Dai Zhenyu, Chen Fei, Zhang Bing, Yao Lizheng, Dong Congsong, Xu Yun, Zhu Bin, Zhang Xin, Li Ming, Wang Huiting
Department of Radiology, Affiliated Yancheng Hospital, Southeast University Medical College, Yancheng 224001, China.
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Zhonghua Yi Xue Za Zhi. 2014 Nov 11;94(41):3234-8.
To explore the reproducible metabolic test and gender difference and investigate the distribution rules of metabolite concentration in different hippocampal regions (head, body and tail) of normal cognitive people for elucidating the pathological metabolic changes.
The hippocampal multi-voxel proton spectroscopy of 24 normal cognitive young volunteers scanned by a 3.0 T magnetic resonance (MR). Every volunteer was scanned thrice. The data was processed by MR post-processing workstation. The hippocampus was divided into three parts (head, body and tail) and the ratios of N-acetylaspartate (NAA)/creatine (Cr), myoinositol (MI)/Cr, MI/NAA and choline (Cho)/Cr were calculated separately. We compared the metabolic ratios of each region of bilateral hippocampi between male and female groups and three different tests, also analyzed the distribution rule of each metabolite along the long axis of hippocampus.
The metabolic ratio (NAA/Cr, MI/Cr, MI/NAA and Cho/Cr) of each region of bilateral hippocampi between male and female groups and among three tests showed no statistical differences. NAA/Cr gradually rose (P < 0.05) while MI/NAA and Cho/Cr gradually declining from bilateral hippocampal head to tail (P < 0.05). MI/Cr gradually declined from bilateral hippocampal head to tail, but there was statistical difference only between right hippocampal head and tail (P < 0.05).
The hippocampal multi-voxel proton spectroscopy is technically stable. There is no gender difference. And distribution differences and metabolite concentration trends exist along hippocampal head, body and tail.
探索可重复的代谢测试及性别差异,研究正常认知人群不同海马区域(头部、体部和尾部)代谢物浓度的分布规律,以阐明病理性代谢变化。
对24名正常认知的年轻志愿者进行3.0T磁共振(MR)海马多体素质子波谱扫描。每位志愿者扫描3次。数据通过MR后处理工作站进行处理。将海马分为三个部分(头部、体部和尾部),分别计算N-乙酰天门冬氨酸(NAA)/肌酸(Cr)、肌醇(MI)/Cr、MI/NAA和胆碱(Cho)/Cr的比值。比较男女组之间以及三种不同测试中双侧海马各区域的代谢比值,同时分析各代谢物沿海马长轴的分布规律。
男女组之间以及三种测试中双侧海马各区域的代谢比值(NAA/Cr、MI/Cr、MI/NAA和Cho/Cr)均无统计学差异。从双侧海马头部到尾部,NAA/Cr逐渐升高(P<0.05),而MI/NAA和Cho/Cr逐渐下降(P<0.05)。MI/Cr从双侧海马头部到尾部逐渐下降,但仅右侧海马头部与尾部之间存在统计学差异(P<0.05)。
海马多体素质子波谱技术稳定。不存在性别差异。海马头部、体部和尾部存在分布差异及代谢物浓度变化趋势。