中国临床医学影像杂志2024,Vol.35Issue(2) :86-89,104.DOI:10.12117/jccmi.2024.02.003

2型糖尿病患者前扣带回功能连接的静息态fMRI研究

Resting-state fMRI study of functional connectivity of the anterior cingulate gyrus in type 2 diabetes

刘婉婷 孙嘉璐 王倩倩 潘佩纯 黄杨 张小玲 张东升
中国临床医学影像杂志2024,Vol.35Issue(2) :86-89,104.DOI:10.12117/jccmi.2024.02.003

2型糖尿病患者前扣带回功能连接的静息态fMRI研究

Resting-state fMRI study of functional connectivity of the anterior cingulate gyrus in type 2 diabetes

刘婉婷 1孙嘉璐 2王倩倩 2潘佩纯 3黄杨 1张小玲 1张东升1
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作者信息

  • 1. 陕西省人民医院磁共振室,陕西西安 710068
  • 2. 西安医学院研究生院,陕西西安 710068
  • 3. 陕西中医药大学研究生院,陕西咸阳 712046
  • 折叠

摘要

目的:采用静息态fMRI探讨不伴轻度认知功能障碍(MCI)的2型糖尿病(T2DM)患者前扣带回功能连接(FC)的变化特点.方法:纳入56例T2DM及人口学资料相匹配的60例健康被试(HC),行静息态fMRI检查及神经心理学评估量表,以前扣带回不同亚区为种子点行全脑FC分析,将差异脑区的FC值与临床资料及神经心理学评分行相关性分析.结果:与 HC相比,不伴MCI的T2DM患者膝前部前扣带回(pACC BA32)与双侧海马FC值减低,与双侧外侧前额叶及左侧中央前回FC值增高(P均<0.05).T2DM组pACC(BA32)与左侧海马FC强度与颜色连线测试2(CTT-2)评分呈负相关(P=0.002,r=-0.410).结论:不伴MCI的T2DM患者pACC(BA32)与双侧海马及双侧外侧前额叶FC紊乱,提示T2DM患者可能存在一种涉及记忆功能的代偿机制.

Abstract

Objective:To investigate the functional connectivity(FC)of anterior cingulate gyrus in type 2 diabetes(T2DM)without mild cognitive impairment using resting state functional MRI(rs-fMRI).Methods:Fifty-six patients with T2DM and demographic data matched 60 healthy subjects(HC)were enrolled in this study.All participants underwent rs-fMRI and neu-ropsychological assessment.The whole brain FC analysis was performed using different subregions of anterior cingulate gyrus as seed points.The correlation analysis between FC values in different brain regions and clinical data and neuropsychological evaluation was conducted.Results:Compared with HC,T2DM patients without MCI had lower FC values in the pregenual an-terior cingulate cortex(pACC BA32)and bilateral hippocampus,and higher FC values in the bilateral lateral prefrontal lobe and left central anterior gyrus(P<0.05).There was a negative correlation between the pACC(BA32)and the left hippocampus FC intensity and color trails test-2(CTT-2)score in T2DM group(P=0.002,r=-0.410).Conclusion:The disorder of FC of pACC(BA32)and bilateral hippocampus and bilateral lateral prefrontal lobe in T2DM patients without MCI suggests that there may be a compensatory mechanism involving memory function in T2DM patients.

关键词

糖尿病,2型/认知功能障碍/磁共振成像

Key words

Diabetes Mellitus,Type 2/Cognitive Dysfunction/Magnetic Resonance Imaging

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基金项目

国家自然科学基金面上项目(82170820)

陕西省重点研发计划(2023-YBSF-606)

陕西省人民医院科技发展孵化基金(2020YXM-04)

出版年

2024
中国临床医学影像杂志
中国医学影像技术研究会,中国医科大学

中国临床医学影像杂志

CSTPCD北大核心
影响因子:1.204
ISSN:1008-1062
参考文献量30
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