Cao Yuping, Yang Huan, Zhou Zhenhe, Cheng Zaohuo, Zhao Xingfu
Mental Health Institute, The Second Xiangya Hospital, Central South University, Changsha, China.
China National Clinical Research Center on Mental Disorders, Changsha, China.
Front Neurol. 2021 Feb 11;11:569806. doi: 10.3389/fneur.2020.569806. eCollection 2020.
Current evidence suggests that abnormalities within the default-mode network (DMN) play a key role in the broad-scale cognitive problems that characterize mild cognitive impairment (MCI). However, little is known about the alterations of DMN network homogeneity (NH) in MCI. Resting-state functional magnetic resonance imaging scans (rs-fMRI) were collected from 38 MCI patients and 69 healthy controls matched for age, gender, and education. NH approach was employed to analyze the imaging dataset. Cognitive performance was measured with the Chinese version of Alzheimer's disease assessment scale-Cognitive subscale (ADAS-Cog). Two groups have no significant differences between demographic factors. And mean ADAS-Cog score in MCI was 12.02. MCI patients had significantly lower NH values than controls in the right anterior cingulate cortex and significantly higher NH values in the ventral medial prefrontal cortex(vmPFC) than those in healthy controls. No significant correlations were found between abnormal NH values and ADAS-Cog in the patients. These findings provide further evidence that abnormal NH of the DMN exists in MCI, and highlight the significance of DMN in the pathophysiology of cognitive problems occurring in MCI.
目前的证据表明,默认模式网络(DMN)内的异常在表征轻度认知障碍(MCI)的广泛认知问题中起关键作用。然而,关于MCI中DMN网络同质性(NH)的改变知之甚少。收集了38例MCI患者和69名年龄、性别和教育程度相匹配的健康对照者的静息态功能磁共振成像扫描(rs-fMRI)数据。采用NH方法分析成像数据集。用中文版阿尔茨海默病评估量表认知分量表(ADAS-Cog)测量认知表现。两组在人口统计学因素上无显著差异。MCI患者的平均ADAS-Cog评分为12.02。MCI患者右侧前扣带回皮质的NH值显著低于对照组,腹内侧前额叶皮质(vmPFC)的NH值显著高于健康对照组。患者异常NH值与ADAS-Cog之间未发现显著相关性。这些发现进一步证明MCI中存在DMN的异常NH,并突出了DMN在MCI发生的认知问题病理生理学中的重要性。