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发育性协调障碍儿童的皮质下脑结构:T1 加权容积研究。

Subcortical brain structure in children with developmental coordination disorder: A T1-weighted volumetric study.

机构信息

Department of Neurosciences, University of Calgary, Calgary, Canada.

Alberta Children's Hospital Research Institute (ACHRI), Calgary, Canada.

出版信息

Brain Imaging Behav. 2021 Dec;15(6):2756-2765. doi: 10.1007/s11682-021-00502-y. Epub 2021 Aug 13.

Abstract

Developmental coordination disorder (DCD) is a neurodevelopmental disorder occurring in 5-6% of school-aged children. Converging evidence suggests that dysfunction within cortico-striatal and cortico-cerebellar networks may contribute to motor deficits in DCD, yet limited research has examined the brain morphology of these regions. Using T1-weighted magnetic resonance imaging the current study investigated cortical and subcortical volumes in 37 children with DCD, aged 8 to 12 years, and 48 controls of a similar age. Regional brain volumes of the thalamus, basal ganglia, cerebellum and primary motor and sensory cortices were extracted using the FreeSurfer recon-all pipeline and compared between groups. Reduced volumes within both the left and right pallidum (Left: F = 4.43, p = 0.039; Right: F = 5.24, p = 0.025) were observed in children with DCD; however, these results did not withstand correction for multiple comparisons. These findings provide preliminary evidence of altered subcortical brain structure in DCD. Future studies that examine the morphology of these subcortical regions are highly encouraged in order replicate these findings.

摘要

发展性协调障碍(DCD)是一种发生在 5-6%学龄儿童中的神经发育障碍。越来越多的证据表明,皮质-纹状体和皮质-小脑网络内的功能障碍可能导致 DCD 中的运动缺陷,但有限的研究已经检查了这些区域的大脑形态。本研究使用 T1 加权磁共振成像,对 37 名 8 至 12 岁的 DCD 儿童和 48 名年龄相似的对照组儿童的皮质和皮质下体积进行了研究。使用 FreeSurfer recon-all 流水线提取丘脑、基底神经节、小脑和初级运动及感觉皮质的区域脑体积,并在两组之间进行比较。DCD 儿童的左右苍白球体积均减小(左侧:F=4.43,p=0.039;右侧:F=5.24,p=0.025);然而,这些结果在进行多次比较校正后并不成立。这些发现提供了 DCD 患者皮质下脑结构改变的初步证据。为了复制这些发现,强烈鼓励未来对这些皮质下区域的形态进行研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e903/8761714/75cd87d1c38b/11682_2021_502_Fig1_HTML.jpg

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