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[早发性精神分裂症内囊完整性及其性别相关结构差异——扩散张量成像研究]

[Internal capsule integrity and its sex-related structural differences in early-onset schizophrenia - diffusion tensor imaging study].

作者信息

Gawłowska Marta, Rabe-Jabłońska Jolanta, Gębski Piotr, Chomczyński Piotr

机构信息

II Klinika Psychiatrii UW; Oddział Kliniczny Psychiatrii, Uniwersytet Medyczny w Łodzi.

II Klinika Psychiatrii, Uniwersytet Medyczny w Łodzi.

出版信息

Psychiatr Pol. 2015 Mar-Apr;49(2):349-61. doi: 10.12740/PP/25161.

Abstract

OBJECTIVES

In schizophrenia, the most repeatable DTI findings concern reduced FA in temporal and frontal lobes with associated abnormalities in connecting neural fibers. The goal of study was to evaluate the differences in FA of the internal capsule in EOS-patients and healthy controls and to place emphasis on the sex as a potential factor determining a predominant pathological pattern of described changes.

METHODS

30 EOS patients and 30 healthy controls were studied using DTI. FA measures within internal capsules were performed in selected ROIs. For statistical analyses the one-way ANOVA test was used (p<0.05).

RESULTS

Significant differences of FA between EOS-patients and controls in the right ALIC with lower values of FA in EOS were observed. Within the women sub-groups, statistical differences of FA were observed only for the right ALIC. There were no statistically significant differences within men sub-groups.

CONCLUSIONS

  1. Statistically significant differences were found between EOS - subjects (subgroups of woman only) and the control group within the WM diffusivity of the brain in the right ALIC. 2. These results indicate possible involvement of the structures of internal capsule in the EOS development.
摘要

目的

在精神分裂症中,最可重复的弥散张量成像(DTI)结果是颞叶和额叶的各向异性分数(FA)降低,以及连接神经纤维的相关异常。本研究的目的是评估早发型精神分裂症(EOS)患者和健康对照者内囊FA的差异,并强调性别作为决定上述变化主要病理模式的潜在因素。

方法

使用DTI对30例EOS患者和30名健康对照者进行研究。在选定的感兴趣区域(ROI)内测量内囊的FA值。采用单因素方差分析进行统计分析(p<0.05)。

结果

观察到EOS患者与对照组在右侧前肢内囊(ALIC)的FA存在显著差异,EOS患者的FA值较低。在女性亚组中,仅在右侧ALIC观察到FA的统计学差异。男性亚组内无统计学显著差异。

结论

  1. 在右侧ALIC的脑白质扩散率方面,EOS受试者(仅女性亚组)与对照组之间存在统计学显著差异。2. 这些结果表明内囊结构可能参与了EOS的发病过程。

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