Hasan Khader M, Walimuni Indika S, Frye Richard E
Department of Diagnostic and Interventional Imaging, University of Texas Health Science Center, Houston, TX 77030, USA.
J Child Neurol. 2013 Jul;28(7):874-85. doi: 10.1177/0883073812452917. Epub 2012 Aug 16.
Quantitative magnetic resonance imaging (MRI) studies of the microstructure and macrostructure in children with autism report contradictory results due, in part, to the autistic population heterogeneity from factors such as variation in intellect and inadequately accounting for age-related changes in brain development. In this report, the authors compared global and regional volumetry, relaxometry, anisotropy, and diffusometry of gray and white matter in 10 autism spectrum disorder children relative to the age-related trajectories obtained from 38 typically developing controls while controlling for nonverbal intellect using a validated quantitative MRI method. The normalized hippocampus volume increased with age in both autistic and typically developing individuals with limbic structures larger in autistic patients. Hippocampus volume, but not diffusivity or relaxation time, was larger in autistic children. Hippocampus volume was inversely correlated with nonverbal intellect across control individuals. The pattern of hippocampal abnormalities suggests a disturbance in early brain development in autistic children independent of intellect.
针对自闭症儿童微观结构和宏观结构的定量磁共振成像(MRI)研究报告了相互矛盾的结果,部分原因在于自闭症群体的异质性,这是由智力差异等因素以及未充分考虑大脑发育中与年龄相关的变化所致。在本报告中,作者使用经过验证的定量MRI方法,在控制非语言智力的情况下,将10名自闭症谱系障碍儿童的灰质和白质的整体及区域体积测定、弛豫测定、各向异性和扩散测定,与从38名发育正常的对照儿童获得的与年龄相关的轨迹进行了比较。在自闭症患者和发育正常的个体中,标准化海马体积均随年龄增长,自闭症患者的边缘结构更大。自闭症儿童的海马体积更大,但扩散率或弛豫时间并非如此。在对照个体中,海马体积与非语言智力呈负相关。海马异常模式表明,自闭症儿童早期大脑发育存在独立于智力的紊乱。