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正常人大脑白质随年龄变化的退化规律:来自弥散张量磁共振成像的证据。

Age-related white matter degradation rule of normal human brain: the evidence from diffusion tensor magnetic resonance imaging.

机构信息

Department of Radiology, Beijing Shijingshan Hospital, Beijing 100043, China. Email:

Department of Radiology, Beijing Shijingshan Hospital, Beijing 100043, China.

出版信息

Chin Med J (Engl). 2014;127(3):532-7.

Abstract

BACKGROUND

Diffusion tensor imaging can evaluate white matter function in human brain. Fractional anisotropy is the most important parameter. This study aimed to find regional reduction of fractional anisotropy (FA) with aging in the whole brain and the changing rules of anisotropy with aging.

METHODS

Fifty volunteers from 20 to 75 years old were divided into five consecutive age groups; a young group and four senior groups. FA values were calculated with diffusion tensor imaging (DTI) studio software. The difference of FA between the young group and the four senior groups were analyzed by analysis of voxel-level height threshold in Statistic Parametric Mapping (SPM), and the regions with decreased FA were obtained. The FA values of these regions were then extracted using an in-house developed program, and a multiple linear regression model was built to assess the influence of age and sex on the FA values of these regions.

RESULTS

Eight regions, including frontal lobe, postcentral gyrus, optic radiation, hippocampus, cerebella hemisphere, corona radiate, corpus callosum and internal capsule, were found to have decreased FA. There was a strong negative correlation between age and the FA in the frontal lobe, postcentral gyrus, optic radiation, hippocampus, and cerebella hemisphere, while a weaker negative correlation in the corona radiate, corpus callosum, and internal capsule was found. The FA reduction in the frontal lobe, postcentral gyrus, optic radiation, hippocampus and cerebella hemisphere were found earlier than in the corona radiate, corpus callosum and internal capsule. There was no correlation between sex and FA in these regions.

CONCLUSIONS

The FA in the subcortical white matter area reduces earlier than that in deep white matter. The areas with decreased FA continuously enlarge with aging. The FAs in these regions have a strong negative correlation with age.

摘要

背景

弥散张量成像可用于评估人脑白质功能,各向异性分数(fractional anisotropy,FA)是最重要的参数。本研究旨在发现全脑随年龄变化的 FA 值局部减少,并探讨各向异性随年龄变化的规律。

方法

50 名志愿者(年龄 20~75 岁)被分为 5 个连续年龄组:青年组和 4 个老年组。采用弥散张量成像(diffusion tensor imaging,DTI)studio 软件计算 FA 值。采用统计参数映射(Statistic Parametric Mapping,SPM)分析 voxel-level 高度阈值,比较青年组和 4 个老年组 FA 值的差异,得到 FA 值降低的脑区。使用自编程序提取这些脑区的 FA 值,建立多元线性回归模型,评估年龄和性别对这些脑区 FA 值的影响。

结果

发现 8 个脑区 FA 值降低,包括额叶、中央后回、视辐射、海马、小脑半球、放射冠、胼胝体和内囊。额叶、中央后回、视辐射、海马和小脑半球的 FA 值与年龄呈强负相关,而放射冠、胼胝体和内囊的 FA 值与年龄呈弱负相关。额叶、中央后回、视辐射、海马和小脑半球的 FA 值降低早于放射冠、胼胝体和内囊。这些脑区的 FA 值与性别无关。

结论

皮质下白质区域的 FA 值比深部白质区域的 FA 值更早降低。FA 值降低的脑区随年龄不断增大。这些脑区的 FA 值与年龄呈强负相关。

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