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评估多发性硬化症患者与言语相关的神经解剖结构的容积测量。

Evaluation of volume measurements of neuroanatomical structures related to speech in multiple sclerosis patients.

机构信息

Division of Anatomy, Department of Basic Medical Sciences, Faculty of Medicine, Malatya Turgut Özal University, Malatya, Turkiye.

Division of Anatomy, Department of Basic Medical Sciences, Institute of Graduate Science, Malatya Turgut Özal University, Malatya, Turkiye.

出版信息

Turk J Med Sci. 2024 Jul 16;54(4):700-709. doi: 10.55730/1300-0144.5839. eCollection 2024.

Abstract

BACKGROUND/AIM: Individuals with multiple sclerosis (MS) may experience various speech-related issues, including decreased speech rate, increased pauses, and changes in speech rhythms. The purpose of this study was to compare the volumes of speech-related neuroanatomical structures in MS patients with those in a control group.

MATERIALS AND METHODS

The research was conducted in the Neurology and Radiology Departments of Malatya Training and Research Hospital. The records of patients who presented to the Neurology Department between 2019 and 2022 were examined. The study included the magnetic resonance imaging (MRI) findings of 100 individuals, with 50 in the control group and 50 patients with MS, who had applied to the hospital in the specified years. VolBrain is a free system that works automatically over the internet (http://volbrain.upv.es/), enabling the measurement of brain volumes without human interaction. The acquired images were analyzed using the VolBrain program.

RESULTS

As a result of our research, a significant decrease was found in the volume of 18 of 26 speech-related regions in MS patients. It was determined that whole brain volumes decreased in the MS group compared to the control group.

CONCLUSION

In our study, volume measurements of more speech-related areas were performed, unlike the few related studies previously conducted. We observed significant atrophy findings in the speech-related areas of the frontal, temporal, and parietal lobes of MS patients.

摘要

背景/目的:多发性硬化症(MS)患者可能会出现各种与言语相关的问题,包括言语速度下降、停顿增加和言语节奏改变。本研究旨在比较 MS 患者和对照组的言语相关神经解剖结构体积。

材料和方法

该研究在马拉蒂亚培训和研究医院的神经科和放射科进行。检查了 2019 年至 2022 年间在神经科就诊的患者的记录。该研究包括 100 名个体的磁共振成像(MRI)结果,其中对照组 50 名,指定年份到医院就诊的 MS 患者 50 名。VolBrain 是一个无需人工交互即可自动在互联网上运行的免费系统(http://volbrain.upv.es/),可实现大脑体积的测量。使用 VolBrain 程序分析获得的图像。

结果

我们的研究发现,MS 患者的 26 个与言语相关区域中有 18 个区域的体积显著减少。与对照组相比,MS 组的全脑体积减少。

结论

与之前进行的少数相关研究不同,在我们的研究中,我们对更多与言语相关的区域进行了体积测量。我们观察到 MS 患者的额、颞和顶叶与言语相关的区域存在明显的萎缩。

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本文引用的文献

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Brain volumetric correlates of dysarthria in multiple sclerosis.多发性硬化症构音障碍的脑容量相关性研究。
Brain Lang. 2019 Jul;194:58-64. doi: 10.1016/j.bandl.2019.04.009. Epub 2019 May 15.
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Balance, gait, and falls in multiple sclerosis.多发性硬化症中的平衡、步态与跌倒
Handb Clin Neurol. 2018;159:237-250. doi: 10.1016/B978-0-444-63916-5.00015-X.

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