at baseline, and only 165 patients completed the (10.37 ± 6.08) months\' follow-up.
    The Mini-Nutritional Assessment (MNA) and Neuropsychiatric Inventory (NPI) were used to evaluate nutritional status and NPS, respectively. The corrected cerebral blood flow (cCBF) measured by pseudo-continuous arterial spin labeling of the dietary nutrition-related brain regions was analyzed. The association between the NPS at baseline and subsequent change in nutritional status and the association between the changes in the severity of NPS and nutritional status were examined using generalized linear mixed models.
    Increased cCBF in the left putamen was associated with malnutrition, general NPS, affective symptoms, and hyperactivity (P < 0.05). The presence of general NPS (β = -1.317, P = 0.003), affective symptoms (β = -1.887, P < 0.001), and appetite/eating disorders (β = -1.714, P < 0.001) at baseline were associated with a decline in the MNA scores during follow-up. The higher scores of general NPI (β = -0.048), affective symptoms (β = -0.181), and appetite/eating disorders (β = -0.416; all P < 0.001) were longitudinally associated with lower MNA scores after adjusting for confounding factors.
    We found that baseline NPS were predictors of a decline in nutritional status on the AD continuum. The worse the severity of affective symptoms and appetite/eating disorders, the poorer the nutritional status. Furthermore, abnormal perfusion of the putamen may regulate the association between malnutrition and NPS, which suggests their potentially common neural regulatory basis.
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  • 文章类型: Case Reports
    在多系统萎缩伴显性帕金森病(MSA-P)的典型患者中,左旋多巴无效。然而,其中一些患者对左旋多巴治疗反应良好。左旋多巴在MSA-P患者中的疗效被认为与壳损伤程度有关,但是尚未详细确定putaminal受累与左旋多巴疗效之间的病理原因。
    本研究旨在评估“左旋多巴反应性”MSA-P患者与“左旋多巴无反应性”常规MSA-P患者的黑质纹状体多巴胺能系统的神经病理学特征。
    对一名53岁的日本MSA患者进行了临床病理评估,该患者表现为不对称帕金森病,左旋多巴反应,以及后来的磨损现象。在尸检期间,研究了突触前和突触后多巴胺能受体密度和α-突触核蛋白状态的黑质纹状体病理学。使用相同的病理方案检查了其他两名MSA-P患者。
    发病四年后,患者死于突然的心肺骤停。尸检时,基底神经节中大量α-突触核蛋白阳性神经胶质细胞质包涵体,pons,和小脑被确认。壳核中的神经元数量和多巴胺受体的免疫反应性得到了很好的保留。相比之下,在“左旋多巴无反应的”MSA-P对照患者中,观察到壳核中神经元的显着丢失和多巴胺受体免疫反应性降低。这些推定病理结果与死前磁共振成像(MRI)的发现一致。所有三名患者同样表现出黑质中严重的神经元丢失和多巴胺转运蛋白的免疫反应性降低。
    MSA-P患者的左旋多巴反应性可能由MRI上正常的壳核和病理检查上保留的突触后黑质纹状体多巴胺能系统证实。这项研究的结果可能为诊断为MSA-P的患者继续使用左旋多巴治疗提供依据。
    UNASSIGNED: In typical patients with multiple system atrophy with predominant parkinsonism (MSA-P) levodopa is ineffective. However, there are some of these patients who respond well to levodopa treatment. Levodopa efficacy in MSA-P patients is thought to be related to the degree of putaminal damage, but the pathological causation between the putaminal involvement and levodopa efficacy has not been established in detail.
    UNASSIGNED: This study aimed to evaluate the neuropathological features of the nigrostriatal dopaminergic system in a \"levodopa-responsive\" MSA-P patient in comparison with \"levodopa-unresponsive\" conventional MSA-P patients.
    UNASSIGNED: Clinicopathological findings were assessed in a 53-year-old Japanese man with MSA who presented with asymmetric parkinsonism, levodopa response, and later wearing-off phenomenon. During autopsy, the nigrostriatal pathology of presynaptic and postsynaptic dopaminergic receptor density and α-synuclein status were investigated. The other two patients with MSA-P were examined using the same pathological protocol.
    UNASSIGNED: Four years after the onset, the patient died of sudden cardiopulmonary arrest. On autopsy, numerous α-synuclein-positive glial cytoplasmic inclusions in the basal ganglia, pons, and cerebellum were identified. The number of neurons in the putamen and immunoreactivity for dopamine receptors were well-preserved. In contrast, significant neuronal loss and decreased dopamine receptor immunoreactivity in the putamen were observed in the \"levodopa-unresponsive\" MSA-P control patients. These putaminal pathology results were consistent with the findings of premortem magnetic resonance imaging (MRI). All three patients similarly exhibited severe neuronal loss in the substantia nigra and decreased immunoreactivity for dopamine transporter.
    UNASSIGNED: Levodopa responsiveness in patients with MSA-P may be corroborated by the normal putamen on MRI and the preserved postsynaptic nigrostriatal dopaminergic system on pathological examination. The results presented in this study may provide a rationale for continuation of levodopa treatment in patients diagnosed with MSA-P.
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  • 文章类型: Journal Article
    弥漫性轴索损伤(DAI)破坏脑白质微结构的完整性,影响脑功能连接,导致持续的认知,行为和情感缺陷。越来越多的证据表明,皮质-皮质下连通性的改变是认知功能障碍的主要原因。纹状体的功能完整性特别容易受到DAI的影响,但受到的关注较少。本研究旨在探讨纹状体细分功能连接的变化模式。26名DAI患者和27名健康对照者在3.0T扫描仪上接受了静息状态fMRI扫描。我们使用DAI中基于种子的分析评估纹状体细分功能连通性。此外,部分相关性用于衡量其临床相关性.与对照组相比,DAI患者右腹下纹状体和右额下回之间的功能连接下降,以及右下顶叶小叶,在左下腹侧纹状体和右额下回之间,右上腹侧纹状体和双侧小脑后叶之间,在双侧背侧尾端壳核和右前扣带回之间,位于右尾背侧壳核和右下顶叶小叶之间。此外,在左背尾状叶和右小脑后叶之间观察到功能连接下降,而左背尾状叶和右下顶叶小叶之间的功能连通性增加。相关分析显示DAI组中功能连接差异的区域与多个临床评分量表相关,包括认知,运动功能,激动的行为,和焦虑症。这些发现表明,在DAI患者中观察到皮质纹状体和小脑纹状体功能连接异常,丰富我们对损伤后认知障碍的神经病理学机制的理解,并为DAI的诊断和治疗提供潜在的神经影像学标记。
    Diffuse axonal injury (DAI) disrupts the integrity of white matter microstructure and affects brain functional connectivity, resulting in persistent cognitive, behavioral and affective deficits. Mounting evidence suggests that altered cortical-subcortical connectivity is a major contributor to cognitive dysfunction. The functional integrity of the striatum is particularly vulnerable to DAI, but has received less attention. This study aimed to investigate the alteration patterns of striatal subdivision functional connectivity. Twenty-six patients with DAI and 27 healthy controls underwent resting-state fMRI scans on a 3.0 T scanner. We assessed striatal subdivision functional connectivity using a seed-based analysis in DAI. Furthermore, a partial correlation was used to measure its clinical association. Compared to controls, patients with DAI showed decreased functional connectivity between the right inferior ventral striatum and right inferior frontal gyrus, as well as the right inferior parietal lobule, between the left inferior ventral striatum and right inferior frontal gyrus, between the right superior ventral striatum and bilateral cerebellar posterior lobe, between the bilateral dorsal caudal putamen and right anterior cingulate gyrus, and between the right dorsal caudal putamen and right inferior parietal lobule. Moreover, decreased functional connectivity was observed between the left dorsal caudate and the right cerebellar posterior lobe, while increased functional connectivity was found between the left dorsal caudate and right inferior parietal lobule. Correlation analyses showed that regions with functional connectivity differences in the DAI group correlated with multiple clinical scoring scales, including cognition, motor function, agitated behavior, and anxiety disorders. These findings suggest that abnormalities in cortico-striatal and cerebellar-striatal functional connectivity are observed in patients with DAI, enriching our understanding of the neuropathological mechanisms of post-injury cognitive disorders and providing potential neuroimaging markers for the diagnosis and treatment of DAI.
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