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正常衰老过程中健康大脑扩散峰度估计的区域值

Regional Values of Diffusional Kurtosis Estimates in the Healthy Brain during Normal Aging.

作者信息

Das S K, Wang J L, Bing L, Bhetuwal A, Yang H F

机构信息

Department of Radiology, Affiliated Hospital of North Sichuan Medical College, 63 Wenhua Road, 637000, Nanchong, Sichuan, People's Republic of China.

出版信息

Clin Neuroradiol. 2017 Sep;27(3):283-298. doi: 10.1007/s00062-015-0490-z. Epub 2016 Jan 4.

Abstract

OBJECTIVE

To provide estimates of the diffusional kurtosis in different anatomical regions of a healthy brain and to assess age dependency of diffusion kurtosis imaging (DKI) and diffusion tensor imaging (DTI) derived parametric values in these regions.

MATERIALS AND METHODS

Eighty healthy volunteers underwent DKI of the brain with 3.0 T magnetic resonance imaging. The DKI was obtained by using three b values of 0, 1000, 2000 s/mm, and with 50 diffusion directions. The regions of interest-based measurements were calculated to obtain several DKI estimates of 21 different locations of brain, and then, the age dependency for DKI- and DTI-derived parameters in these regions were assessed by using linear and nonlinear regressions.

RESULTS

The mean kurtosis varied from 0.73 ± 0.01 (head of caudate nucleus) to 1.07 ± 0.08 (splenium of corpus callosum (CC)). The radial kurtosis varied from 0.84 ± 0.06 (head of caudate nucleus) to 1.05 ± 0.07 (splenium of CC), and axial kurtosis from 0.41 ± 0.02 (genu of CC) to 0.78 ± 0.02 (pallidum). DTI-derived parametric values also varied across the region. Age dependence was found for DKI-derived parameters in almost all measured regions except for corona radiata and centrum semiovale. On the contrary, DTI failed to show age dependency in many regions including gray matter structure.

CONCLUSION

In conclusion, the knowledge of range of diffusion kurtosis parameters in each anatomical region in different age group is important before its clinical application to diagnose the pathology.

摘要

目的

提供健康大脑不同解剖区域的扩散峰度估计值,并评估扩散峰度成像(DKI)和扩散张量成像(DTI)得出的参数值在这些区域的年龄依赖性。

材料与方法

80名健康志愿者接受了3.0T磁共振成像的脑部DKI检查。通过使用0、1000、2000s/mm的三个b值以及50个扩散方向来获得DKI。计算基于感兴趣区域的测量值,以获得大脑21个不同位置的多个DKI估计值,然后通过线性和非线性回归评估这些区域中DKI和DTI得出的参数的年龄依赖性。

结果

平均峰度从0.73±0.01(尾状核头部)到1.07±0.08(胼胝体压部(CC))不等。径向峰度从0.84±0.06(尾状核头部)到1.05±0.07(CC压部)不等,轴向峰度从0.41±0.02(CC膝部)到0.78±0.02(苍白球)不等。DTI得出的参数值在各区域也有所不同。除了放射冠和半卵圆中心外,几乎所有测量区域的DKI得出的参数都存在年龄依赖性。相反,DTI在包括灰质结构在内的许多区域未显示出年龄依赖性。

结论

总之,在将扩散峰度参数用于临床诊断病理学之前,了解不同年龄组各解剖区域的扩散峰度参数范围很重要。

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