Mapping brain functional and structural abnormities in autism spectrum disorder: moving toward precision treatment.

IF 2.9 Psychoradiology Pub Date : 2022-11-09 eCollection Date: 2022-09-01 DOI:10.1093/psyrad/kkac013
Xujun Duan, Huafu Chen
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Abstract

Autism spectrum disorder (ASD) is a formidable challenge for psychiatry and neuroscience because of its high prevalence, lifelong nature, complexity, and substantial heterogeneity. A major goal of neuroimaging studies of ASD is to understand the neurobiological underpinnings of this disorder from multi-dimensional and multi-level perspectives, by investigating how brain anatomy, function, and connectivity are altered in ASD, and how they vary across the population. However, ongoing debate exists within those studies, and neuroimaging findings in ASD are often contradictory. Over the past decade, we have dedicated to delineate a comprehensive and consistent mapping of the abnormal structure and function of the autistic brain, and this review synthesizes the findings across our studies reaching a consensus that the "social brain" are the most affected regions in the autistic brain at different levels and modalities. We suggest that the social brain network can serve as a plausible biomarker and potential target for effective intervention in individuals with ASD.

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绘制自闭症谱系障碍的大脑功能和结构异常图:迈向精准治疗。
自闭症谱系障碍(ASD)具有高发病率、终身性、复杂性和高度异质性等特点,是精神病学和神经科学面临的一项艰巨挑战。ASD 神经影像学研究的一个主要目标是从多维度、多层次的角度来了解这种疾病的神经生物学基础,研究 ASD 患者的大脑解剖、功能和连通性是如何改变的,以及在不同人群中是如何变化的。然而,在这些研究中存在着持续的争论,ASD 的神经影像学发现往往相互矛盾。在过去的十年中,我们致力于为自闭症患者大脑的异常结构和功能绘制一个全面而一致的图谱,本综述综合了我们的各项研究结果,并达成共识,即 "社交脑 "是自闭症患者大脑在不同层面和模式上受影响最严重的区域。我们认为,社交脑网络可以作为一种可信的生物标志物和潜在目标,对自闭症患者进行有效干预。
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