A multi-parametric MRI study on changes in the structure, function, and connectivity of thalamic subregions and their relationship with cognitive impairment in patients with subcortical ischemic vascular disease

IF 2.7 4区 医学 Q3 NEUROSCIENCES Brain Research Pub Date : 2024-12-24 DOI:10.1016/j.brainres.2024.149420
Jing Huang , Wenwen Wang , Runtian Cheng , Xiaoshuang Liu , Li Chen , Tianyou Luo
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Abstract

Introduction

Prior researches have reported abnormal changes of thalamus in patients with subcortical ischemic vascular disease (SIVD), which was usually analyzed as a whole. However, it was currently unclear whether the structure, function and connectivity of thalamic subregions were differentially affected by this disease and affected different cognitive functions.

Methods

This study recruited 30 SIVD patients with cognitive impairment (SIVD-CI), 30 SIVD patients with cognitive unimpaired (SIVD-CU) and 32 normal controls. Then we compared the volume, local brain activity, structural connectivity and functional connectivity (FC) of thalamic subregions among three groups using multi-parameter MRI images. Finally, this study analyzed the relationship between these significant values and cognitive performance.

Results

In the SIVD-CI group, the weakened FC between temporal thalamus and frontal cortex, as well as the enhanced FC between temporal thalamus and motor cortex, were significantly correlated with executive impairment; the weakened structural connectivity between the thalamic subregions (pre-frontal thalamus, temporal thalamus and pre-motor thalamus) and the temporal and frontal cortices were significantly related to the declined auditory and working memory (P < 0.05). Moreover, patients in the SIVD-CU group showed no abnormalities in FC, but exhibited a similar pattern of structural connectivity injury to the SIVD-CI group, which was relatively severer. Unexpectedly, there were no significant differences in the volume and local brain activity of all thalamic subregions among the three groups.

Conclusions

The functional and structural connectivity damages between the specific thalamic subregions and the specific cortices were correlated with the specific cognitive impairment in SIVD patients.

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皮质下缺血性血管病患者丘脑亚区结构、功能和连通性变化及其与认知障碍关系的多参数MRI研究
导读:以往的研究报道了皮层下缺血性血管病(SIVD)患者丘脑的异常变化,但通常将其作为一个整体进行分析。然而,目前尚不清楚丘脑次区域的结构、功能和连通性是否受到这种疾病的不同影响,并影响不同的认知功能。方法:本研究招募SIVD合并认知功能障碍(SIVD- ci)患者30例,SIVD合并认知功能障碍(SIVD- cu)患者30例,正常对照32例。然后利用多参数MRI图像比较三组丘脑亚区体积、局部脑活动、结构连通性和功能连通性(FC)。最后,本研究分析了这些显著值与认知表现的关系。结果:SIVD-CI组颞丘脑与额叶皮质间FC减弱、颞丘脑与运动皮质间FC增强与执行功能障碍显著相关;丘脑亚区(前额叶丘脑、颞叶丘脑和运动前丘脑)与颞叶和额叶皮层之间的结构连通性减弱与听觉和工作记忆下降显著相关(P )结论:SIVD患者特定丘脑亚区与特定皮层之间的功能和结构连通性损害与特异性认知障碍相关。
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来源期刊
Brain Research
Brain Research 医学-神经科学
CiteScore
5.90
自引率
3.40%
发文量
268
审稿时长
47 days
期刊介绍: An international multidisciplinary journal devoted to fundamental research in the brain sciences. Brain Research publishes papers reporting interdisciplinary investigations of nervous system structure and function that are of general interest to the international community of neuroscientists. As is evident from the journals name, its scope is broad, ranging from cellular and molecular studies through systems neuroscience, cognition and disease. Invited reviews are also published; suggestions for and inquiries about potential reviews are welcomed. With the appearance of the final issue of the 2011 subscription, Vol. 67/1-2 (24 June 2011), Brain Research Reviews has ceased publication as a distinct journal separate from Brain Research. Review articles accepted for Brain Research are now published in that journal.
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