putamen

  • 文章类型: Journal Article
    已提出壳核在强迫症(OCD)的发展中起关键作用。这项研究的主要目的是检查被诊断为OCD的个体中壳核的静息状态区域活动和功能连接模式。为了实现这一点,我们采用静息态功能磁共振成像(rs-fMRI)从45例OCD患者和53例健康对照参与者的样本中收集数据.我们旨在使用低频波动(ALFF)分析的区域振幅来生成壳核的ROI掩模,然后在OCD患者中进行壳核的全脑功能连接。与对照组相比,强迫症组显示双侧壳核ALFF降低。右壳核也显示出FC降低,左壳核延伸到额下回(IFG),双侧前突延伸到钙,右中枕骨皮质延伸到右中颞叶皮质,和左枕中回.右壳核和左IFG之间的连通性降低与耶鲁-布朗强迫症量表(Y-BOCS)强迫症得分呈负相关。这项研究旨在揭示强迫症患者静息状态活动和连通性的壳核变化。强调壳核异常ALFF/FC的重要性是强迫症的关键特征。
    The putamen has been proposed to play a critical role in the development of obsessive-compulsive disorder (OCD). The primary objective of this study was to examine the resting-state regional activity and functional connectivity patterns of the putamen in individuals diagnosed with OCD. To achieve this, we employed resting-state functional magnetic resonance imaging (rs-fMRI) to collect data from a sample of 45 OCD patients and 53 healthy control participants. We aimed to use the regional amplitude of low-frequency fluctuation (ALFF) analysis to generate the ROI masks of the putamen and then conduct the whole brain functional connectivity of the putamen in individuals with OCD. Compared to controls, the OCD group demonstrated decreased ALFF in bilateral putamen. The right putamen also displayed decreased FC with the left putamen extending to the inferior frontal gyrus (IFG), bilateral precuneus extending to calcarine, the right middle occipital cortex extending to the right middle temporal cortex, and the left middle occipital gyrus. The decreased connectivity between the right putamen and the left IFG was negatively correlated with Yale-Brown Obsessive Compulsive scale (Y-BOCS) Obsession Scores. This study aimed to reveal the putamen changes in resting-state activity and connectivity in OCD patients, highlighting the significance of aberrant ALFF/FC of the putamen is a key characteristic of OCD.
    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:本研究的目的是开发和评估一种新型的经轴手术方法的可行性和安全性,该方法用于使用非人灵长类动物和与人类临床翻译相关的手术技术和工具将人诱导性多能干细胞衍生的多巴胺能神经祖细胞(DANPCs)传递到壳核中。
    方法:九种免疫抑制,未释放的成年食蟹猴(4只雌性,5名男性)在实时术中MRI指导下接受了媒介物或DANPC(0.9×105至1.1×105细胞/µL)的静脉内注射。将输注液与1-mMgadoteridol(用于术中MRI可视化)结合,并使用经轴入路通过每个半球的两个轨道(腹侧和背侧)输送。左右壳核的输注总体积分别为25微升和50微升,分别(输注速率2.5微升/分钟)。用一系列临床和行为结果测量评价动物,并在手术后7或30天安乐死;由董事会认证的兽医病理学家进行完整的尸检。收集脑组织并进行免疫组化处理,包括针对人类特异性标记STEM121。
    结果:优化的手术技术和工具通过经轴入路成功靶向壳核。术中MR图像证实了所有动物的目标内注射。所有动物存活至预定终止,没有神经缺陷的临床证据。前4只接受手术的动物在手术结束时出现轻度脑肿胀,其中3例出现短暂性视力下降;在手术过程中给予甘露醇治疗和减少静脉输液可解决这些并发症.针对STEM121的免疫染色证实了在DANPC处理的动物的靶向壳核区域内沿着注射轨迹存在移植细胞。所有不良组织学发现范围有限,与手术操作一致。注射程序,以及由插管插入引起的机械破坏的术后炎症反应。
    结论:输送系统,注射程序,和DANPCs在所有动物中均有良好的耐受性。通过甘露醇给药和减少手术期间的静脉输液来预防轻度脑肿胀可以避免视觉效果。研究结果确定,这种新颖的跨轴方法可用于正确,安全地将细胞注射到连合后壳核并支持临床研究。
    OBJECTIVE: The objective of this study was to develop and evaluate the feasibility and safety of a novel transaxial surgical approach for the delivery of human induced pluripotent stem cell-derived dopaminergic neuroprogenitor cells (DANPCs) into the putamen nucleus using nonhuman primates and surgical techniques and tools relevant to human clinical translation.
    METHODS: Nine immunosuppressed, unlesioned adult cynomolgus macaques (4 females, 5 males) received intraputaminal injections of vehicle or DANPCs (0.9 × 105 to 1.1 × 105 cells/µL) under real-time intraoperative MRI guidance. The infusates were combined with 1-mM gadoteridol (for intraoperative MRI visualization) and delivered via two tracks per hemisphere (ventral and dorsal) using a transaxial approach. The total volumes of infusion were 25 µL and 50 µL for the right and left putamen, respectively (infusion rate 2.5 µL/min). Animals were evaluated with a battery of clinical and behavioral outcome measures and euthanized 7 or 30 days postsurgery; full necropsies were performed by a board-certified veterinary pathologist. Brain tissues were collected and processed for immunohistochemistry, including against the human-specific marker STEM121.
    RESULTS: The optimized surgical technique and tools produced successful targeting of the putamen via the transaxial approach. Intraoperative MR images confirmed on-target intraputaminal injections in all animals. All animals survived to scheduled termination without clinical evidence of neurological deficits. The first 4 animals to undergo surgery had mild brain swelling noted at the end of surgery, of which 3 had transient reduced vision; administration of mannitol therapy and reduced intravenous fluid during the surgical procedure addressed these complications. Immunostaining against STEM121 confirmed the presence of grafted cells along the injection track within the targeted putamen area of DANPC-treated animals. All adverse histological findings were limited in scope and consistent with surgical manipulation, injection procedure, and postsurgical inflammatory response to the mechanical disruption caused by the cannula insertion.
    CONCLUSIONS: The delivery system, injection procedure, and DANPCs were well tolerated in all animals. Prevention of mild brain swelling by mannitol dosing and reduction of intravenous fluids during surgery allowed visual effects to be avoided. The results of the study established that this novel transaxial approach can be used to correctly and safely target cell injections to the postcommissural putamen and support clinical investigation.
    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
    破译纹状体中间神经元多样性是了解基底神经节回路和解开影响这种大脑结构的复杂神经和精神疾病的关键。我们对死后的人尾状核和壳核样品进行了snRNA-seq和空间转录组学,以阐明人背纹状体中中间神经元种群的多样性和丰度及其固有的转录结构。我们提出了纹状体中间神经元的综合分类法,包括八个主类和十四个亚类,提供其完整的转录组身份和空间表达谱,以及针对特定群体的其他定量FISH验证。我们还描述了我们的分类法与以前的标准化分类的对应关系,并显示了尾状核和壳核之间的主要转录组和类别丰度差异。值得注意的是,基于离子通道和突触受体等关键功能基因,我们发现已知的小鼠中间神经元种群与最丰富的种群相匹配,最近描述的PTHLH和TAC3中间神经元。最后,我们能够将其他已发布的数据集与我们的数据集集成在一起,支持这种协调分类法的普遍性。
    Deciphering the striatal interneuron diversity is key to understanding the basal ganglia circuit and to untangling the complex neurological and psychiatric diseases affecting this brain structure. We performed snRNA-seq and spatial transcriptomics of postmortem human caudate nucleus and putamen samples to elucidate the diversity and abundance of interneuron populations and their inherent transcriptional structure in the human dorsal striatum. We propose a comprehensive taxonomy of striatal interneurons with eight main classes and fourteen subclasses, providing their full transcriptomic identity and spatial expression profile as well as additional quantitative FISH validation for specific populations. We have also delineated the correspondence of our taxonomy with previous standardized classifications and shown the main transcriptomic and class abundance differences between caudate nucleus and putamen. Notably, based on key functional genes such as ion channels and synaptic receptors, we found matching known mouse interneuron populations for the most abundant populations, the recently described PTHLH and TAC3 interneurons. Finally, we were able to integrate other published datasets with ours, supporting the generalizability of this harmonized taxonomy.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fnana.2019.00022。].
    [This corrects the article DOI: 10.3389/fnana.2019.00022.].
    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
    目的:大约20-30%的癫痫患者在常规磁共振成像中表现为阴性,这种情况被称为非病灶性癫痫。失神癫痫(AE)是一种常见的非病灶性癫痫。本研究旨在研究通过支持向量机(SVM)方法评估的区域同质性(ReHo)的临床诊断实用性,以识别AE。
    方法:本研究涉及102名健康个体和93名AE患者。所有参与者均采用静息状态功能磁共振成像进行数据采集。ReHo分析,再加上SVM方法,用于数据处理。
    结果:与健康对照组相比,AE患者在双侧壳核表现出显著升高的ReHo值,伴有双侧丘脑ReHo减少。基于rs-fMRI数据,使用SVM来区分患有AE的患者与健康对照个体。对左壳核和左丘脑中改变的ReHo的综合评估得出的最高准确度为81.64%,敏感性为95.41%,特异性为69.23%。
    结论:根据结果,双侧壳核和丘脑中ReHo值的改变可以作为AE的神经影像学标志物,为其诊断提供客观指导。
    OBJECTIVE: Approximately 20-30 % of epilepsy patients exhibit negative findings on routine magnetic resonance imaging, and this condition is known as nonlesional epilepsy. Absence epilepsy (AE) is a prevalent form of nonlesional epilepsy. This study aimed to investigate the clinical diagnostic utility of regional homogeneity (ReHo) assessed through the support vector machine (SVM) approach for identifying AE.
    METHODS: This research involved 102 healthy individuals and 93 AE patients. Resting-state functional magnetic resonance imaging was employed for data acquisition in all participants. ReHo analysis, coupled with SVM methodology, was utilized for data processing.
    RESULTS: Compared to healthy control individuals, AE patients demonstrated significantly elevated ReHo values in the bilateral putamen, accompanied by decreased ReHo in the bilateral thalamus. SVM was used to differentiate patients with AE from healthy control individuals based on rs-fMRI data. A composite assessment of altered ReHo in the left putamen and left thalamus yielded the highest accuracy at 81.64 %, with a sensitivity of 95.41 % and a specificity of 69.23 %.
    CONCLUSIONS: According to the results, altered ReHo values in the bilateral putamen and thalamus could serve as neuroimaging markers for AE, offering objective guidance for its diagnosis.
    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:先前的任务相关功能磁共振成像(task-fMRI)研究已证明与亚临床抑郁症(SD)相关的异常大脑激活,定义为不符合重度抑郁障碍诊断标准的抑郁症状的临床相关水平。然而,这些task-fMRI研究没有报告一致的结论.对任务功能磁共振成像研究进行基于体素的荟萃分析可能会产生可靠的发现。
    方法:我们提取了纳入研究的峰坐标和t值,并使用各向异性效应-大小符号差分映射(AES-SDM)分析了SD个体和健康对照(HC)之间的大脑激活。
    结果:系统的文献检索确定了8项研究,包括266名SD患者和281名HCs(年龄14至25岁)。荟萃分析显示,根据task-fMRI,患有SD的个体在右豆状核和壳核中表现出明显更大的激活。荟萃回归分析显示,一组中女性的比例与右纹状体的激活呈负相关。
    结论:SD患者的招募标准,纳入研究的任务类型和MRI采集参数具有异质性.由于纳入的研究不足,应谨慎解释结果。
    结论:我们的研究结果表明,患有SD的个体在右侧透镜状核的激活增加,壳核和纹状体,这可能表明对抑郁症引起的岛叶和纹状体功能受损的补偿性增加。这些结果为SD中脑功能障碍的潜在病理生理学提供了有价值的见解。
    BACKGROUND: Previous task-related functional magnetic resonance imaging (task-fMRI) investigations have documented abnormal brain activation associated with subclinical depression (SD), defined as a clinically relevant level of depressive symptoms that does not meet the diagnostic criteria for major depressive disorder. However, these task-fMRI studies have not reported consistent conclusions. Performing a voxel-based meta-analysis of task-fMRI studies may yield reliable findings.
    METHODS: We extracted the peak coordinates and t values of included studies and analyzed brain activation between individuals with SD and healthy controls (HCs) using anisotropic effect-size signed differential mapping (AES-SDM).
    RESULTS: A systematic literature search identified eight studies, including 266 individuals with SD and 281 HCs (aged 14 to 25). The meta-analysis showed that individuals with SD exhibited significantly greater activation in the right lenticular nucleus and putamen according to task-fMRI. The meta-regression analysis revealed a negative correlation between the proportion of females in a group and activation in the right striatum.
    CONCLUSIONS: The recruitment criteria for individuals with SD, type of tasks and MRI acquisition parameters of included studies were heterogeneous. The results should be interpreted cautiously due to insufficient included studies.
    CONCLUSIONS: Our findings suggest that individuals with SD exhibit increased activation in the right lenticular nucleus, putamen and striatum, which may indicate a compensatory increase in response to an impairment of insular and striatal function caused by depression. These results provide valuable insights into the potential pathophysiology of brain dysfunction in SD.
    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
    自杀是目前青少年死亡的主要原因。青少年自杀风险的神经生物学基础,然而,尚不清楚,缺乏基于大脑的模型。在成人样本中,目前的模型强调血清素释放不足是一种潜在的自杀生物标志物,特别是,5-羟色胺能功能障碍与壳核和自杀行为有关。关于纹状体区域之间的关联和整个发育过程中的相对自杀风险知之甚少。当前的研究检查了患有(AT)和没有自杀企图(NAT)史的抑郁青少年的壳核连接,特别是使用静息态功能磁共振成像(fMRI)来评估静息态功能连接(RSFC)的模式。我们假设与NAT组相比,AT组将表现出更低的纹状体RSFC,和较低的纹状体RSFC将与更高的自杀意念严重程度和/或尝试的致死率相关。
    我们检查了17名患有抑郁症和NAT的青少年的六个壳核区的全脑RSFC(MAge[SD]=16.4[0.3],41%的男性)和13的AT(MAge[SD]=16.2[0.3],31%男性)。
    仅在RSFC中显示出具有额上回和补充运动区的有统计学意义的双侧组间差异,与有自杀未遂史的人群相比,无自杀未遂组的RSFC较高(体素p<.001,聚类p<.01)。在尝试过的人中,任何壳核RSFC模式与自杀意念的严重程度或尝试的致死率之间均未发现显着关联。
    结果与最近的成人文献一致,具有有趣的理论和临床意义。对结果的可能解释是,在有尝试史的青少年中,5-羟色胺向壳核和补充运动区域的转运不匹配,从而导致这两个区域之间的功能连通性降低。通过添加壳核,获得的结果可用于增强青少年自杀的素质压力模型和情绪情绪与社会脱节(END)模型。我们还推测,壳核与辅助运动区之间的连通性将来可能会用作治疗功效的有价值的生物标志物,并可能预测治疗结果。
    UNASSIGNED: Suicide is a current leading cause of death in adolescents and young adults. The neurobiological underpinnings of suicide risk in youth, however, remain unclear and a brain-based model is lacking. In adult samples, current models highlight deficient serotonin release as a potential suicide biomarker, and in particular, involvement of serotonergic dysfunction in relation to the putamen and suicidal behavior. Less is known about associations among striatal regions and relative suicidal risk across development. The current study examined putamen connectivity in depressed adolescents with (AT) and without history of a suicide attempt (NAT), specifically using resting-state functional magnetic resonance imaging (fMRI) to evaluate patterns in resting-state functional connectivity (RSFC). We hypothesized the AT group would exhibit lower striatal RSFC compared to the NAT group, and lower striatal RSFC would associate with greater suicidal ideation severity and/or lethality of attempt.
    UNASSIGNED: We examined whole-brain RSFC of six putamen regions in 17 adolescents with depression and NAT (MAge [SD] = 16.4[0.3], 41% male) and 13 with AT (MAge [SD] = 16.2[0.3], 31% male).
    UNASSIGNED: Only the dorsal rostral striatum showed a statistically significant bilateral between-group difference in RSFC with the superior frontal gyrus and supplementary motor area, with higher RSFC in the group without a suicide attempt compared to those with attempt history (voxel-wise p<.001, cluster-wise p<.01). No significant associations were found between any putamen RSFC patterns and suicidal ideation severity or lethality of attempts among those who had attempted.
    UNASSIGNED: The results align with recent adult literature and have interesting theoretical and clinical implications. A possible interpretation of the results is a mismatch of the serotonin transport to putamen and to the supplementary motor area and the resulting reduced functional connectivity between the two areas in adolescents with attempt history. The obtained results can be used to enhance the diathesis-stress model and the Emotional paiN and social Disconnect (END) model of adolescent suicidality by adding the putamen. We also speculate that connectivity between putamen and the supplementary motor area may in the future be used as a valuable biomarker of treatment efficacy and possibly prediction of treatment outcome.
    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:虽然人们对社会归属感有着与生俱来的需求,连接动机的潜在神经机制在很大程度上仍然未知。我们认为,包容动机——通过个人愿意投入社会互动的努力来衡量——可能是社会行为的基本组成部分之一,并可能在孤独的个体中发生变化。
    方法:在对303名参与者进行筛查后,我们对30名低孤独感和28名高孤独感个体进行了功能磁共振成像扫描,同时他们执行了主动纳入任务(AIT).AIT评估参与者在公平竞争和排斥的经典Cyberball条件下为影响其包容性而投入的努力水平。
    结果:与低孤独感个体相比,高孤独感个体表现出更高的融入紧迫性,特别是在公平竞争期间,这与右丘脑的高活性有关。此外,在高度孤独的个体中,我们发现丘脑和颞顶交界处之间的功能连接增加,壳核,和脑岛。
    结论:参与者与计算机化化身互动,降低生态有效性。此外,虽然越来越多地纳入任务需要采取行动,实物需求不高。讨论了其他限制。
    结论:在公平但非排他性的互动中,孤独中的包容动机会增强,并与大脑区域的活动有关,涉及食欲行为和社会认知。研究结果表明,孤独的个体可能会在包容性互动中看待威胁,提示他们采取行动重新获得连接。这表明包容动机可能有助于解释孤独中的社会困难。
    BACKGROUND: While it is well-established that humans possess an innate need for social belonging, the neural mechanisms underlying motivation for connection are still largely unknown. We propose that inclusion motivation - measured through the effort that individuals are willing to invest to be included in social interactions - may serve as one of the basic building blocks of social behavior and may change in lonely individuals.
    METHODS: Following the screening of 303 participants, we scanned 30 low- and 28 high-loneliness individuals with functional magnetic resonance imaging while they performed the Active Inclusion Task (AIT). The AIT assesses the participants\' levels of effort invested in influencing their inclusion during classic Cyberball conditions of fair play and exclusion.
    RESULTS: High- compared to low-loneliness individuals showed higher urgency for inclusion, specifically during fair play, which correlated with higher activity in the right thalamus. Furthermore, in high-loneliness individuals, we found increased functional connectivity between the thalamus and the temporoparietal junction, putamen, and insula.
    CONCLUSIONS: Participants interacted with computerized avatars, reducing ecological validity. Additionally, although increasing inclusion in the task required action, the physical demand was not high. Additional limitations are discussed.
    CONCLUSIONS: Inclusion motivation in loneliness is heightened during fair but not exclusionary interactions, and is linked to activity in brain regions implicated in appetitive behavior and social cognition. The findings indicate that lonely individuals may view threat in inclusionary interactions, prompting them to take action to regain connection. This suggests that inclusion motivation may help explain social difficulties in loneliness.
    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: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.
    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:帕金森病(PD)表现为多种临床表型,其进展变化很大。然而,与不同疾病进展相关的因素在很大程度上仍然未知.
    方法:在这项回顾性队列研究中,我们纳入了113例接受了两次18F-FP-CITPET扫描的患者.鉴于PD中多巴胺损失的负指数进展模式,我们将自然对数应用于两次连续18F-FP-CITPET扫描的特异性结合比(SBR),并采用线性混合模型计算个体斜率,以确定黑质纹状体变性的进展率.我们调查了与每个纹状体亚区域多巴胺耗竭进展率相关的临床和多巴胺转运体(DAT)可用性模式。
    结果:更多对称帕金森病,血脂异常的存在,较低的K-MMSE总分,和较低的前后梯度平均壳SBR与尾状核多巴胺耗竭的进展速度较快有关。更对称的帕金森病和平均壳核SBR的前后梯度较低与前壳核多巴胺的更快消耗有关。发病年龄较大,更对称的帕金森病,血脂异常的存在,和较低的平均壳核SBR前后梯度与后壳核多巴胺耗竭的更快进展有关。较低的纹状体平均SBR预测了LID的发展,而尾状核的平均SBR较低则预测了痴呆的发展。
    结论:我们的结果表明,对DAT可用性的基线临床特征和模式的评估可以预测PD的进展及其预后。
    BACKGROUND: Parkinson\'s disease (PD) manifests as a wide variety of clinical phenotypes and its progression varies greatly. However, the factors associated with different disease progression remain largely unknown.
    METHODS: In this retrospective cohort study, we enrolled 113 patients who underwent 18F-FP-CIT PET scan twice. Given the negative exponential progression pattern of dopamine loss in PD, we applied the natural logarithm to the specific binding ratio (SBR) of two consecutive 18F-FP-CIT PET scans and conducted linear mixed model to calculate individual slope to define the progression rate of nigrostriatal degeneration. We investigated the clinical and dopamine transporter (DAT) availability patterns associated with the progression rate of dopamine depletion in each striatal sub-region.
    RESULTS: More symmetric parkinsonism, the presence of dyslipidemia, lower K-MMSE total score, and lower anteroposterior gradient of the mean putaminal SBR were associated with faster progression rate of dopamine depletion in the caudate nucleus. More symmetric parkinsonism and lower anteroposterior gradient of the mean putaminal SBR were associated with faster depletion of dopamine in the anterior putamen. Older age at onset, more symmetric parkinsonism, the presence of dyslipidemia, and lower anteroposterior gradient of the mean putaminal SBR were associated with faster progression rate of dopamine depletion in the posterior putamen. Lower striatal mean SBR predicted the development of LID, while lower mean SBR in the caudate nuclei predicted the development of dementia.
    CONCLUSIONS: Our results suggest that the evaluation of baseline clinical features and patterns of DAT availability can predict the progression of PD and its prognosis.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号