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分形维数分析检测有和没有宫内生长受限的早产儿的脑变化。

Fractal-dimension analysis detects cerebral changes in preterm infants with and without intrauterine growth restriction.

机构信息

Department of Experimental Biology, University of Jaén, Jaén, Spain.

出版信息

Neuroimage. 2010 Dec;53(4):1225-32. doi: 10.1016/j.neuroimage.2010.07.019. Epub 2010 Jul 13.

Abstract

In the search for a useful parameter to detect and quantify subtle brain abnormalities in infants with intrauterine growth restriction (IUGR), we hypothesised that the analysis of the structural complexity of grey matter (GM) and white matter (WM) using the fractal dimension (FD), a measurement of the topological complexity of an object, could be established as a useful tool for quantitative studies of infant brain morphology. We studied a sample of 18 singleton IUGR premature infants, (12.72 months corrected age (CA), range: 12 months-14 months), 15 preterm infants matched one-to-one for gestational age (GA) at delivery (12.6 months; range: 12 months-14 months), and 15 neonates born at term (12.4 months; range: 11 months-14 months). The neurodevelopmental outcome was assessed in all subjects at 18 months CA according to the Bayley Scale for Infant and Toddler Development - Third edition (BSID-III). For MRI acquisition and processing, the infants were scanned at 12 months CA, in a TIM TRIO 3T scanner, sleeping naturally. Images were pre-processed using the SPM5 toolbox, the GM and WM segmented under the VBM5 toolbox, and the box-counting method was applied for FD calculation of normal and skeletonized segmented images. The results showed a significant decrease of the FD of the brain GM and WM in the IUGR group when compared to the preterm or at-term controls. We also identified a significant linear tendency of both GM and WM FD from IUGR to preterm and term groups. Finally, multiple linear analyses between the FD of the GM or WM and the neurodevelopmental scales showed a significant regression of the language and motor scales with the FD of the GM. In conclusion, a decreased FD of the GM and WM in IUGR infants could be a sensitive indicator for the investigation of structural brain abnormalities in the IUGR population at 12 months of age, which can also be related to functional disorders.

摘要

在寻找一种有用的参数来检测和量化宫内生长受限(IUGR)婴儿的细微脑异常时,我们假设使用分形维数(FD)分析灰质(GM)和白质(WM)的结构复杂性,作为定量研究婴儿脑形态的有用工具。我们研究了 18 名 IUGR 早产儿(校正年龄(CA)为 12.72 个月,范围:12 个月至 14 个月)、15 名与 IUGR 早产儿按分娩时的胎龄(GA)一对一匹配的早产儿(12.6 个月;范围:12 个月至 14 个月)和 15 名足月出生的婴儿(12.4 个月;范围:11 个月至 14 个月)。所有受试者在 18 个月 CA 时根据贝利婴幼儿发育量表第三版(BSID-III)进行神经发育评估。对于 MRI 采集和处理,婴儿在 12 个月 CA 时在 TIM TRIO 3T 扫描仪中自然睡眠时进行扫描。图像使用 SPM5 工具箱进行预处理,使用 VBM5 工具箱对 GM 和 WM 进行分割,然后应用盒子计数法计算正常和骨架化分割图像的 FD。结果显示,与早产儿或足月儿对照组相比,IUGR 组的大脑 GM 和 WM 的 FD 显著降低。我们还发现,从 IUGR 到早产儿和足月儿组,GM 和 WM 的 FD 均呈显著线性趋势。最后,GM 或 WM 的 FD 与神经发育量表之间的多元线性分析显示,GM 的 FD 与语言和运动量表显著相关。总之,IUGR 婴儿 GM 和 WM 的 FD 降低可能是 12 个月龄 IUGR 人群中结构性脑异常的敏感指标,也可能与功能障碍有关。

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