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2 型糖尿病患者的动态功能结构改变。

Altered dynamic functional architecture in type 2 diabetes mellitus.

机构信息

First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China.

Department of Radiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Front Endocrinol (Lausanne). 2023 Jan 24;13:1117735. doi: 10.3389/fendo.2022.1117735. eCollection 2022.

DOI:10.3389/fendo.2022.1117735
PMID:36760808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9903314/
Abstract

INTRODUCTION

Type 2 diabetes mellitus (T2DM) can accelerate cognitive decline and even dementia so that the underlying mechanism deserves further exploration. In the resting state, brain function is still changing dynamically. At present, it is still unknown whether the dynamic functional connectivity (dFC) between various brain regions is in a stable state. It is necessary to interpret brain changes from a new perspective, that is, the stability of brain architecture.

METHODS

In this study, we used a fixed dynamic time scale to explore the stability of dynamic functional architecture in T2DM, then the dynamic effective connectivity (dEC) was used to further explain how information flows through dynamically fluctuating brain architecture in T2DM.

RESULT

Two brain regions with decreased stability were found including the right supra-marginal gyrus (SMG) and the right median cingulate gyrus (MCG) in T2DM subjects. The dEC variation has increased between the left inferior frontal gyrus (IFG) and the right MCG. The direction of causal flow is from the right MCG to the left IFG.

CONCLUSION

The combination of stability and dEC can not only show the stability of dynamic functional architecture in brain but also reflect the fluidity of brain information, which is an innovative and interesting attempt in the field of neuroimaging. The changes of dynamic architecture in T2DM patients may present an innovative perspective and explanation for their cognitive decline.

摘要

简介

2 型糖尿病(T2DM)可加速认知能力下降甚至痴呆,因此其潜在机制值得进一步探索。在静息状态下,大脑功能仍在动态变化。目前尚不清楚各脑区之间的动态功能连接(dFC)是否处于稳定状态。有必要从一个新的角度,即大脑结构的稳定性,来解释大脑的变化。

方法

本研究使用固定的动态时间尺度来探索 T2DM 患者中动态功能结构的稳定性,然后使用动态有效连接(dEC)来进一步解释信息如何在 T2DM 中动态波动的大脑结构中流动。

结果

在 T2DM 患者中发现了两个稳定性降低的脑区,包括右侧缘上回(SMG)和右侧中央扣带回(MCG)。左侧额下回(IFG)和右侧 MCG 之间的 dEC 变化增加。因果流的方向是从右侧 MCG 到左侧 IFG。

结论

稳定性和 dEC 的结合不仅可以显示大脑中动态功能结构的稳定性,还可以反映大脑信息的流动性,这是神经影像学领域的一项创新和有趣的尝试。T2DM 患者的动态结构变化可能为其认知能力下降提供了一个创新的视角和解释。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/db94166a3e5a/fendo-13-1117735-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/0d1a5582ec89/fendo-13-1117735-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/387cc228e8ac/fendo-13-1117735-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/86578d023b74/fendo-13-1117735-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/8b53fe5dd48f/fendo-13-1117735-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/db94166a3e5a/fendo-13-1117735-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/0d1a5582ec89/fendo-13-1117735-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/387cc228e8ac/fendo-13-1117735-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/86578d023b74/fendo-13-1117735-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/8b53fe5dd48f/fendo-13-1117735-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b48b/9903314/db94166a3e5a/fendo-13-1117735-g005.jpg

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