Kim Dae-Jin, Kim Jae-Jin, Park Jin Young, Lee Soo Yeol, Kim Joongil, Kim In Young, Kim Sun I, Park Hae-Jeong
Department of Radiology and Nuclear Medicine, College of Medicine, Yonsei University, Seodaemoon-Gu, Seoul, Korea.
Neuroreport. 2008 Mar 5;19(4):399-403. doi: 10.1097/WNR.0b013e3282f56634.
Diffusion properties of the thalamocortical pathways were compared between 30 schizophrenic patients and 22 healthy age-matched and sex-matched volunteers. T1-weighted and diffusion tensor images were used for cortical parcellation and probabilistic tractography to generate population-based thalamocortical pathway maps. The weighted fractional anisotropy and the longitudinal and transversal diffusivity of each pathway were calculated for individual participants. Patients with schizophrenia demonstrated decreased anisotropy and increased longitudinal and transversal diffusivity within the pathways from the mediodorsal nucleus and the pulvinar to the orbitofrontal and parietal-occipital-temporal lobes. Anisotropy decreases and diffusivity increases were correlated with positive and negative syndrome scale scores. Alterations in global diffusion properties within the thalamocortical pathways imply the disruption of brain circuitry in schizophrenic patients.
比较了30名精神分裂症患者与22名年龄和性别匹配的健康志愿者之间丘脑皮质通路的扩散特性。使用T1加权和扩散张量图像进行皮质分区和概率性纤维束成像,以生成基于人群的丘脑皮质通路图谱。计算了每个参与者各通路的加权分数各向异性以及纵向和横向扩散率。精神分裂症患者在从中背核和丘脑枕到眶额叶以及顶枕颞叶的通路中表现出各向异性降低,纵向和横向扩散率增加。各向异性降低和扩散率增加与阳性和阴性症状量表评分相关。丘脑皮质通路内整体扩散特性的改变意味着精神分裂症患者脑回路的破坏。