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创伤后应激障碍患者脑结构的基于体素的形态学研究

[Voxel based morphometric study of brain structure in patients with posttraumatic stress disorder].

作者信息

Yang Chunlan, Wu Shuicai, Bai Yanping, Hou Cailan, Gao Hongjian

机构信息

College of Life Science & Bioengineering, Beijing University of Technology, Beijing 100022, China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2009 Feb;26(1):30-3.

Abstract

Voxel based morphometry (VBM) methods are used to detect the difference in brain structures between the posttraumatic stress disorder (PTSD) sufferers and the normal controls. Standard VBM method can detect the difference of the gray matter or white matter densities while the optimized VBM method can detect the difference of gray matter or white matter volumes in the whole brain. The experiments showed that for the patient group, gray matter density or volumes significantly increased in the right frontal lobe, middle frontal gyrus, vermis, left caudate and parietal lobe, compared with the normal controls. However, in the left frontal lobe and middle frontal gyrus, gray matter density significantly decreased. There is no significant difference in white matter between the two groups. These results are consistent with those of the fMRI, which not only provide the evidence for further study of the pathogeny in PTSD but also validate the efficiency of the VBM methods for detecting the difference in the whole brain structure.

摘要

基于体素的形态测量学(VBM)方法被用于检测创伤后应激障碍(PTSD)患者与正常对照组之间脑结构的差异。标准VBM方法可检测灰质或白质密度的差异,而优化后的VBM方法能检测全脑灰质或白质体积的差异。实验表明,与正常对照组相比,患者组右侧额叶、额中回、蚓部、左侧尾状核和顶叶的灰质密度或体积显著增加。然而,左侧额叶和额中回的灰质密度显著降低。两组之间白质无显著差异。这些结果与功能磁共振成像(fMRI)的结果一致,不仅为进一步研究PTSD的发病机制提供了证据,也验证了VBM方法在检测全脑结构差异方面的有效性。

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