Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305-5723, USA.
Neuropsychologia. 2010 Dec;48(14):4155-63. doi: 10.1016/j.neuropsychologia.2010.10.023. Epub 2010 Oct 23.
The internal capsule conveys information from primary and supplementary motor areas, frontopontine and thalamic peduncles to brain stem and cerebellar regions, and from thalamus to prefrontal cortex. Neurological accidents involving the internal capsule indicate differential functional correlates with its sectors. To examine the microstructural condition of this fiber system and to test functional correlates of its sectors in health and aging, 12 younger and 12 older adults were examined with diffusion tensor imaging (DTI) fiber tracking and neuropsychological tests. Greater age-related degradation was evident in the anterior than posterior limb and in the superior than inferior division of the internal capsule. The superior division age effect was especially notable in axial and radial diffusivity. Fractional anisotropy (FA) across the three (anterior, genu, posterior) fiber bundles of the inferior division accounted for 27-73% of the variance for each neuropsychological domain. Identification of a triple dissociation indicated selective correlations between anterior FA and set shifting, genu FA and motor skills, and posterior FA and fluency. Quantitative fiber tracking combined with assessment of cognitive and motor functions enabled the identification of selective brain structure-function relations in healthy adults without lesions that were previously observed only in patients with lesions of the internal capsule.
内囊传递来自初级和辅助运动区、额桥束和丘脑束的信息到脑干和小脑区域,以及来自丘脑到前额叶皮层的信息。涉及内囊的神经事故表明其各部分具有不同的功能相关性。为了检查该纤维系统的微观结构状况,并在健康和衰老中测试其各部分的功能相关性,对 12 名年轻成年人和 12 名老年成年人进行了弥散张量成像 (DTI) 纤维追踪和神经心理学测试。与后肢相比,前肢和内囊的上部分支比下部分支更明显出现与年龄相关的退化。上部分支的年龄效应在轴向和径向扩散率上尤为明显。下部分支的三个(前肢、膝部、后肢)纤维束的各向异性分数 (FA) 占每个神经心理学领域方差的 27-73%。三重分离的鉴定表明,前肢 FA 与定势转移、膝部 FA 与运动技能以及后肢 FA 与流畅性之间存在选择性相关性。定量纤维追踪结合认知和运动功能评估,可以在没有病变的健康成年人中识别出选择性的大脑结构-功能关系,而这些关系以前仅在患有内囊病变的患者中观察到。