Bakhit Mudathir, Fujii Masazumi
Neurosurgery, Fukushima Medical University, Fukushima, JPN.
Cureus. 2024 Mar 10;16(3):e55918. doi: 10.7759/cureus.55918. eCollection 2024 Mar.
Introduction Research on gender-based disparities in human brain structure has spanned over a century, yielding conflicting results and ongoing debate. While some studies indicate minimal distinctions, others consistently highlight differences in the corpus callosum (CC), even after accounting for average brain size. Methods Diverging from previous approaches, this study examines the morphology of the entire CC fiber rather than solely focusing on its midsagittal structure. Utilizing advanced neuroimaging techniques and generalized Q-imaging tractography, CC streamlines were constructed to assess gender differences in fractional anisotropy (FA), volume ratio, and cortical distribution. Student's t-test was employed to examine the disparities in FA between gender groups, while gender-based distinctions in the normalized volume of the CC and its segments were assessed using analysis of covariance (ANCOVA), with absolute whole white matter volume serving as a covariate. Results No significant gender-based disparities were found in either FA or normalized CC volume. While females exhibited consistently larger normalized volume CC streamlines than males, these differences lost statistical significance after adjusting for absolute total white matter volume as a covariate. Nonetheless, CC streamlines in females displayed a broader spatial distribution, encompassing various cortical regions, including the bilateral prefrontal cortex (medial and lateral surfaces), as well as medial parietal and temporal regions. Conclusion This study elucidates gender-related variations in the morphology of the brain's white matter pathways, indicating a more widespread cortical distribution of CC fibers in females compared to males. However, the study underscores the need for further investigations into connectivity patterns to fully elucidate these gender-based disparities.
关于人类大脑结构中基于性别的差异的研究已经跨越了一个多世纪,产生了相互矛盾的结果且争论仍在继续。虽然一些研究表明差异极小,但另一些研究始终强调胼胝体(CC)的差异,即使在考虑了平均脑容量之后也是如此。
与以往方法不同,本研究考察的是整个CC纤维的形态,而非仅关注其矢状中结构。利用先进的神经成像技术和广义Q成像纤维束成像,构建CC纤维束以评估各向异性分数(FA)、体积比和皮质分布方面的性别差异。采用学生t检验来考察性别组之间FA的差异,而使用协方差分析(ANCOVA)评估CC及其节段标准化体积的性别差异,将绝对全白质体积作为协变量。
在FA或CC标准化体积方面均未发现显著的基于性别的差异。虽然女性的CC纤维束标准化体积始终大于男性,但在将绝对全白质体积作为协变量进行调整后,这些差异失去了统计学意义。尽管如此,女性的CC纤维束显示出更广泛的空间分布,涵盖了各个皮质区域,包括双侧前额叶皮质(内侧面和外侧面)以及顶叶内侧和颞叶区域。
本研究阐明了大脑白质通路形态中与性别相关的差异,表明与男性相比,女性的CC纤维在皮质中的分布更为广泛。然而,该研究强调需要进一步研究连接模式,以充分阐明这些基于性别的差异。