胼胝体的扩散峰度成像在自闭症中的应用。
Diffusional kurtosis imaging of the corpus callosum in autism.
机构信息
1Department of Radiology, New York University School of Medicine, New York, NY USA.
4Center for Biomedical Imaging, NYU Langone Health, 660 First Ave, 4th floor, New York, NY 10016 USA.
出版信息
Mol Autism. 2018 Dec 13;9:62. doi: 10.1186/s13229-018-0245-1. eCollection 2018.
BACKGROUND
The corpus callosum is implicated in the pathophysiology of autism spectrum disorder (ASD). However, specific structural deficits and underlying mechanisms are yet to be well defined.
METHODS
We employed diffusional kurtosis imaging (DKI) metrics to characterize white matter properties within five discrete segments of the corpus callosum in 17 typically developing (TD) adults and 16 age-matched participants with ASD without co-occurring intellectual disability (ID). The DKI metrics included axonal water fraction () and intra-axonal diffusivity (), which reflect axonal density and caliber, and extra-axonal radial (RD) and axial (AD) diffusivities, which reflect myelination and microstructural organization of the extracellular space. The relationships between DKI metrics and processing speed, a cognitive feature known to be impaired in ASD, were also examined.
RESULTS
ASD group had significantly decreased callosal and ( = .01 and = .045), particularly in the midbody, isthmus, and splenium. Regression analysis showed that variation in DKI metrics, primarily in the mid and posterior callosal regions explained up to 70.7% of the variance in processing speed scores for TD ( = .001) but not for ASD ( > .05).
CONCLUSION
Decreased DKI metrics suggested that ASD may be associated with axonal deficits such as reduced axonal caliber and density in the corpus callosum, especially in the mid and posterior callosal areas. These data suggest that impaired interhemispheric connectivity may contribute to decreased processing speed in ASD participants.
背景
胼胝体与自闭症谱系障碍(ASD)的病理生理学有关。然而,特定的结构缺陷和潜在的机制尚未得到很好的定义。
方法
我们采用弥散峰度成像(DKI)指标,在 17 名典型发育(TD)成人和 16 名年龄匹配的无智力障碍(ID)ASD 参与者中,对胼胝体的五个离散节段的白质性质进行特征描述。DKI 指标包括轴突水分数()和轴内弥散度(),反映轴突密度和口径,以及轴外径向(RD)和轴向(AD)弥散度,反映髓鞘形成和细胞外空间的微观结构组织。还检查了 DKI 指标与处理速度之间的关系,处理速度是一种已知在 ASD 中受损的认知特征。
结果
ASD 组胼胝体和显著降低( = .01 和 = .045),特别是在胼胝体的体部、连合部和压部。回归分析表明,DKI 指标的变化,主要是在胼胝体的中部和后部区域,解释了 TD 参与者处理速度得分变化的 70.7%( = .001),但不能解释 ASD 参与者的变化( > .05)。
结论
DKI 指标降低表明,ASD 可能与胼胝体的轴突缺陷有关,例如胼胝体的轴突口径和密度降低,尤其是在胼胝体的中部和后部区域。这些数据表明,半球间连接的受损可能导致 ASD 参与者的处理速度下降。
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