首页|动脉自旋标记成像观察帕金森病患者纹状体-丘脑-皮层环路的代谢网络连接属性

动脉自旋标记成像观察帕金森病患者纹状体-丘脑-皮层环路的代谢网络连接属性

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目的 从代谢网络连接的角度探讨帕金森病(Parkinson's disease,PD)患者纹状体-丘脑-皮层(striatal-thalamo-cortical,STC)环路紊乱的影像学特征.材料与方法 采用动脉自旋标记成像技术,获取62名PD患者以及65名健康对照(healthy control,HC)受试者的脑血流量(cerebral blood flow,CBF)数据.基于CBF信息计算两组STC环路代谢网络的连接属性,包括种子点-连接、皮层-连接及模块-连接.随后使用置换检验分别进行三种网络连接的组间比较.结果 两组的年龄、性别、受教育程度及认知量表评分差异均无统计学意义(P>0.05).相较于HC受试者,PD患者其种子点-连接值在双侧颞下回、双侧梭状回、双侧额中回、左侧枕中回以及右侧中央后回等脑区显著增高,而在双侧颞中回、左侧额直回、左侧颞上回、双侧额下回、双侧楔前叶、右侧辅助运动区以及双侧顶下回等脑区显著减低(P<0.05);其与感觉运动皮层存在显著增强的皮层-连接、而与运动皮层及顶-枕叶皮层存在显著减弱的皮层-连接(P<0.05);模块-连接于额叶模块与运动模块、感觉运动模块与顶-枕叶模块以及顶-枕叶模块与颞叶模块之间呈现显著升高;而于额叶模块与颞叶模块、运动模块与顶-枕叶模块以及感觉运动模块与颞叶模块之间呈现显著降低(P<0.05).结论 PD患者存在代谢层面的神经网络紊乱,涉及到STC环路内以基底节区为枢纽的广泛性连接异常.
The observations on the properties of metabolic network connectivity within striatal-thalamo-cortical circuit in patients with Parkinson's diseases by arterial spin labeling imaging
Objective:To investigate the imaging features of striatal-thalamo-cortical(STC)circuit disturbance in patients with Parkinson's disease(PD)from the perspective of metabolic network connectivity.Materials and Methods:The data of cerebral blood flow(CBF)from 62 patients with PD and 65 healthy control(HC)subjects were obtained using arterial spin labeling imaging.For both the HC and PD groups,the connectivity properties of metabolic networks within basal ganglia region-cortical circuit were calculated based on their CBF information,including seed-connectivity,cortical-connectivity and modular-connectivity.Permutation test were then employed for the intergroup comparisons of these three types of network connectivity,respectively.Results:There were no significant differences in terms of age,sex,education and cognitive scale scores between the two groups(P>0.05).Compared with HC subjects,the value of seed-connectivity in patients with PD was significantly higher in the bilateral inferior temporal gyrus,bilateral fusiform gyrus,bilateral medial frontal gyrus,left middle occipital gyrus and right posterior central gyrus;whereas were significantly lower in the bilateral middle temporal gyrus,left rectus gyrus,left superior temporal gyrus,bilateral inferior frontal gyrus,bilateral precuneus,right supplementary motor area and bilateral inferior parietal gyrus(P<0.05);there were significantly enhanced cortical-connectivity with sensorimotor cortex,whereas significantly weakened cortical-connectivity with motor cortex and parietal-occipital cortex(P<0.05);the modular-connectivity was significantly increased in modules of frontal and motor,modules of sensorimotor and parietal-occipital as well as modules of parietal-occipital and temporal,whereas significantly decreased in modules of frontal and temporal,modules of motor and parietal-occipital and modules of sensorimotor and temporal(P<0.05).Conclusions:Patients with PD exhibited with metabolic disturbance of neural network,involving extensive connectivity abnormalities in the STC loop with basal ganglia region as the hub.

Parkinson's diseasemagnet resonance imagingarterial spin labeling imagingcerebral blood flowmetabolismnetwork connectivity

王扬、苏辉、王宁、孙存可、刘海花、朱承伟

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高邮市人民医院医学影像科,扬州 225600

高邮市人民医院神经内科,扬州 225600

帕金森病 磁共振成像 动脉自旋标记成像 脑血流量 代谢 网络连接

2024

磁共振成像
中国医院协会 首都医科大学附属北京天坛医院

磁共振成像

CSTPCD北大核心
影响因子:1.38
ISSN:1674-8034
年,卷(期):2024.15(1)
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