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一项基于体素的精神分裂症患者颞叶白质扩散张量成像研究。

A voxel-based diffusion tensor imaging study of temporal white matter in patients with schizophrenia.

作者信息

Rametti Giuseppina, Junqué Carme, Falcón Carlos, Bargalló Nuria, Catalán Rosa, Penadés Rafael, Garzón Benjamín, Bernardo Miguel

机构信息

Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain; Institute of Biomedical Research August Pi i Sunyer (IDIBAPS), Barcelona, Spain.

出版信息

Psychiatry Res. 2009 Mar 31;171(3):166-76. doi: 10.1016/j.pscychresns.2008.05.003. Epub 2009 Feb 13.

Abstract

Diffusion tensor imaging (DTI) is a relatively new technique used to detect changes in the anisotropic diffusion of white matter. The study of the disruption of brain connectivity may increase our understanding of cognitive deficits associated with schizophrenia. Here we analysed DTI data in 25 patients with DSM-IV schizophrenia and 24 healthy controls. Two complementary measures, fractional anisotropy (FA) and the apparent diffusion coefficient (ADC), were considered and analysed using voxel-based morphometry. Declarative memory functions were also investigated and their associations with DTI data were analysed. FA was significantly reduced, and the ADC increased in the left sub-gyral white matter of the temporal lobe, which involves the posterior part of the fornix. In the schizophrenic group, females had lower FA than males in the genu of the corpus callosum. Memory functions correlate with FA values. These data provide further evidence for the disruption of white matter connectivity in the left medial temporal lobe, and for its contribution to the declarative memory deficit in schizophrenia.

摘要

扩散张量成像(DTI)是一种相对较新的技术,用于检测白质各向异性扩散的变化。对大脑连接中断的研究可能会增进我们对与精神分裂症相关的认知缺陷的理解。在此,我们分析了25例符合《精神疾病诊断与统计手册》第四版(DSM-IV)标准的精神分裂症患者和24名健康对照者的DTI数据。我们采用基于体素的形态测量法,考量并分析了两个互补指标,即分数各向异性(FA)和表观扩散系数(ADC)。我们还研究了陈述性记忆功能,并分析了其与DTI数据的关联。颞叶左回下白质(涉及穹窿后部)的FA显著降低,ADC升高。在精神分裂症组中,胼胝体膝部女性的FA低于男性。记忆功能与FA值相关。这些数据进一步证明了左内侧颞叶白质连接中断,以及其对精神分裂症陈述性记忆缺陷的影响。

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