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小脑结构的形态计量学评估在晚期单眼盲中。

Morphometric evaluation of cerebellar structures in late monocular blindness.

机构信息

Department of Radiology, Alaaddin Keykubat University Alanya Education and Research Hospital, Antalya, 07400, Turkey.

Department of Ophthalmology, Alaaddin Keykubat University Alanya Education and Research Hospital, Antalya, 07400, Turkey.

出版信息

Int Ophthalmol. 2021 Mar;41(3):769-776. doi: 10.1007/s10792-020-01629-5. Epub 2020 Nov 12.

Abstract

BACKGROUND

Only a few studies have investigated structural and functional changes in monocular blind individuals. Our aim in this study was to segmentally investigate the cerebellar structures of subjects with late-onset monocular blindness (LMB) using a Voxel-based volumetric analysis system.

METHODS

The segmental volumetric values, cortical thickness, gray matter volumes and percentage ratios of the cerebellar lobules of individuals with LMB due to trauma and in healthy individuals with bilateral sight as the control group were calculated at the volBrain CERES 1.0 website ( https://volbrain.upv.es/ ) by using brain 3D fast spoiled gradient recall acquisition in steady-state (3D T1 FSPGR) MRI sequence images in our prospective study.

RESULTS

We studied 11 subjects with LMB (8 males/3 females) and 11 healthy control subjects (8 males/3 females). The mean age was 41.45 ± 14.15 and 40 ± 11.11 years, respectively (p > 0.05). The mean duration of the LMB status was 20.8 ± 11.2 years. Cerebellar lobule crus II volume and cerebellar lobule VIIB/VIIIA volume/percentage were higher in the LMB group, and mean cerebellar cortical thickness, cerebellar lobule VI-cerebellar lobule crus I-II cortical thickness, and cerebellar lobule VI gray matter volume values were lower in the LMB group (p < 0.05).

CONCLUSION

In this study, cerebellar lobule VIIB/VIIIA volume/total percent ratio, cerebellar cortical thickness and cerebellar gray matter volume in the LMB group were found to be different from the control group. To our knowledge, this is the first study to report cerebellar anatomical changes in patients with LMB.

摘要

背景

仅有少数研究调查了单眼盲患者的结构和功能变化。我们的目的是使用基于体素的体积分析系统分段研究创伤后出现的晚发性单眼盲(LMB)患者的小脑结构。

方法

在我们的前瞻性研究中,使用脑 3D 快速扰相梯度回波采集稳态(3D T1 FSPGR)MRI 序列图像,在 volBrain CERES 1.0 网站(https://volbrain.upv.es/)计算 LMB 患者(11 名男性/3 名女性)和双侧视力正常的健康对照组(11 名男性/3 名女性)的小脑叶分段体积值、皮质厚度、灰质体积和小脑叶的百分比比值。

结果

我们研究了 11 名 LMB 患者(8 名男性/3 名女性)和 11 名健康对照组(8 名男性/3 名女性)。平均年龄分别为 41.45±14.15 岁和 40±11.11 岁(p>0.05)。LMB 状态的平均持续时间为 20.8±11.2 年。LMB 组小脑叶 crus II 体积和小脑叶 VIIB/VIIIA 体积/百分比较高,而 LMB 组平均小脑皮质厚度、小脑叶 VI-小脑叶 crus I-II 皮质厚度和小脑叶 VI 灰质体积值较低(p<0.05)。

结论

在这项研究中,我们发现 LMB 组小脑叶 VIIB/VIIIA 体积/总百分比、小脑皮质厚度和小脑灰质体积与对照组不同。据我们所知,这是第一项报道 LMB 患者小脑解剖结构变化的研究。

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