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应用扩散峰度成像技术评估成人自闭症谱系障碍的脑白质改变。

White matter alterations in adult with autism spectrum disorder evaluated using diffusion kurtosis imaging.

机构信息

Department of Radiology, Juntendo University Graduate School of Medicine, 2-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

Department of Psychiatry, Juntendo University Graduate School of Medicine, 2-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

出版信息

Neuroradiology. 2019 Dec;61(12):1343-1353. doi: 10.1007/s00234-019-02238-5. Epub 2019 Jun 18.


DOI:10.1007/s00234-019-02238-5
PMID:31209529
Abstract

PURPOSE: Autism spectrum disorder (ASD) is related to impairment in various white matter (WM) pathways. Utility of the recently developed two-compartment model of diffusion kurtosis imaging (DKI) to analyse axial diffusivity of WM is restricted by several limitations. The present study aims to validate the utility of model-free DKI in the evaluation of WM alterations in ASD and analyse the potential relationship between DKI-evident WM alterations and personality scales. METHODS: Overall, 15 participants with ASD and 15 neurotypical (NT) controls were scanned on a 3 T magnetic resonance (MR) scanner, and scores for autism quotient (AQ), systemising quotient (SQ) and empathising quotient (EQ) were obtained for both groups. Multishell diffusion-weighted MR data were acquired using two b-values (1000 and 2000 s/mm). Differences in mean kurtosis (MK), radial kurtosis (RK) and axial kurtosis (AK) between the groups were evaluated using tract-based spatial statistics (TBSS). Finally, the relationships between the kurtosis indices and personality quotients were examined. RESULTS: The ASD group demonstrated significantly lower AK in the body and splenium of corpus callosum than the NT group; however, no other significant differences were identified. Negative correlations were found between AK and AQ or SQ, predominantly in WM areas related to social-emotional processing such as uncinate fasciculus, inferior fronto-occipital fasciculus, and inferior and superior longitudinal fasciculi. CONCLUSIONS: Model-free DKI and its indices may represent a novel, objective method for detecting the disease severity and WM alterations in patients with ASD.

摘要

目的:自闭症谱系障碍(ASD)与各种白质(WM)通路的损伤有关。最近开发的双室扩散峰度成像(DKI)模型用于分析 WM 轴向弥散度的效用受到多种限制。本研究旨在验证无模型 DKI 在评估 ASD 中 WM 改变的效用,并分析 DKI 明显的 WM 改变与人格量表之间的潜在关系。

方法:共有 15 名 ASD 患者和 15 名神经典型(NT)对照者在 3T 磁共振(MR)扫描仪上进行扫描,为两组获得自闭症商数(AQ)、系统商数(SQ)和同理心商数(EQ)得分。使用两个 b 值(1000 和 2000 s/mm)采集多壳扩散加权 MR 数据。使用基于束的空间统计学(TBSS)评估组间平均峰度(MK)、径向峰度(RK)和轴向峰度(AK)的差异。最后,检查了峰度指数与人格商数之间的关系。

结果:与 NT 组相比,ASD 组胼胝体体部和压部的 AK 明显降低;然而,没有发现其他显著差异。AK 与 AQ 或 SQ 呈负相关,主要在与社会情感处理相关的 WM 区域,如钩束、下额枕束和下纵束和上纵束。

结论:无模型 DKI 及其指数可能代表一种新的、客观的方法,用于检测 ASD 患者的疾病严重程度和 WM 改变。

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Exploring the Autistic Brain: A Systematic Review of Diffusion Tensor Imaging Studies on Neural Connectivity in Autism Spectrum Disorder.

Brain Sci. 2025-7-31

[2]
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Neuropsychopharmacology. 2024-6

[3]
Functional connectivity in autism spectrum disorder evaluated using rs-fMRI and DKI.

Cereb Cortex. 2024-5-2

[4]
Tract- and gray matter- based spatial statistics show white matter and gray matter microstructural differences in autistic males.

Front Neurosci. 2023-9-27

[5]
Reduced neurite density index in the prefrontal cortex of adults with autism assessed using neurite orientation dispersion and density imaging.

Front Neurol. 2023-8-11

[6]
Application of TBSS-based machine learning models in the diagnosis of pediatric autism.

Front Neurol. 2023-1-18

[7]
Neurite orientation dispersion and density imaging reveals white matter microstructural alterations in adults with autism.

Mol Autism. 2021-6-30

[8]
Association of Reduced Tract Integrity with Social Communication Deficits in Preschool Autism Children: A Tract-Based Spatial Statistics Study.

Neuropsychiatr Dis Treat. 2021-6-18

[9]
Diffusion Magnetic Resonance Imaging-Based Biomarkers for Neurodegenerative Diseases.

Int J Mol Sci. 2021-5-14

[10]
Toward more robust and reproducible diffusion kurtosis imaging.

Magn Reson Med. 2021-9

本文引用的文献

[1]
Microstructural white matter alterations associated to neurocognitive deficits in childhood leukemia survivors treated with cranial radiotherapy - a diffusional kurtosis study.

Acta Oncol. 2019-2-12

[2]
Diffusional kurtosis imaging of the corpus callosum in autism.

Mol Autism. 2018-12-13

[3]
Diffusional kurtosis imaging and white matter microstructure modeling in a clinical study of major depressive disorder.

NMR Biomed. 2018-7

[4]
Divergent topological networks in Alzheimer's disease: a diffusion kurtosis imaging analysis.

Transl Neurodegener. 2018-4-27

[5]
Imaging brain microstructure with diffusion MRI: practicality and applications.

NMR Biomed. 2017-11-29

[6]
Histogram analysis of diffusion kurtosis imaging derived maps may distinguish between low and high grade gliomas before surgery.

Eur Radiol. 2017-11-16

[7]
Association of White Matter Structure With Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder.

JAMA Psychiatry. 2017-11-1

[8]
Gray Matter Abnormalities in Idiopathic Parkinson's Disease: Evaluation by Diffusional Kurtosis Imaging and Neurite Orientation Dispersion and Density Imaging.

Hum Brain Mapp. 2017-7

[9]
Is the Autism-Spectrum Quotient a Valid Measure of Traits Associated with the Autism Spectrum? A Rasch Validation in Adults with and Without Autism Spectrum Disorders.

J Autism Dev Disord. 2017-7

[10]
Aging and Autism Spectrum Disorder: A Naturalistic, Longitudinal Study of the Comorbidities and Behavioral and Neuropsychiatric Symptoms in Adults with ASD.

J Autism Dev Disord. 2017-6

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