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高度近视患者皮质厚度变薄和连接中断的证据。

Evidence of cortical thickness reduction and disconnection in high myopia.

机构信息

Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China.

Department of Radiology, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China.

出版信息

Sci Rep. 2020 Oct 1;10(1):16239. doi: 10.1038/s41598-020-73415-3.

Abstract

High myopia (HM) is associated with impaired long-distance vision. accumulating evidences reported that abnormal visual experience leads to dysfunction in brain activity in HM even corrected. However, whether the long-term of abnormal visual experience lead to neuroanatomical changes remain unknown, the aim at this study is to investigate the alternation of cortical surface thickness in HM patients. 82 patients with HM (HM groups), 57 healthy controls (HC groups) were recruited. All participants underwent high-resolution T1 and resting-state functional magnetic resonance imaging (MRI) scans. The cortical thickness analysis was preformed to investigate the neuroanatomical changes in HM patients using computational anatomy toolbox (CAT 12) toolbox. Compare with HCs, HM patients showed decreased the cortical surface thickness in the left middle occipital gyrus (MOG), left inferior parietal lobule (IPL), right inferior temporal gyrus (ITG), right precuneus, right primary visual area 1 (V1), right superior temporal gyrus (STG), right superior parietal lobule (SPL), right occipital pole, and right the primary motor cortex (M1), and increased to the parietal operculum (OP4) (P < 0.01, FWE-corrected), the mean cortical thickness of right orbitofrontal cortex (OFC), right dorsolateral prefrontal cortex (DLPFC) and right subcallosal cortex showed negatively correlation between clinical variables (axis length (ALM), the average macular thickness (AMT), keratometer (KER) 1, KER2, the mean KER, the mean macular fovea thickness (MFK), the refractive diopter) in HM patients. Our result mainly provided an evidence of cortical thickness reduction and disconnection in visual center and visual processing area, and cortical thickness increase in left multimodal integration region in HM patients. This may provide important significance of the study of the neural mechanism of HM.

摘要

高度近视(HM)与远距离视力受损有关。越来越多的证据表明,即使进行了矫正,异常的视觉体验也会导致 HM 患者大脑活动的功能障碍。然而,长期异常的视觉体验是否会导致神经解剖结构的变化尚不清楚,本研究旨在探讨 HM 患者皮质厚度的变化。共招募了 82 名 HM 患者(HM 组)和 57 名健康对照者(HC 组)。所有参与者均接受高分辨率 T1 和静息态功能磁共振成像(MRI)扫描。使用计算解剖工具箱(CAT 12)工具包对皮质厚度进行分析,以研究 HM 患者的神经解剖结构变化。与 HC 相比,HM 患者左中枕叶(MOG)、左顶下小叶(IPL)、右颞下回(ITG)、右楔前叶、右初级视觉区 1(V1)、右颞上回(STG)、右顶叶上回(SPL)、右枕极和右初级运动皮层(M1)的皮质厚度降低,而右侧岛盖部(OP4)的皮质厚度增加(P < 0.01,FWE 校正),HM 患者右侧眶额皮质(OFC)、右侧背外侧前额叶皮质(DLPFC)和右侧胼胝体下皮质的平均皮质厚度与临床变量(眼轴长度(ALM)、平均黄斑厚度(AMT)、角膜曲率计(KER)1、KER2、平均 KER、平均黄斑中央凹厚度(MFK)、屈光度数)呈负相关。我们的结果主要提供了 HM 患者视觉中心和视觉处理区皮质厚度降低和连接中断,以及左侧多模态整合区皮质厚度增加的证据。这可能为研究 HM 的神经机制提供重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c432/7530748/57eaea1880f0/41598_2020_73415_Fig1_HTML.jpg

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