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通过形状和姿势联合分析揭示早产儿丘脑改变及其与腹侧纹状体紊乱的关系。

Thalamic alterations in preterm neonates and their relation to ventral striatum disturbances revealed by a combined shape and pose analysis.

作者信息

Lao Yi, Wang Yalin, Shi Jie, Ceschin Rafael, Nelson Marvin D, Panigrahy Ashok, Leporé Natasha

机构信息

Department of Radiology, University of Southern California and Children's Hospital, 4650 Sunset Blvd, MS#81, Los Angeles, CA, 90027, USA.

School of Computing, Informatics, and Decision Systems Engineering, Arizona State University, Tempe, AZ, 85281, USA.

出版信息

Brain Struct Funct. 2016 Jan;221(1):487-506. doi: 10.1007/s00429-014-0921-7. Epub 2014 Nov 1.

Abstract

Finding the neuroanatomical correlates of prematurity is vital to understanding which structures are affected, and to designing efficient prevention and treatment strategies. Converging results reveal that thalamic abnormalities are important indicators of prematurity. However, little is known about the localization of the abnormalities within the subnuclei of the thalamus, or on the association of altered thalamic development with other deep gray matter disturbances. Here, we aim to investigate the effect of prematurity on the thalamus and the putamen in the neonatal brain, and further investigate the associated abnormalities between these two structures. Using brain structural magnetic resonance imaging, we perform a novel combined shape and pose analysis of the thalamus and putamen between 17 preterm (41.12 ± 5.08 weeks) and 19 term-born (45.51 ± 5.40 weeks) neonates at term equivalent age. We also perform a set of correlation analyses between the thalamus and the putamen, based on the surface and pose results. We locate significant alterations on specific surface regions such as the anterior and ventral anterior (VA) thalamic nuclei, and significant relative pose changes of the left thalamus and the right putamen. In addition, we detect significant association between the thalamus and the putamen for both surface and pose parameters. The regions that are significantly associated include the VA, and the anterior and inferior putamen. We detect statistically significant surface deformations and pose changes on the thalamus and putamen, and for the first time, demonstrate the feasibility of using relative pose parameters as indicators for prematurity in neonates. Our methods show that regional abnormalities of the thalamus are associated with alterations of the putamen, possibly due to disturbed development of shared pre-frontal connectivity. More specifically, the significantly correlated regions in these two structures point to frontal-subcortical pathways including the dorsolateral prefrontal-subcortical circuit, the lateral orbitofrontal-subcortical circuit, the motor circuit, and the oculomotor circuit. These findings reveal new insight into potential subcortical structural covariates for poor neurodevelopmental outcomes in the preterm population.

摘要

找到早产的神经解剖学关联对于理解哪些结构受到影响以及设计有效的预防和治疗策略至关重要。越来越多的研究结果表明,丘脑异常是早产的重要指标。然而,对于丘脑亚核内异常的定位,或者丘脑发育改变与其他深部灰质紊乱之间的关联,我们知之甚少。在这里,我们旨在研究早产对新生儿大脑中丘脑和壳核的影响,并进一步探究这两个结构之间的相关异常。我们使用脑结构磁共振成像,对17名早产(孕龄41.12 ± 5.08周)和19名足月出生(孕龄45.51 ± 5.40周)的新生儿在足月等效年龄时的丘脑和壳核进行了一种新颖的形状和姿态联合分析。我们还基于表面和姿态结果对丘脑和壳核进行了一系列相关性分析。我们在特定表面区域发现了显著变化,如丘脑前核和腹前核(VA),以及左丘脑和右壳核的显著相对姿态变化。此外,我们检测到丘脑和壳核在表面和姿态参数方面均存在显著关联。显著相关的区域包括VA以及壳核的前部和下部。我们在丘脑和壳核上检测到具有统计学意义的表面变形和姿态变化,并且首次证明了使用相对姿态参数作为新生儿早产指标的可行性。我们的方法表明,丘脑的区域异常与壳核的改变有关,这可能是由于共享的前额叶连接发育受阻所致。更具体地说,这两个结构中显著相关的区域指向额叶 - 皮质下通路,包括背外侧前额叶 - 皮质下回路、外侧眶额 - 皮质下回路、运动回路和动眼神经回路。这些发现为早产人群神经发育不良结局的潜在皮质下结构协变量提供了新的见解。

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