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精神分裂症患者额叶和颞叶灰质与白质的体积大小:一项MRI分割研究。

Frontal and temporal volume size of grey and white matter in patients with schizophrenia: an MRI parcellation study.

作者信息

Okugawa Gaku, Tamagaki Chiharu, Agartz Ingrid

机构信息

Department of Clinical Neuroscience, Human Brain Informatics, Karolinska Institutet, Stockholm 171-76, Sweden.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2007 Aug;257(5):304-7. doi: 10.1007/s00406-007-0721-7. Epub 2007 Apr 26.

Abstract

We previously performed a magnetic resonance imaging (MRI) parcellation study that showed smaller grey and white matter volumes of the temporal lobes and increased CSF volumes in the frontal and temporal lobe in men with schizophrenia. One question that arose from this earlier study was whether similar structural changes in the brain are found in a large group of schizophrenic patients consisting of both men and women. In the present study, MRI scans were acquired from 94 patients of both genders with schizophrenia and 101 healthy subjects. After the automatic segmentation of grey matter, white matter, and cerebrospinal fluid, the frontal, temporal, parietal, and occipital lobes were automatically parcellated according to the Talairach atlas. Compared with healthy subjects, schizophrenic patients showed significantly smaller volumes of grey matter in the temporal lobe and white matter in the frontal lobe. Schizophrenic patients had a greater CSF volume in the frontal and temporal lobes. These results suggest that volume reduction in the cerebrum is prominent in the frontal and temporal lobes in both men and women with schizophrenia.

摘要

我们之前进行了一项磁共振成像(MRI)脑区划分研究,结果显示,精神分裂症男性患者的颞叶灰质和白质体积较小,额叶和颞叶的脑脊液体积增加。这项早期研究引发的一个问题是,在由男性和女性组成的一大群精神分裂症患者中,是否也能发现类似的大脑结构变化。在本研究中,我们对94名患有精神分裂症的男女患者和101名健康受试者进行了MRI扫描。在对灰质、白质和脑脊液进行自动分割后,根据Talairach图谱对额叶、颞叶、顶叶和枕叶进行了自动划分。与健康受试者相比,精神分裂症患者的颞叶灰质体积和额叶白质体积明显较小。精神分裂症患者额叶和颞叶的脑脊液体积更大。这些结果表明,患有精神分裂症的男性和女性大脑中,额叶和颞叶的脑容量减少较为明显。

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