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