gray matter volume

灰质体积
  • 文章类型: Journal Article
    先前基于静息态功能磁共振成像(rs-fMRI)和基于体素的形态计量学(VBM)的研究表明,早发性精神分裂症(EOS)患者的大脑结构和静息态功能大脑活动明显异常,与健康对照(HCs)相比,这些改变与EOS的发病机制密切相关。然而,以前的研究受到小样本量和结果高度异质性的限制。因此,本研究旨在有效整合以往的研究,以确定EOS患者常见和特定的脑功能和结构异常。
    PubMed,WebofScience,Embase,中国国家知识基础设施(CNKI),系统搜索了WanFang数据库,以确定有关EOS患者静息状态区域功能脑活动和灰质体积(GMV)异常的出版物。然后,我们利用基于种子的d映射与受试者图像排列(SDM-PSI)软件进行VBM和rs-fMRI研究的全脑体素荟萃分析,分别,并在此基础上进行多模态重叠,全面识别EOS患者的脑结构和功能异常。
    本荟萃分析共纳入了27项原始研究(28个数据集),包括与静息状态功能性脑活动相关的12项研究(13个数据集)(496名EOS患者,395项HCs)和15项与GMV相关的研究(15项数据集)(458例EOS患者,531HC)。总的来说,在功能荟萃分析中,EOS患者在左额中回(延伸至左额下回的三角形部分)和右尾状核中显示出静息状态的功能性脑活动显着增加。另一方面,在结构荟萃分析中,EOS患者在右颞上回(延伸到右罗兰骨)显示GMV显着降低,右颞中回,和颞极(颞上回)。
    这项荟萃分析显示,EOS中的某些区域表现出明显的结构或功能异常,比如时间回转,前额叶皮质,和纹状体。这些发现可能有助于加深我们对EOS潜在病理生理机制的理解,并为EOS的诊断或治疗提供潜在的生物标志物。
    UNASSIGNED: Previous studies based on resting-state functional magnetic resonance imaging(rs-fMRI) and voxel-based morphometry (VBM) have demonstrated significant abnormalities in brain structure and resting-state functional brain activity in patients with early-onset schizophrenia (EOS), compared with healthy controls (HCs), and these alterations were closely related to the pathogenesis of EOS. However, previous studies suffer from the limitations of small sample sizes and high heterogeneity of results. Therefore, the present study aimed to effectively integrate previous studies to identify common and specific brain functional and structural abnormalities in patients with EOS.
    UNASSIGNED: The PubMed, Web of Science, Embase, Chinese National Knowledge Infrastructure (CNKI), and WanFang databases were systematically searched to identify publications on abnormalities in resting-state regional functional brain activity and gray matter volume (GMV) in patients with EOS. Then, we utilized the Seed-based d Mapping with Permutation of Subject Images (SDM-PSI) software to conduct a whole-brain voxel meta-analysis of VBM and rs-fMRI studies, respectively, and followed by multimodal overlapping on this basis to comprehensively identify brain structural and functional abnormalities in patients with EOS.
    UNASSIGNED: A total of 27 original studies (28 datasets) were included in the present meta-analysis, including 12 studies (13 datasets) related to resting-state functional brain activity (496 EOS patients, 395 HCs) and 15 studies (15 datasets) related to GMV (458 EOS patients, 531 HCs). Overall, in the functional meta-analysis, patients with EOS showed significantly increased resting-state functional brain activity in the left middle frontal gyrus (extending to the triangular part of the left inferior frontal gyrus) and the right caudate nucleus. On the other hand, in the structural meta-analysis, patients with EOS showed significantly decreased GMV in the right superior temporal gyrus (extending to the right rolandic operculum), the right middle temporal gyrus, and the temporal pole (superior temporal gyrus).
    UNASSIGNED: This meta-analysis revealed that some regions in the EOS exhibited significant structural or functional abnormalities, such as the temporal gyri, prefrontal cortex, and striatum. These findings may help deepen our understanding of the underlying pathophysiological mechanisms of EOS and provide potential biomarkers for the diagnosis or treatment of EOS.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    半球切开术是治疗弥漫性单半球病变难治性癫痫的有效手术。迄今为止,支持左或右半球切开术后行为恢复的术后神经整形变化仍不清楚.在本研究中,我们系统地调查了手术前后灰质体积(GMV)的变化,并进一步分析了其与左右半切开术的两大组儿科患者(左29例和右28例)行为评分的关系.为了控制这个阶段的戏剧性发展效果,未受影响的大脑区域内的年龄调整GMV是使用规范建模方法逐体素得出的,该方法包括2115名健康儿童的年龄匹配参考队列。两组患者均一致观察到对侧大脑和同侧小脑中GMV的广泛增加和对侧小脑中GMV的降低。但只有左半球切开术患者显示对侧扣带回的GMV降低。有趣的是,对侧小脑的GMV下降与右侧小脑的行为评分改善显著相关,但与左侧大脑半球切开术患者的行为评分无显著相关性.重要的是,术前体素GMV特征可用于显著预测两组患者的术后行为评分.这些发现表明对侧小脑在右半球切开术后的行为恢复中的重要作用,并突出了术前影像学特征在术后行为表现中的预测潜力。
    Hemispherotomy is an effective surgery for treating refractory epilepsy from diffuse unihemispheric lesions. To date, postsurgery neuroplastic changes supporting behavioral recovery after left or right hemispherotomy remain unclear. In the present study, we systematically investigated changes in gray matter volume (GMV) before and after surgery and further analyzed their relationships with behavioral scores in two large groups of pediatric patients with left and right hemispherotomy (29 left and 28 right). To control for the dramatic developmental effect during this stage, age-adjusted GMV within unaffected brain regions was derived voxel by voxel using a normative modeling approach with an age-matched reference cohort of 2115 healthy children. Widespread GMV increases in the contralateral cerebrum and ipsilateral cerebellum and GMV decreases in the contralateral cerebellum were consistently observed in both patient groups, but only the left hemispherotomy patients showed GMV decreases in the contralateral cingulate gyrus. Intriguingly, the GMV decrease in the contralateral cerebellum was significantly correlated with improvement in behavioral scores in the right but not the left hemispherotomy patients. Importantly, the preoperative voxelwise GMV features can be used to significantly predict postoperative behavioral scores in both patient groups. These findings indicate an important role of the contralateral cerebellum in the behavioral recovery following right hemispherotomy and highlight the predictive potential of preoperative imaging features in postoperative behavioral performance.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:早期生活逆境是精神病理学的危险因素,并且与5-HT1A受体基因启动子的表观遗传改变有关。5-HT1A受体介导神经营养作用,会影响大脑的结构和功能.我们检查了自我报告的幼儿虐待之间的关系,5-HT1A受体启动子DNA甲基化,重度抑郁障碍(MDD)的灰质体积(GMV)。
    方法:在50例MDD患者中测定了5-HT1A受体启动子CpG位点-681和-1007的外周DNA甲基化,包括18个有童年虐待史的人.进行T1加权结构磁共振成像(MRI)。在杏仁核中定量了基于体素的形态计量学(VBM),海马体,脑岛,枕叶,眶额叶皮质,颞叶,顶叶,在体素级别。
    结果:未观察到DNA甲基化与儿童虐待史之间的关系。我们观察到区域异质性比较-681CpG位点甲基化和GMV(p=0.014),与眶额皮质GMV呈正相关(p=0.035)。同时考虑所有ROI,儿童虐待史与较高的GMV相关(p<0.01)。在全脑分析中,在多个集群中,儿童期虐待史与GMV呈正相关,包括脑岛和眶额皮质(pFWE=0.005),并且在体内皮质中呈阴性(pFWE=0.001)。
    结论:样本量小,使用的儿童创伤评估仪,和外周检测,而不是中枢神经系统,甲基化。
    结论:这些横断面研究结果支持5-HT1A受体相关神经营养效应的假说,以及增加的区域GMV作为儿童虐待的潜在调节机制。眶额皮质与儿童虐待史和5-HT1A受体甲基化具有独特的相关性。
    BACKGROUND: Early life adversity is a risk factor for psychopathology and is associated with epigenetic alterations in the 5-HT1A receptor gene promoter. The 5-HT1A receptor mediates neurotrophic effects, which could affect brain structure and function. We examined relationships between self-reported early childhood abuse, 5-HT1A receptor promoter DNA methylation, and gray matter volume (GMV) in Major Depressive Disorder (MDD).
    METHODS: Peripheral DNA methylation of 5-HT1A receptor promoter CpG sites -681 and -1007 was assayed in 50 individuals with MDD, including 18 with a history of childhood abuse. T1-weighted structural magnetic resonance imaging (MRI) was performed. Voxel-based morphometry (VBM) was quantified in amygdala, hippocampus, insula, occipital lobe, orbitofrontal cortex, temporal lobe, parietal lobe, and at the voxel level.
    RESULTS: No relationship was observed between DNA methylation and history of childhood abuse. We observed regional heterogeneity comparing -681 CpG site methylation and GMV (p = 0.014), with a positive relationship to GMV in orbitofrontal cortex (p = 0.035). Childhood abuse history was associated with higher GMV considering all ROIs simultaneously (p < 0.01). In whole-brain analyses, childhood abuse history was positively correlated with GMV in multiple clusters, including insula and orbitofrontal cortex (pFWE = 0.005), and negatively in intracalcarine cortex (pFWE = 0.001).
    CONCLUSIONS: Small sample size, childhood trauma assessment instrument used, and assay of peripheral, rather than CNS, methylation.
    CONCLUSIONS: These cross-sectional findings support hypotheses of 5-HT1A receptor-related neurotrophic effects, and of increased regional GMV as a potential regulatory mechanism in the setting of childhood abuse. Orbitofrontal cortex was uniquely associated with both childhood abuse history and 5-HT1A receptor methylation.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:我们旨在开发一种标准化方法来研究估计的大脑年龄与区域形态特征之间的关系,符合简单的标准,泛化,和直观的可解释性。
    方法:我们利用了来自剑桥老龄化和神经科学中心项目(N=609)的T1加权磁共振成像(MRI)数据,并采用支持向量回归方法来训练大脑年龄模型。将预先训练的脑年龄模型应用于脑发育项目的数据集(N=547)。使用Kraskov(KSG)估计器计算大脑年龄和区域形态特征之间的互信息(MI)值,包括灰质体积(GMV),白质体积(WMV),脑脊液(CSF)容量,和皮质厚度(CT)。
    结果:在四种类型的大脑特征中,GMV的MI值最高(8.71),在中央前回达到峰值(0.69)。脑脊液体积排名第二(7.76),扣带回的MI值最高(0.87)。CT排名第三(6.22),颞上回MI值最高(0.53)。WMV的MI值最低(4.59),脑岛显示最高的MI值(0.53)。对于脑实质,额上回的体积表现出最高的MI值(0.80)。
    结论:这是首次证明估计的大脑年龄和形态特征之间的MI值可以作为评估区域对估计的大脑年龄的贡献的基准。我们的发现强调了GMV和CSF是决定估计大脑年龄的关键特征,这可能会增加现有的大脑年龄计算模型的价值。
    互信息(MI)分析显示,灰质体积(GMV)和脑脊液(CSF)体积在计算个体的大脑年龄中至关重要。
    结论:互信息(MI)用形态特征解释估计的大脑年龄。对于估计的大脑年龄,中央回的灰质体积具有最高的MI值。扣带回的脑脊液体积具有最高的MI值。关于脑实质体积,额上回的MI值最高。互信息的价值强调了与大脑年龄相关的关键大脑区域。
    OBJECTIVE: We aimed to develop a standardized method to investigate the relationship between estimated brain age and regional morphometric features, meeting the criteria for simplicity, generalization, and intuitive interpretability.
    METHODS: We utilized T1-weighted magnetic resonance imaging (MRI) data from the Cambridge Centre for Ageing and Neuroscience project (N = 609) and employed a support vector regression method to train a brain age model. The pre-trained brain age model was applied to the dataset of the brain development project (N = 547). Kraskov (KSG) estimator was used to compute the mutual information (MI) value between brain age and regional morphometric features, including gray matter volume (GMV), white matter volume (WMV), cerebrospinal fluid (CSF) volume, and cortical thickness (CT).
    RESULTS: Among four types of brain features, GMV had the highest MI value (8.71), peaking in the pre-central gyrus (0.69). CSF volume was ranked second (7.76), with the highest MI value in the cingulate (0.87). CT was ranked third (6.22), with the highest MI value in superior temporal gyrus (0.53). WMV had the lowest MI value (4.59), with the insula showing the highest MI value (0.53). For brain parenchyma, the volume of the superior frontal gyrus exhibited the highest MI value (0.80).
    CONCLUSIONS: This is the first demonstration that MI value between estimated brain age and morphometric features may serve as a benchmark for assessing the regional contributions to estimated brain age. Our findings highlighted that both GMV and CSF are the key features that determined the estimated brain age, which may add value to existing computational models of brain age.
    UNASSIGNED: Mutual information (MI) analysis reveals gray matter volume (GMV) and cerebrospinal fluid (CSF) volume as pivotal in computing individuals\' brain age.
    CONCLUSIONS: Mutual information (MI) interprets estimated brain age with morphometric features. Gray matter volume in the pre-central gyrus has the highest MI value for estimated brain age. Cerebrospinal fluid volume in the cingulate has the highest MI value. Regarding brain parenchymal volume, the superior frontal gyrus has the highest MI value. The value of mutual information underscores the key brain regions related to brain age.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    精神分裂症通常与皮质体积减少和基底神经节扩张有关,尤其是壳核。最近的全基因组关联研究强调了与kinectin1基因(KTN1)相邻的3'调节区变异在调节壳核灰质体积(GMV)中的重要性。本研究旨在全面调查该地区在精神分裂症中的参与情况。
    我们分析了4个独立的dbGaP样本中覆盖整个3个调控区的1136个单核苷酸多态性(SNPs)(4604例精神分裂症患者与4884名健康受试者)和3个独立的精神病学基因组学联盟样本(107240例与210203控件)以识别一致的关联。此外,我们在348名受试者中检测了精神分裂症相关等位基因对16个脑区KTN1mRNA表达的调节作用,以及38258名受试者中7个皮质下核的GMV,36936名受试者的整个皮质和34个皮质区域的表面积(SA)和厚度(TH)。
    25个变异的主要等位基因(f>0.5)在2至5个独立样本(8.4×10-4≤P≤.049)中增加(β>0)精神分裂症的风险。这些精神分裂症相关等位基因显着升高(β>0)基底神经节的GMV,包括壳核(6.0×10-11≤P≤1.1×10-4),尾状(8.7×10-4≤P≤9.4×10-3),苍白球(P=6.0×10-4),和伏隔核(P=2.7×10-5)。此外,它们可能会增加(β>0)后扣带和岛叶皮质的SA,以及额叶(三角部和内侧眶额)的TH,顶叶(上级,precuneus,和劣等),和时间(横向)皮质,但可能降低(β<0)整体的SA,额叶(内侧眶额),和时间(极点,上级,中间,和内嗅)皮质,以及中段额叶和上额叶皮质的TH(8.9×10-4≤P≤.050)。
    我们的发现确定了与KTN1相邻的3'调控区的显著和功能相关的风险等位基因,暗示了它们在精神分裂症发展中的关键作用。
    UNASSIGNED: Schizophrenia is often associated with volumetric reductions in cortices and expansions in basal ganglia, particularly the putamen. Recent genome-wide association studies have highlighted the significance of variants in the 3\' regulatory region adjacent to the kinectin 1 gene (KTN1) in regulating gray matter volume (GMV) of the putamen. This study aimed to comprehensively investigate the involvement of this region in schizophrenia.
    UNASSIGNED: We analyzed 1136 single-nucleotide polymorphisms (SNPs) covering the entire 3\' regulatory region in 4 independent dbGaP samples (4604 schizophrenia patients vs. 4884 healthy subjects) and 3 independent Psychiatric Genomics Consortium samples (107 240 cases vs. 210 203 controls) to identify consistent associations. Additionally, we examined the regulatory effects of schizophrenia-associated alleles on KTN1 mRNA expression in 16 brain areas among 348 subjects, as well as GMVs of 7 subcortical nuclei in 38 258 subjects, and surface areas (SA) and thickness (TH) of the entire cortex and 34 cortical areas in 36 936 subjects.
    UNASSIGNED: The major alleles (f > 0.5) of 25 variants increased (β > 0) the risk of schizophrenia across 2 to 5 independent samples (8.4 × 10-4 ≤ P ≤ .049). These schizophrenia-associated alleles significantly elevated (β > 0) GMVs of basal ganglia, including the putamen (6.0 × 10-11 ≤ P ≤ 1.1 × 10-4), caudate (8.7 × 10-4 ≤ P ≤ 9.4 × 10-3), pallidum (P = 6.0 × 10-4), and nucleus accumbens (P = 2.7 × 10-5). Moreover, they potentially augmented (β > 0) the SA of posterior cingulate and insular cortices, as well as the TH of frontal (pars triangularis and medial orbitofrontal), parietal (superior, precuneus, and inferior), and temporal (transverse) cortices, but potentially reduced (β < 0) the SA of the whole, frontal (medial orbitofrontal), and temporal (pole, superior, middle, and entorhinal) cortices, as well as the TH of rostral middle frontal and superior frontal cortices (8.9 × 10-4 ≤ P ≤ .050).
    UNASSIGNED: Our findings identify significant and functionally relevant risk alleles in the 3\' regulatory region adjacent to KTN1, implicating their crucial roles in the development of schizophrenia.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    据报道,染色体15q11-13的重复是自闭症谱系障碍(ASD)中最常见的细胞遗传学拷贝数变异之一,并产生了父系15q11-13重复的小鼠模型,称为15qdup小鼠。虽然以前的研究已经分别复制了ASD的一些行为和大脑结构表型,很少研究大脑结构和行为之间的关系。在这项研究中,我们使用同一组15qdup和野生型小鼠进行了与焦虑和社交行为以及磁共振成像(MRI)相关的行为实验。15qdup小鼠表现出焦虑增加和社交行为改变的趋势,如前所述,以及社交能力的可变性。MRI分析显示,较低的社交能力指数与右内侧内嗅皮层较小的灰质体积相关。这些结果可能有助于了解即使在具有相同遗传背景的个体中,ASD的行为表型的变异性也是如何产生的,并确定与这些表型背后的特定大脑结构相关的神经发育轨迹的个体差异。
    Duplication of chromosome 15q11-13 has been reported to be one of the most frequent cytogenetic copy number variations in autism spectrum disorder (ASD), and a mouse model of paternal 15q11-13 duplication was generated, termed 15q dup mice. While previous studies have replicated some of the behavioral and brain structural phenotypes of ASD separately, the relationship between brain structure and behavior has rarely been examined. In this study, we performed behavioral experiments related to anxiety and social behaviors and magnetic resonance imaging (MRI) using the same set of 15q dup and wild-type mice. 15q dup mice showed increased anxiety and a tendency toward alterations in social behaviors, as reported previously, as well as variability in terms of sociability. MRI analysis revealed that a lower sociability index was correlated with a smaller gray matter volume in the right medial entorhinal cortex. These results may help to understand how variability in behavioral phenotypes of ASD arises even in individuals with the same genetic background and to determine the individual differences in neurodevelopmental trajectory correlated with specific brain structures that underlie these phenotypes.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:精神分裂症的丘脑异常已被识别,除了认知缺陷。然而,目前关于前驱期这些异常的发现仍然相对较少和不一致.本研究应用多模式方法探讨首发精神分裂症(FES)患者和超高危(UHR)个体丘脑功能和结构的改变及其与认知功能的关系。旨在肯定丘脑在精神分裂症发展和认知缺陷中的作用。
    方法:75例FES患者,60名UHR个人,并招募了60名健康对照(HC)。在三组中,灰质体积(GMV)和功能连接(FC)进行评估,以反映丘脑的结构和功能异常。Pearson相关性用于计算这些异常与认知障碍之间的关联。
    结果:上述三组的丘脑GMV无显著差异。与HC个体相比,FES患者的丘脑皮质FC减少,主要是在丘脑皮质三联网络中,包括默认模式网络(DMN),显著性网络(SN),和执行控制网络(ECN)。UHR个体与FES组具有相似但较温和的连接不良。此外,在FES组中,左丘脑和右壳核之间的FC与执行速度和注意力显着相关。
    结论:我们的研究结果表明,在FES和UHR受试者中,丘脑皮质FC减少与认知缺陷相关。这提高了我们对精神分裂症前驱期丘脑功能改变以及该疾病认知损害的相关因素的理解。
    背景:ClinicalTrials.govNCT03965598;https://clinicaltrials.gov/ct2/show/NCT03965598。
    BACKGROUND: Thalamic abnormalities in schizophrenia are recognized, alongside cognitive deficits. However, the current findings about these abnormalities during the prodromal period remain relatively few and inconsistent. This study applied multimodal methods to explore the alterations in thalamic function and structure and their relationship with cognitive function in first-episode schizophrenia (FES) patients and ultra-high-risk (UHR) individuals, aiming to affirm the thalamus\'s role in schizophrenia development and cognitive deficits.
    METHODS: 75 FES patients, 60 UHR individuals, and 60 healthy controls (HC) were recruited. Among the three groups, gray matter volume (GMV) and functional connectivity (FC) were evaluated to reflect the structural and functional abnormalities in the thalamus. Pearson correlation was used to calculate the association between these abnormalities and cognitive impairments.
    RESULTS: No significant difference in GMV of the thalamus was found among the abovementioned three groups. Compared with HC individuals, FES patients had decreased thalamocortical FC mostly in the thalamocortical triple network, including the default mode network (DMN), salience network (SN), and executive control network (ECN). UHR individuals had similar but milder dysconnectivity as the FES group. Furthermore, FC between the left thalamus and right putamen was significantly correlated with execution speed and attention in the FES group.
    CONCLUSIONS: Our findings revealed decreased thalamocortical FC associated with cognitive deficits in FES and UHR subjects. This improves our understanding of the functional alterations in thalamus in prodromal stage of schizophrenia and the related factors of the cognitive impairment of the disease.
    BACKGROUND: ClinicalTrials.govNCT03965598; https://clinicaltrials.gov/ct2/show/NCT03965598.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    帕金森病(PD)患者的姿势步态异常表现出较差的运动功能评分,更严重的非运动症状,更快的认知功能恶化,与PD患者相比,对药物和手术的反应较差。这种差异被认为与更明显的灰质萎缩和异常的功能连接有关。探讨PD亚型之间独特的病理机制,我们检查了伴有姿势不稳定/步态困难(PD-PIGD)的帕金森病患者的灰质体积(GMV)和功能连接,震颤为主的帕金森病(PD-TD)患者,和健康的控制。进行T1加权图像的基于体素的形态测量(VBM),以比较64例PD-PIGD患者的GMV,44例PD-TD患者,和32个控件。随后,在显示GMV降低的区域内的功能连接在组间进行了比较.我们使用偏相关和二元逻辑回归分析了组间差异是否与临床特征和神经影像学生物标志物相关。我们在PD-PIGD和PD-TD患者之间的比较揭示了PD-PIGD和更广泛的额颞叶萎缩之间的联系。可能表明基底神经节活动增加,小脑活动减少。此外,除了左颞中回的GMV较小,该脑区与右侧尾状核之间的功能连接增加也是PD-PIGD的独立危险因素.此外,我们比较了PIGD和TD亚型之间的脑网络连接,使用独立成分分析(ICA)。我们发现,与PD-TD相比,PD-PIGD患者在左辅助运动区周围显示出增强的感觉运动网络(SMN)。这些发现表明,严重的灰质萎缩和异常的功能连接和大脑网络可能是将PD-PIGD患者与其他亚型区分开的病理生理机制。
    Parkinson\'s disease (PD) patients with postural gait abnormalities exhibit poorer motor function scores, more severe non-motor symptoms, faster cognitive function deterioration, and a less favorable response to drugs and surgery compared to PD patients with tremor. This discrepancy is believed to be associated with more pronounced gray matter atrophy and abnormal functional connectivity. To investigate the distinctive pathological mechanisms between PD subtypes, we examined gray matter volume (GMV) and functional connectivity in patients with Parkinson\'s disease presenting with postural instability/gait difficulty (PD-PIGD), patients with tremor-dominant Parkinson\'s disease (PD-TD), and healthy controls. Voxel-based morphometry (VBM) of T1-weighted images was conducted to compare GMV among 64 PD-PIGD patients, 44 PD-TD patients, and 32 controls. Subsequently, functional connectivity within regions showing reduced GMV was compared across the groups. We analyzed whether differences among the groups were associated with clinical characteristics and neuroimaging biomarkers using partial correlation and binary logistic regression. Our comparison between PD-PIGD and PD-TD patients revealed a link between PD-PIGD and more extensive frontotemporal atrophy, potentially indicating increased basal ganglia activity accompanied by decreased cerebellum activity. Furthermore, in addition to the smaller GMV in the left middle temporal gyrus, the increased functional connectivity between this brain region and the right caudate was also the independent risk factor for PD-PIGD. In addition, we compared brain network connectivity between the PIGD and TD subtypes, using an independent component analysis (ICA). We found that Compared to PD-TD, PD-PIGD patients showed an enhanced sensorimotor network (SMN) around the left supplementary motor area. These findings suggest that severe gray matter atrophy and abnormal functional connectivity and brain networks may serve as pathophysiological mechanisms distinguishing PD-PIGD patients from other subtypes.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:焦虑抑郁(AD)是重度抑郁障碍(MDD)的常见亚型。AD的神经影像学研究揭示了使用单模型方法的不一致和异质的大脑改变。因此,有必要使用多模型成像分析来探索AD的发病机制,以获得更均匀和可靠的结果。
    方法:招募了118名MDD患者和64名匹配的健康对照(HCs)。使用基于体素的形态计量学(VBM)来估计所有受试者的灰质体积(GMV)。AD和非焦虑抑郁(NAD)参与者之间的GMV差异被用作后续静息状态功能连接(rs-FC)分析的感兴趣区域(ROI)。采用相关分析评价临床症状与特定脑区功能异常的相关性。
    结果:与NAD组相比,在AD组中观察到内侧额回(MFG)和额上回(SFG)的GMV降低。以MFG和SFG为ROI,rs-FC分析显示,与NAD组相比,AD组左侧SFG与左侧颞极之间以及左侧SFG与右侧MFG之间的FC降低.最后,AD组左侧SFG和左侧颞极之间的FC与HAMD-17评分呈负相关。
    结论:通过结合GMV和rs-FC模型,这项研究表明,情感网络的结构和功能破坏可能是AD的重要病理生理学基础。结构性损害可以作为功能损害的基础。
    BACKGROUND: Anxious depression (AD) is a common subtype of major depressive disorder (MDD). Neuroimaging studies of AD have revealed inconsistent and heterogeneous brain alterations with the use of single-model methods. Therefore, it is necessary to explore the pathogenesis of AD using multi-model imaging analyses to obtain more homogeneous and robust results.
    METHODS: One hundred and eighty-two patients with MDD and 64 matched healthy controls (HCs) were recruited. Voxel-based morphometry (VBM) was used to estimate the gray matter volume (GMV) of all subjects. The GMV differences between the AD and non-anxious depression (NAD) participants were used as regions of interest (ROIs) for subsequent resting state functional connectivity (rs-FC) analyses. Correlation analysis was used to evaluate the associations between clinical symptoms and abnormal function in specific brain areas.
    RESULTS: Decreased GMV in the medial frontal gyrus (MFG) and the superior frontal gyrus (SFG) was observed in the AD group compared to the NAD group. Taking the MFG and SFG as ROIs, the rs-FC analysis revealed decreased FC between the left SFG and left temporal pole and between the left SFG and right MFG in the AD group compared to the NAD group. Finally, the FC between the left SFG and left temporal pole was negatively correlated with HAMD-17 scores in the AD group.
    CONCLUSIONS: By combining the GMV and rs-FC models, this study revealed that structural and functional disruption of the affective network may be an important pathophysiology underlying AD. The structural impairment may serve as the foundation of the functional impairment.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    颞叶癫痫(TLE)患者通常表现出神经认知障碍;然而,我们对TLE患者认知障碍的发病机制仍然知之甚少。因此,我们的目的是检测TLE患者的结构连接网络(SCN)的变化.
    将35例TLE患者与47例按年龄匹配的正常对照组(NC)进行比较,性别,用手,和教育水平。所有受试者均使用3.0TMRI对大脑进行薄层T1WI扫描。然后,基于从结构MRI中提取的灰质体积,构建了大规模结构协方差网络。然后使用图论来确定TLE患者结构协方差网络的拓扑变化。
    尽管保留了小世界网络,TLE患者的结构协方差网络在常规结构中表现出拓扑不规则性,如小世界属性的增加所证明(p<0.001),归一化聚类系数(p<0.001),与NC组相比,转移系数降低(p<0.001)。本地,TLE患者显示左舌回结节间和程度降低,右侧枕中回和右侧丘脑与NC组相比(p<0.05,未矫正)。TLE(颞叶癫痫)和对照组的结构网络程度均以截断的幂律呈指数分布。此外,TLE患者结构协方差网络中随机故障的稳定性更强(p=0.01),但其容错性较低(p=0.03)。
    本研究的目的是通过图论分析探讨与颞叶癫痫相关的潜在神经生物学机制,并在网络层面检验灰质结构网络的拓扑特征和鲁棒性。
    UNASSIGNED: Patients with temporal lobe epilepsy (TLE) often exhibit neurocognitive disorders; however, we still know very little about the pathogenesis of cognitive impairment in patients with TLE. Therefore, our aim is to detect changes in the structural connectivity networks (SCN) of patients with TLE.
    UNASSIGNED: Thirty-five patients with TLE were compared with 47 normal controls (NC) matched according to age, gender, handedness, and education level. All subjects underwent thin-slice T1WI scanning of the brain using a 3.0 T MRI. Then, a large-scale structural covariance network was constructed based on the gray matter volume extracted from the structural MRI. Graph theory was then used to determine the topological changes in the structural covariance network of TLE patients.
    UNASSIGNED: Although small-world networks were retained, the structural covariance network of TLE patients exhibited topological irregularities in regular architecture as evidenced by an increase in the small world properties (p < 0.001), normalized clustering coefficient (p < 0.001), and a decrease in the transfer coefficient (p < 0.001) compared with the NC group. Locally, TLE patients showed a decrease in nodal betweenness and degree in the left lingual gyrus, right middle occipital gyrus and right thalamus compared with the NC group (p < 0.05, uncorrected). The degree of structural networks in both TLE (Temporal Lobe Epilepsy) and control groups was distributed exponentially in truncated power law. In addition, the stability of random faults in the structural covariance network of TLE patients was stronger (p = 0.01), but its fault tolerance was lower (p = 0.03).
    UNASSIGNED: The objective of this study is to investigate the potential neurobiological mechanisms associated with temporal lobe epilepsy through graph theoretical analysis, and to examine the topological characteristics and robustness of gray matter structural networks at the network level.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号