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孤独症谱系障碍儿童磁共振扩散张量成像特征参数分析:一项回顾性研究

Characteristic parameter analysis of magnetic resonance diffusion tensor imaging in children with autism spectrum disorder: a retrospective study.

作者信息

Jia Qianfang, Wang Xiaofang, Li Xiwan, Li Shasha, Wang Ming, Wang Luping, Ma Bingxiang, Zhang Meng

机构信息

Department of Children Rehabilitation, First Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.

Xinxiang Key Laboratory of Autism Disease Mechanism Research, Xinxiang, China.

出版信息

BMC Pediatr. 2025 Jun 7;25(1):464. doi: 10.1186/s12887-025-05771-w.

Abstract

BACKGROUND

Magnetic resonance diffusion tensor imaging (DTI) has been widely used in research and clinical practice for neurological disorders, and plays an increasingly important role in the research of ASD. This study aimed to explore the parametric characteristics of DTI in children with ASD, which further may serve to guide the diagnosis.

METHODS

Ninety children aged from 1 to 6 years old (male: female; 74:16) with ASD were selected to measure the parameters of fractional anisotropy (FA) and apparent diffusion coefficient (ADC) of the genu of corpus callosum, splenium of corpus callosum, frontal lobe, superior temporal gyrus in DTI. A 32-channel cranial nerve coil of a GE Signa HDxt 3.0T magnetic resonance system was used for the examination, and the FA and ADC maps were obtained by post-processing the DTI raw diffusion images with the Functool function software in the workstation. IBM SPSS 27.00 statistical software was used for statistical analysis.

RESULTS

In ASD children, FA values for the genu of corpus callosum, splenium of corpus callosum, and superior temporal gyrus were higher on the right than on the left, and ADC values for the genu of corpus callosum, splenium of corpus callosum, frontal lobe, and superior temporal gyrus were lower on the right than on the left . Grouped by sex, the female group had lower ADC values in the left splenium of corpus callosum and the right superior temporal gyrus than the male group . Grouped by age, the left frontal lobe FA values were lower in the younger group (≤ 3 years old) than in the older group (>3 years old) .

CONCLUSION

Quantitative parameters of DTI show that autistic children have a markedly lateralized development of the brain, with the right side developing better than the left, sex and age also affect brain development in ASD children, resulting in different characteristic parameters in DTI, which may provide a reference for the diagnosis of ASD.

摘要

背景

磁共振扩散张量成像(DTI)已广泛应用于神经系统疾病的研究和临床实践,在自闭症谱系障碍(ASD)研究中发挥着越来越重要的作用。本研究旨在探讨ASD儿童DTI的参数特征,这可能进一步有助于指导诊断。

方法

选取90例1至6岁的ASD儿童(男∶女;74∶16),测量其DTI中胼胝体膝部、胼胝体压部、额叶、颞上回的分数各向异性(FA)和表观扩散系数(ADC)参数。采用GE Signa HDxt 3.0T磁共振系统的32通道颅脑线圈进行检查,通过工作站中的Functool功能软件对DTI原始扩散图像进行后处理获得FA和ADC图。使用IBM SPSS 27.00统计软件进行统计分析。

结果

在ASD儿童中,胼胝体膝部、胼胝体压部和颞上回的FA值右侧高于左侧,胼胝体膝部、胼胝体压部、额叶和颞上回的ADC值右侧低于左侧。按性别分组,女性组胼胝体压部左侧和颞上回右侧的ADC值低于男性组。按年龄分组,年龄较小的组(≤3岁)左侧额叶FA值低于年龄较大的组(>3岁)。

结论

DTI定量参数显示,自闭症儿童大脑存在明显的偏侧化发育,右侧发育优于左侧,性别和年龄也影响ASD儿童的大脑发育,导致DTI出现不同的特征参数,这可能为ASD的诊断提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dad0/12144793/419d90741258/12887_2025_5771_Fig1_HTML.jpg

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