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成人阅读障碍患者扩散张量成像的基于体素的空间统计学分析

Tract-based spatial statistics of diffusion tensor imaging in adults with dyslexia.

作者信息

Richards T, Stevenson J, Crouch J, Johnson L C, Maravilla K, Stock P, Abbott R, Berninger V

机构信息

Department of Radiology, University of Washington, Seattle, WA 98195, USA.

出版信息

AJNR Am J Neuroradiol. 2008 Jun;29(6):1134-9. doi: 10.3174/ajnr.A1007. Epub 2008 May 8.

Abstract

BACKGROUND AND PURPOSE

Diffusion tensor imaging is a tool that can be used to study white matter microstructure in dyslexia. We tested the hypothesis that dyslexics have a white matter structural change (as measured by directional diffusion of water, which can be affected by disruption in white matter tracts) between brain regions that previous functional connectivity studies showed were associated with phonologic processing.

MATERIALS AND METHODS

Diffusion tensor imaging (DTI) scans were acquired from 7 healthy adult normal readers and from 14 adults with dyslexia on a 1.5T scanner. Voxelwise statistical analysis of the fractional anisotropy data were carried out by using Tract-Based Spatial Statistics to compare dyslexic subjects versus control subjects in white matter tracts.

RESULTS

Significant group difference map clusters (comparing adults with and without dyslexia) occurred in specific bilateral white matter tracts within the frontal lobe, temporal lobe, occipital lobe, and parietal lobe.

CONCLUSION

The DTI fractional anisotropy results in the bilateral white matter showing higher fractional anisotropy in adult control subjects compared with adults with dyslexia (relating to white matter fiber tract integrity) are consistent with our previous functional connectivity results from seed points in the bilateral inferior frontal gyrus.

摘要

背景与目的

扩散张量成像(DTI)是一种可用于研究诵读困难症患者白质微观结构的工具。我们检验了这样一个假设,即诵读困难症患者在之前的功能连接性研究显示与语音处理相关的脑区之间存在白质结构变化(通过水的定向扩散来衡量,白质束的破坏可能会影响这种扩散)。

材料与方法

在一台1.5T扫描仪上,对7名健康的成年正常阅读者和14名患有诵读困难症的成年人进行了扩散张量成像(DTI)扫描。通过基于纤维束的空间统计学方法,对各向异性分数数据进行体素级统计分析,以比较诵读困难症患者与对照组在白质束方面的差异。

结果

在额叶、颞叶、枕叶和顶叶的特定双侧白质束中出现了显著的组间差异图簇(比较有和没有诵读困难症的成年人)。

结论

与患有诵读困难症的成年人相比,成年对照组双侧白质中扩散张量成像各向异性分数结果显示出更高的各向异性分数(与白质纤维束完整性相关),这与我们之前从双侧额下回种子点得出的功能连接性结果一致。

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