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自闭症谱系障碍成人的区域性动态神经影像学变化。

Regional Dynamic Neuroimaging Changes of Adults with Autism Spectrum Disorder.

机构信息

Department of Medical Imaging, Zhengzhou University People's Hospital & Henan Provincial People's Hospital, Zhengzhou, China; Academy of Medical Sciences, Zhengzhou University, Zhengzhou, China.

Department of Medical Imaging, Zhengzhou University People's Hospital & Henan Provincial People's Hospital, Zhengzhou, China.

出版信息

Neuroscience. 2023 Jul 15;523:132-139. doi: 10.1016/j.neuroscience.2023.04.016. Epub 2023 Jun 2.

Abstract

Most neuroimaging studies investigating autism spectrum disorder (ASD) have focused on static brain function, but ignored the dynamic features of spontaneous brain activities in the temporal dimension. Research of dynamic brain regional activities might help to fully investigate the mechanisms of ASD patients. This study aimed to examine potential changes in the dynamic characteristics of regional neural activities in adult ASD patients and to detect whether the changes were associated with Autism Diagnostic Observation Schedule (ADOS) scores. Resting-state functional MRI was obtained on 77 adult ASD patients and 76 healthy controls. The dynamic regional homogeneity (dReHo) and dynamic amplitude of low-frequency fluctuations (dALFF) were compared between the two groups. Correlation analyses were also performed between dReHo and dALFF in areas showing group differences and ADOS scores. In ASD group, significant differences in dReHo were observed in the left middle temporal gyrus (MTG.L). Besides, we found increased dALFF in the left middle occipital gyrus (MOG.L), left superior parietal gyrus (SPG.L), left precuneus (PCUN.L), left inferior temporal gyrus (ITG.L), and right inferior frontal gyrus, orbital part (ORBinf.R). Furthermore, a significant positive correlation was found between dALFF in the PCUN.L and the ADOS_TOTAL scores, ADOS_SOCIAL scores; the dALFF in the ITG.L, SPG.L was positively associated with ADOS_SOCIAL scores. In conclusion, adults with ASD have a wide area of dynamic regional brain function abnormalities. These suggested that dynamic regional indexes might be used as a powerful measure to help us obtain a more comprehensive understanding of neural activity in adult ASD patients.

摘要

大多数研究自闭症谱系障碍(ASD)的神经影像学研究都集中在静态脑功能上,但忽略了自发脑活动在时间维度上的动态特征。研究动态脑区活动可能有助于全面探讨 ASD 患者的发病机制。本研究旨在检测成年 ASD 患者的脑区局部活动的动态特征是否存在潜在变化,以及这些变化是否与自闭症诊断观察量表(ADOS)评分相关。对 77 例成年 ASD 患者和 76 例健康对照者进行静息态功能磁共振检查。比较两组间的局部一致性(ReHo)和低频振幅(ALFF)的动态变化。对存在组间差异的脑区和 ADOS 评分进行相关性分析。与对照组相比,ASD 组左侧颞中回(MTG.L)的局部一致性(ReHo)明显升高。此外,我们还发现左侧枕中回(MOG.L)、左侧顶下小叶(SPG.L)、左侧楔前叶(PCUN.L)、左侧颞下回(ITG.L)和右侧额下回眶部(ORBinf.R)的低频振幅(ALFF)升高。进一步分析发现,PCUN.L 和 ITG.L 的 ALFF 与 ADOS_TOTAL 评分、ADOS_SOCIAL 评分呈正相关,SPG.L 的 ALFF 与 ADOS_SOCIAL 评分呈正相关。综上,成年 ASD 患者存在广泛的脑区局部功能异常。这些结果提示动态区域指标可能可作为一种有力的测量方法,帮助我们更全面地了解成年 ASD 患者的神经活动。

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