重度抑郁症患者白质结构紊乱:基于体素的空间统计学扩散张量成像的荟萃分析
Disorganization of white matter architecture in major depressive disorder: a meta-analysis of diffusion tensor imaging with tract-based spatial statistics.
作者信息
Chen Guangxiang, Hu Xinyu, Li Lei, Huang Xiaoqi, Lui Su, Kuang Weihong, Ai Hua, Bi Feng, Gu Zhongwei, Gong Qiyong
机构信息
Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
Department of Radiology, The Affiliated Hospital of Luzhou Medical College, Luzhou 646000, Sichuan, China.
出版信息
Sci Rep. 2016 Feb 24;6:21825. doi: 10.1038/srep21825.
White matter (WM) abnormalities have long been suspected in major depressive disorder (MDD). Tract-based spatial statistics (TBSS) studies have detected abnormalities in fractional anisotropy (FA) in MDD, but the available evidence has been inconsistent. We performed a quantitative meta-analysis of TBSS studies contrasting MDD patients with healthy control subjects (HCS). A total of 17 studies with 18 datasets that included 641 MDD patients and 581 HCS were identified. Anisotropic effect size-signed differential mapping (AES-SDM) meta-analysis was performed to assess FA alterations in MDD patients compared to HCS. FA reductions were identified in the genu of the corpus callosum (CC) extending to the body of the CC and left anterior limb of the internal capsule (ALIC) in MDD patients relative to HCS. Descriptive analysis of quartiles, sensitivity analysis and subgroup analysis further confirmed these findings. Meta-regression analysis revealed that individuals with more severe MDD were significantly more likely to have FA reductions in the genu of the CC. This study provides a thorough profile of WM abnormalities in MDD and evidence that interhemispheric connections and frontal-striatal-thalamic pathways are the most convergent circuits affected in MDD.
长期以来,人们一直怀疑重度抑郁症(MDD)存在白质(WM)异常。基于纤维束的空间统计学(TBSS)研究已检测到MDD患者的各向异性分数(FA)异常,但现有证据并不一致。我们对将MDD患者与健康对照者(HCS)进行对比的TBSS研究进行了定量荟萃分析。共识别出17项研究,包含18个数据集,其中有641例MDD患者和581例HCS。进行了各向异性效应量符号差异映射(AES-SDM)荟萃分析,以评估MDD患者与HCS相比的FA改变。相对于HCS,MDD患者胼胝体(CC)膝部延伸至CC体部和内囊前肢(ALIC)左侧的FA降低。四分位数描述性分析、敏感性分析和亚组分析进一步证实了这些发现。荟萃回归分析显示,MDD越严重的个体,CC膝部FA降低的可能性显著越高。本研究全面描述了MDD中的WM异常,并证明半球间连接和额叶-纹状体-丘脑通路是MDD中受影响最一致的回路。
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