Li W P, Wang F F, Zhang X, Li M, Lu J M, Wu S C, Zhang B
Department of Radiology, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China.
Zhonghua Yi Xue Za Zhi. 2017 Apr 4;97(13):976-981. doi: 10.3760/cma.j.issn.0376-2491.2017.13.003.
To analyze age-related change in cerebral matter tract, especially fractional anisotropy, based on automating fiber-tract quantification(AFQ). A total of 64 years old normal persons and 43 young volunteers were enrolled respectively from the Affiliated Drum Tower Hospital of Nanjing University Medical School and community from January 2015 to June 2016.All of them underwent MRI scan, which included DTI and 3D T(1)WI sequence .All cases were divided into 3 groups according to their ages, the young group 20-35 years old, the middle old group 60-75 years old, the old group 76-90 years old.AFQ was used to identify 20 major white matter tracts in brains of all subjects and make measurements at anatomically equivalent locations along their trajectories. The FA change trend of each fiber was similar among three groups. The old and the middle old group had different FA value in both sides of inferior fronto-occipital fasciculus(left =-2.73, right =-6.12, <0.05), thalamic radiation(left =-4.79, right =-19.61, <0.05), arcuate(left =10.53, right =-2.72, <0.05), callosum forceps(genu =-2.66, splenium =28.64, <0.05), cingulum(left =-4.53, right =-2.22, <0.05)and right corticospinal tract(=3.10, <0.05), among which each location of callosum forceps minor was different between the old group and the young group, and this area decreased in the middle group. The old group had different FA value in both sides of uncinate fasciculus(left =-4.52, right =-4.53, <0.05), left corticospinal tract(=-2.19, <0.05)and right inferior longitudinal fasciculus(=11.12, <0.05). Compared to the young group, there was no statistical difference in the FA of both superior longitudinal fasciculus and left inferior longitudinal fasciculus in the old and the middle old group. AFQ has an impact on the further specific study of the age-related white matter tract.
基于自动纤维束定量分析(AFQ),分析脑实质束尤其是各向异性分数随年龄的变化。2015年1月至2016年6月,分别从南京大学医学院附属鼓楼医院和社区招募了64名60岁以上的正常人和43名年轻志愿者。他们均接受了MRI扫描,包括弥散张量成像(DTI)和三维T1加权成像(3D T(1)WI)序列。所有病例根据年龄分为3组,即20 - 35岁的年轻组、60 - 75岁的中老年组、76 - 90岁的老年组。使用AFQ识别所有受试者大脑中的20条主要白质束,并在其走行的解剖学等效位置进行测量。三组中各纤维的各向异性分数(FA)变化趋势相似。老年组和中老年组在额枕下束两侧(左侧=-2.73,右侧=-6.12,P<0.05)、丘脑辐射(左侧=-4.79,右侧=-19.61,P<0.05)、弓状束(左侧=10.53,右侧=-2.72,P<0.05)、胼胝体钳(膝部=-2.66,压部=28.64,P<0.05)、扣带束(左侧=-4.53,右侧=-2.22,P<0.05)和右侧皮质脊髓束(P=3.10,P<0.05)的FA值存在差异,其中胼胝体小钳的各位置在老年组和年轻组之间不同,且该区域在中年组减小。老年组在钩束两侧(左侧=-4.52,右侧=-4.53,P<0.05)、左侧皮质脊髓束(P=-2.19,P<0.05)和右侧下纵束(P=11.12,P<0.05)的FA值存在差异。与年轻组相比,老年组和中老年组上纵束及左侧下纵束的FA值无统计学差异。AFQ对进一步具体研究与年龄相关的白质束有影响。