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Sex differences in inter-temporal decision making and cortical thickness of the orbitofrontal and insula in young adult cannabis users: Evidence from 1111 subjects 年轻成年大麻使用者在时际决策以及眶额叶和岛叶皮层厚度方面的性别差异:来自 1111 名受试者的证据
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-11-22 DOI: 10.1016/j.pscychresns.2024.111919
Alan N. Francis , Joan A. Camprodon , Francesca Filbey
To test for sex differences in the impact of cannabis use on decision-making and brain correlates, we employed cortical thickness (CT) analysis of brain regions involved in intertemporal decision-making namely bilateral orbitofrontal cortex(OFC) and insula in young adult nondependent cannabis-users(CU) and non-users(NU) and their scores on delay discounting task.
Neuroimaging analyzes of previously collected data were performed on 608CU and 503NU. CT analysis was performed on MRI images. OFC and insula thickness, scores on the delay discounting test were compared between groups and correlated.
Controlling alcohol-use and intra-cranial-volume, CU exhibited sex differences in CT. The bilateral insula was significantly thinner in male CU. OFC was thinner in females relative to controls. Female CU had thinner Right-medial OFC, Left-lateral-OFC. While male CU scored significantly lower on items within delay discounting task, female CU delay-discounting scores were within normal range.
Our results demonstrate that cannabis-use differentially affects decision-making across sexes. Cortical morphology mirrors this dimorphism. CU subjects did not show a correlation between CT of OFC or insula and delay discounting, implying that thinner cortices and lower DD scores in males may be independent alterations which may be premorbid to cannabis use and may lead to cognitive deficits in later years.
为了检验吸食大麻对决策的影响和大脑相关性的性别差异,我们采用皮层厚度(CT)分析法,对非大麻依赖者(CU)和非吸食者(NU)中参与时际决策的大脑区域,即双侧眶额皮层(OFC)和岛叶,以及他们在延迟折现任务中的得分进行了分析。对核磁共振图像进行了 CT 分析。在控制酒精使用和颅内容积的情况下,CU 的 CT 表现出性别差异。男性 CU 的双侧脑岛明显较薄。与对照组相比,女性的大脑外协调区更薄。女性 CU 的右内侧 OFC 和左外侧 OFC 更薄。虽然男性 CU 在延迟折现任务中的项目得分明显较低,但女性 CU 的延迟折现得分在正常范围内。皮质形态反映了这种二态性。CU 受试者的大脑皮层 CT 与延迟折现之间没有相关性,这意味着男性大脑皮层较薄和延迟折现得分较低可能是独立的改变,可能是吸食大麻前的先兆,并可能导致日后的认知障碍。
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引用次数: 0
Resting state functional connectivity in adolescents with substance use disorder and their unaffected siblings 患有药物使用障碍的青少年及其未受影响的兄弟姐妹的静息状态功能连接。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-11-19 DOI: 10.1016/j.pscychresns.2024.111916
Hakan Kayış , Betül Akyel Göven , Zeki Yüncü , Emre Bora , Nabi Zorlu
We aimed to examine resting-state functional connectivity (rsFC) in adolescents with substance use disorder (SUD) and their unaffected biological siblings (SIB), relative to typically-developing controls (TDC) in order to identify alterations in functional network organization that may be associated with the familial risk for SUD. Resting-state functional magnetic resonance imaging analysis included 20 adolescents with SUD, 20 SIB, and 18 TDC. Network‐based analysis revealed that adolescents with SUD had significantly both weaker and higher rsFC compared to TDC mainly within the default-mode network (DMN) and between the DMN, fronto-parietal (FPN) and salience networks. In addition, adolescents with SUD showed lower rsFC between the visual network and other functional networks. Although the SIB group did not differ from TDC in the whole brain analysis, they showed lower rsFC within DMN and also between the visual network and other large-scale networks as well as higher rsFC between DMN and FPN compared to TDC in connections found to be abnormal in SUD group. Our results suggest that lower rsFC within DMN and higher rsFC between the DMN with FPN which were evident both in SUD and in SIB groups, and might be related to the familial predisposition for SUD.
我们的目的是研究患有药物使用障碍(SUD)的青少年及其未受影响的亲生兄弟姐妹(SIB)与发育正常的对照组(TDC)的静息态功能连接(rsFC),以确定可能与SUD家族风险相关的功能网络组织的改变。静息态功能磁共振成像分析包括20名患SUD的青少年、20名SIB青少年和18名TDC青少年。基于网络的分析表明,与TDC相比,患有SUD的青少年的rsFC明显较弱和较高,主要集中在默认模式网络(DMN)内,以及DMN、前顶叶网络(FPN)和显著性网络之间。此外,患有 SUD 的青少年在视觉网络和其他功能网络之间的 rsFC 也较低。虽然在全脑分析中,SIB组与TDC组没有差异,但与TDC组相比,SIB组在DMN内部以及视觉网络与其他大规模网络之间的rsFC较低,在DMN与FPN之间的rsFC较高,而在SUD组发现的异常连接中,DMN与FPN之间的rsFC较高。我们的结果表明,在SUD组和SIB组中,DMN内部的rsFC较低,DMN与FPN之间的rsFC较高,这可能与SUD的家族易感性有关。
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引用次数: 0
The association between eye movement characteristics and cognitive function in adolescents with major depressive disorder 患有重度抑郁症的青少年眼球运动特征与认知功能之间的关联。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-11-09 DOI: 10.1016/j.pscychresns.2024.111914
Yuanyuan Lu , Lintong Song , Chunxiang Huang, Tianqing Fan, Jinqiao Huang, Leyin Zhang, Xuerong Luo, Yanhua Li, Yanmei Shen

Objective

This study aims to explore the relationship between eye movement characteristics and cognitive function in adolescents with major depressive disorder (MDD).

Method

EyeLink 1000 eye tracker was used to obtain eye movement data in free-viewing and smooth pursuit tasks. Chi-square test and Mann-Whitney test were used for inter-group comparison of demographic and clinical data. Spearman correlation was used to analyze the correlation between eye movement characteristics and cognitive function.

Results

Adolescents with MDD showed lower saccade amplitude in the free-viewing task and more fixations and saccades in the smooth pursuit task. In the free-viewing task, fixation count, saccade duration and saccade speed were found to be positively correlated with immediate memory and attention; fixation duration was negatively correlated with immediate memory. In the smooth pursuit task, saccade count was positively correlated with the faux pas test; fixation duration and saccade duration were significantly correlated with memory and attention.

Conclusion

Adolescents with MDD showed abnormalities in several indices of eye movement, and altered eye movement variables were also correlated with cognitive deficits. Eye-tracking technology helps illustrate the diverse cognitive strategies employed by individuals during cognitive tasks, allowing researchers to explore subtle differences in cognitive processes.
研究目的本研究旨在探讨患有重度抑郁症(MDD)的青少年的眼动特征与认知功能之间的关系:方法:使用EyeLink 1000眼动仪获取自由观看和平滑追逐任务中的眼动数据。采用卡方检验(Chi-square test)和曼-惠特尼检验(Mann-Whitney test)对人口统计学和临床数据进行组间比较。斯皮尔曼相关法用于分析眼动特征与认知功能之间的相关性:结果:患有 MDD 的青少年在自由观看任务中的眼球移动幅度较低,而在平滑追逐任务中的定点和眼球移动幅度较高。在自由观察任务中,固定次数、囊回持续时间和囊回速度与即时记忆和注意力呈正相关;固定持续时间与即时记忆呈负相关。在平滑追逐任务中,囊回次数与假动作测试呈正相关;定点持续时间和囊回持续时间与记忆力和注意力显著相关:结论:患有 MDD 的青少年在多个眼球运动指标上表现出异常,眼球运动变量的改变也与认知缺陷相关。眼动跟踪技术有助于说明个体在认知任务中采用的各种认知策略,使研究人员能够探索认知过程中的细微差别。
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引用次数: 0
White matter organization abnormalities in adults with 47,XXX: A 7 Tesla MRI study 患有 47,XXX 的成人白质组织异常:7 特斯拉核磁共振成像研究。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-11-08 DOI: 10.1016/j.pscychresns.2024.111915
Chaira Serrarens , Sriranga Kashyap , Maarten Otter , Bea C.M. Campforts , Constance T.R.M. Stumpel , David E.J. Linden , Thérèse A.M.J. van Amelsvoort , Claudia Vingerhoets
47,XXX (Triple X syndrome) is a sex chromosome aneuploidy characterized by the presence of a supernumerary X chromosome in affected females, and has been associated with a variable cognitive, behavioral, and psychiatric phenotype. Alterations in brain gray matter structure and function have been reported, but less is known about white matter (WM) organization in 47,XXX. Therefore, we conducted 7 T diffusion tensor imaging and characterized fractional anisotropy, mean diffusivity, axial diffusivity, and radial diffusivity of 22 adult women with 47,XXX and 22 age-matched typically developing females using tract-based spatial statistics. Relationships between phenotypic traits and WM organization characteristics in 47,XXX were also investigated. Adults with 47,XXX showed lower axial diffusivity in the body of the corpus callosum and the right superior longitudinal fasciculus. WM organization variability was not associated with IQ and social cognition and social functioning deficits in 47,XXX. Our findings indicate an effect of a supernumerary X chromosome in adult women on axonal integrity of the body of the corpus callosum and the right superior longitudinal fasciculus. These findings provide additional insight into the role of the X chromosome on WM organization. Future research is warranted to explore the clinical significant impact of altered WM organization in 47,XXX.
47,XXX(三X综合征)是一种性染色体非整倍体,其特征是患病女性体内存在一条超常的X染色体,并与认知、行为和精神表型多变有关。大脑灰质结构和功能的改变已有报道,但对 47 XXX 的白质(WM)组织却知之甚少。因此,我们对 22 名患有 47,XXX 的成年女性和 22 名年龄匹配的发育正常女性进行了 7 T 扩散张量成像,并使用基于道的空间统计方法对分数各向异性、平均扩散率、轴向扩散率和径向扩散率进行了表征。研究还探讨了 47,XXX 表型特征与 WM 组织特征之间的关系。47,XXX成人的胼胝体和右侧上纵筋束的轴向扩散率较低。47,XXX 的 WM 组织变异与智商、社会认知和社会功能缺陷无关。我们的研究结果表明,成年女性的X染色体异常会影响胼胝体主体和右上纵束的轴突完整性。这些研究结果使我们对 X 染色体在 WM 组织中的作用有了更深入的了解。未来有必要开展研究,探讨 47,XXX 的 WM 组织改变对临床的重大影响。
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引用次数: 0
Standardized weighted low-resolution electromagnetic tomography study of the amygdala activity in patients with comorbid major depressive disorder and anxiety symptoms 对合并重度抑郁症和焦虑症状患者杏仁核活动的标准化加权低分辨率电磁断层扫描研究。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-10-28 DOI: 10.1016/j.pscychresns.2024.111913
Cheng-Tzu Chou , I-Mei Lin
Major depressive disorder (MDD) often coexists with anxiety disorders or symptoms, as identified by previous functional magnetic resonance imaging (fMRI) studies. These studies have found abnormal amplitudes of low-frequency fluctuations (ALFF) in the amygdala, which serve as traits and state markers of MDD. This study used standardized weighted low-resolution electromagnetic tomography (swLORETA) technology to explore amygdala markers in patients with comorbid MDD and anxiety. Participants included patients with MDD comorbid with anxiety symptoms (MDD group) and healthy controls (HC group) who completed the Beck Depression Inventory-II (BDI-II) and the Beck Anxiety Inventory (BAI). EEG data collected under resting state, happiness recall, and depressive recall tasks were converted into current-source density (CSD) values using swLORETA to assess amygdala activation. The results indicated higher beta2, beta3, and high beta levels in both the left and right amygdalae during the resting state in the MDD group than in the HC group. Similarly, elevated levels of beta2, beta3, and high beta were observed in the left and right amygdalae of the MDD group during happiness and depressive recall tasks. These findings support the presence of hyperactivity in the amygdala under resting state and emotional tasks in patients with comorbid MDD and anxiety symptoms.
根据以往的功能磁共振成像(fMRI)研究发现,重度抑郁症(MDD)往往与焦虑症或焦虑症状并存。这些研究发现,杏仁核的低频波动(ALFF)振幅异常,可作为 MDD 的特征和状态标记。本研究采用标准化加权低分辨率电磁断层扫描(swLORETA)技术来探讨合并 MDD 和焦虑症患者的杏仁核标记。参与者包括合并焦虑症状的 MDD 患者(MDD 组)和健康对照组(HC 组),他们都完成了贝克抑郁量表-II (BDI-II) 和贝克焦虑量表 (BAI)。使用 swLORETA 将静息状态、快乐回忆和抑郁回忆任务下收集的脑电图数据转换成电流源密度 (CSD) 值,以评估杏仁核的激活情况。结果表明,在静息状态下,MDD 组左右杏仁核中的β2、β3 和高β水平均高于 HC 组。同样,在进行快乐和抑郁回忆任务时,也观察到 MDD 组左右杏仁核中的β2、β3 和高β水平升高。这些研究结果表明,合并有 MDD 和焦虑症状的患者的杏仁核在静息状态和情绪任务中存在过度活动。
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引用次数: 0
EEG oscillations in recent suicide attempters: Assessing responses to positive and negative future imagination tasks 近期自杀倾向者的脑电图振荡:评估对积极和消极未来想象任务的反应。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-10-20 DOI: 10.1016/j.pscychresns.2024.111912
Niloofar Fallahinia , Seyed Kazem Malakouti , Reza Khosrowabadi , Nafee Rasouli , Shadi Moradkhanie , Firouzeh Mahjoubnavaz , Masoumeh Bayat

Background

Our goal is to uncover Electroencephalography (EEG) power spectrum patterns during imagination tasks in individuals who attempted suicide within the past 1–4 weeks, addressing gaps in understanding the neural correlates of future imagination in suicidal behavior.

Methods

This case-control study comprised a total of 60 participants, consisting of 47 females and 13 males. The sample comprised three groups: Attempted Suicide + Major Depressive Disorder (SA+MDD), Major Depressive Disorder (MDD), and Healthy Controls (HC). To assess participants' future imagination, a unique approach called the Positive and Negative Future Imagination Task was designed, which involved scenario visualization concurrent with EEG recording. Statistical analyses included ANOVA with post-hoc pairwise comparisons to compare EEG power spectrum between three groups.

Results

It was observed that the SA+MDD group experienced significantly increased theta frequency band in the right frontocentral regions when compared to the MDD group during both positive and negative imagination tasks (P-value < 0.05). Furthermore, increased gamma activity was observed in the SA+MDD group compared to the HC group, predominantly in the right frontocentral areas during both imagination tasks.

Conclusion

The results of this study indicate that individuals who have recently attempted suicide exhibit heightened neural activity in the frontocentral regions of the right hemisphere of the brain, specifically in theta and gamma band frequencies, when contemplating both positive and negative aspects of the future. These findings, in the context of behavioral tasks may indicate a decrease in the ability to envision a positive future and an increase in visualizing a negative future.
背景:我们的目标是揭示在过去1-4周内试图自杀的人在完成想象任务时的脑电图(EEG)功率谱模式,从而弥补在了解自杀行为中未来想象的神经相关性方面的空白:这项病例对照研究共有 60 名参与者,包括 47 名女性和 13 名男性。样本包括三组:自杀未遂+重度抑郁障碍组(SA+MDD)、重度抑郁障碍组(MDD)和健康对照组(HC)。为了评估参与者的未来想象力,研究人员设计了一种名为 "积极和消极未来想象任务 "的独特方法,在脑电图记录的同时进行情景想象。统计分析包括方差分析和事后配对比较,以比较三组之间的脑电功率谱:结果发现,与 MDD 组相比,SA+MDD 组在完成积极和消极想象任务时,右侧前中央区域的 Theta 频段明显增加(P 值 < 0.05)。此外,与HC组相比,SA+MDD组在两项想象任务中的伽马活动均有所增加,主要集中在右前中区:本研究结果表明,近期自杀未遂者在思考未来的积极和消极方面时,大脑右半球前中央区的神经活动会增强,特别是θ和γ波段频率。这些发现在行为任务中可能表明,设想积极未来的能力下降,而设想消极未来的能力增强。
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引用次数: 0
Structural alterations in a rumination-related network in patients with major depressive disorder 重度抑郁症患者反刍相关网络的结构变化
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-10-19 DOI: 10.1016/j.pscychresns.2024.111911
Paul Z. Cheng , Hsin-Chien Lee , Timothy J. Lane , Tzu-Yu Hsu , Niall W. Duncan
Rumination is a common symptom in major depressive disorder (MDD). Previous work has connected individual differences in rumination to structural properties in various brain regions. Some of these, such as the dorsolateral prefrontal cortex (dlPFC), have also been highlighted as being altered in MDD, suggesting a connection between structural changes and ruminative symptoms. Although informative, such localised relations have limitations in the context of a network view of the brain. To further investigate rumination-related structural changes in depression, and to situate these within potential functional networks, we acquired T1-weighted structural MRI data from patients with MDD (n = 32) and controls (n = 69). Rumination was measured with the Rumination Response Scale. Surface-based, whole-brain analysis of cortical grey-matter identified group differences in the dlPFC that were, however, not related to rumination. Instead, rumination was correlated with grey-matter properties in the right precuneus. Using normative functional connectivity analysis on an independent sample (n = 100), we show these two regions to be interconnected. Further developing a network-based perspective, it was shown that the rumination-related precuneus region is connected with networks associated with processes such as executive function, autobiographical memory, and visual perception. Notably, these processes have been connected to rumination. These results suggest that rumination in depression may be linked to focal structural changes. The effects of these focal changes on rumination may then be connected to their influence on distributed functional networks.
反刍是重度抑郁症(MDD)的一种常见症状。以往的研究已将反刍的个体差异与不同脑区的结构特性联系起来。其中一些区域,如背外侧前额叶皮层(dlPFC),也被强调为在 MDD 中发生了改变,这表明结构变化与反刍症状之间存在联系。这种局部关系虽然具有参考价值,但从大脑网络的角度来看却有其局限性。为了进一步研究抑郁症中与反刍相关的结构变化,并将这些变化置于潜在的功能网络中,我们获取了 MDD 患者(32 人)和对照组(69 人)的 T1 加权结构 MRI 数据。反刍采用反刍反应量表进行测量。对皮质灰质进行了基于表面的全脑分析,发现了dlPFC的群体差异,但这些差异与反刍无关。相反,反刍与右侧楔前区的灰质特性相关。通过对独立样本(n = 100)进行规范功能连接分析,我们发现这两个区域是相互关联的。从网络的角度进一步发展,我们发现与反刍相关的楔前区与执行功能、自传体记忆和视觉感知等过程相关的网络相连。值得注意的是,这些过程都与反刍有关。这些结果表明,抑郁症患者的反刍可能与病灶结构变化有关。这些病灶变化对反刍的影响可能与它们对分布式功能网络的影响有关。
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引用次数: 0
A coordinate-based meta-analysis of grey matter volume differences between adults with obsessive-compulsive disorder (OCD) and healthy controls 基于坐标的荟萃分析:强迫症(OCD)成人患者与健康对照组之间的灰质体积差异
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-10-05 DOI: 10.1016/j.pscychresns.2024.111908
Antonio Del Casale , Stefano Ferracuti , Serena Mancino , Jan Francesco Arena , Irene Bilotta , Alessandro Alcibiade , Andrea Romano , Alessandro Bozzao , Maurizio Pompili
According to the cortico-striato-thalamo-cortical (CSTC) model of obsessive-compulsive disorder (OCD), the striatum plays a primary role in its neuropathophysiology. Hypothesising that volumetric alterations are more pronounced in subcortical areas of patients within the CSTC circuit compared to healthy controls (HCs), we conducted a coordinate-based meta-analysis of magnetic resonance imaging (MRI) studies. We included 26 whole-brain MRI studies, comprising 3,010 subjects: 1,508 patients (788 men, 720 women; mean age: 30.26 years, SD = 8.16) and 1,502 HCs (801 men, 701 women; mean age: 29.47 years, SD = 7.88). This meta-analysis demonstrated significant grey matter volume increases in the bilateral putamen, lateral globus pallidus, left parietal cortex, right pulvinar, and left cerebellum in adults with OCD, alongside decreases in the right hippocampus/caudate, bilateral medial frontal gyri, and other cortical regions. Volume increases were predominantly observed in subcortical areas, with the exception of the left parietal cortex and cerebellar dentate, while volume decreases were primarily cortical, aside from the right hippocampus/caudate. Further exploration of these neuropathophysiological correlates could inform specific prevention and treatment strategies, advancing precision mental health in clinical applications.
根据强迫症(OCD)的皮质-纹状体-眼球-皮质(CSTC)模型,纹状体在其神经病理生理学中扮演着主要角色。我们推测,与健康对照组(HCs)相比,CSTC 回路内患者皮层下区域的体积变化更为明显,因此我们对磁共振成像(MRI)研究进行了基于坐标的荟萃分析。我们纳入了 26 项全脑磁共振成像研究,包括 3010 名受试者:1,508 名患者(788 名男性,720 名女性;平均年龄:30.26 岁,SD = 8.16)和 1,502 名正常人(801 名男性,701 名女性;平均年龄:29.47 岁,SD = 7.88)。这项荟萃分析表明,成人强迫症患者的双侧丘脑、外侧苍白球、左顶叶皮层、右侧脉络膜和左侧小脑的灰质体积显著增加,而右侧海马/尾状核、双侧内侧额叶和其他皮层区域的灰质体积则有所减少。除了左侧顶叶皮层和小脑齿状突起外,皮层下区域的体积主要增加,而除了右侧海马/尾状核外,体积减少的主要是皮层。对这些神经病理生理学相关因素的进一步探索可为具体的预防和治疗策略提供依据,从而推动精准心理健康在临床应用中的发展。
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引用次数: 0
The interplay of genetic and environmental factors on the morphology of the limbic cortex and hippocampal subfields: Insights from an MRI twin study 遗传和环境因素对边缘皮层和海马亚区形态的相互作用:核磁共振成像双胞胎研究的启示
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-10-05 DOI: 10.1016/j.pscychresns.2024.111909
Arsalan Vessal , Amirreza Alijanpourotaghsara , David Strelnikov , Aliz Persely , Marton Piroska , Amirmasoud Alijanpour , Zsofia Jokkel , Laszlo Szalontai , Bianka Forgo , Lajos Rudolf Kozak , Adam Bekesy-Szabo , Pal Maurovich-Horvat , David Laszlo Tarnoki , Adam Domonkos Tarnoki

Introduction

The limbic system and the hippocampus are complex brain structures with key roles in memory, emotions, sexual stimulation and learning, with subregion abnormalities associated with a range of disorders and psychopathologies. Our study aimed to explore the heritability of specific subfield structures within the limbic system and hippocampus first in a Caucasian twin sample with volBrain pipeline.

Materials and Methods

59 healthy adult Caucasian twin pairs from the Hungarian Twin Registry without any history of previous neurodegenerative or cerebrovascular diseases underwent brain MRI on a 3.0 T scanner (43 monozygotic, MZ and 16 dizygotic, DZ pairs, with a median age of 50±+27 years). The volBrain automated volumetry pipeline was used to calculate the subcortical and general brain volumes from three-dimensional T1-weighted images. Based on age- and sex-adjusted MZ and DZ intra-pair correlations, the univariate ACE model was applied to calculate additive genetic, shared and unshared environmental influences.

Results

Adjusting for age and sex, moderate to strong heritability (A: 59.7 to 73.1 %) was found for most limbic cortex volumes, except for the volumes of entorhinal area and posterior cingulate gyrus where common environmental contribution was detected (C: 56.6 % and 65.0 %, respectively). A substantial heritability (A: 67.0 to 79.4 %) was estimated for the overall hippocampus and most subfield volumes, except for the CA2-CA3 region which was determinated by common environmental factors (C: 45.7 %). Unique environmental variance was a minor to moderate contributor across all variables (E: 20.6 to 54.3 %).

Conclusions

Albeit most limbic cortex, overall hippocampus and most subfield volumes are under substantial genetic influence in healthy adult twins, the volumes of entorhinal area, posterior cingulate gyrus and the CA2-CA3 region of the hippocampus are influenced common environmental factors. The findings underline the importance of unique environmental factors which may play a role in the prevention of disorders related to limbic cortex and hippocampus.
导言边缘系统和海马是复杂的大脑结构,在记忆、情绪、性刺激和学习中起着关键作用,亚区异常与一系列疾病和精神病理学有关。我们的研究旨在利用 volBrain 管线首先在高加索双胞胎样本中探讨边缘系统和海马特定亚区结构的遗传性。材料与方法59 对来自匈牙利双胞胎登记处的健康成年高加索双胞胎,既往无任何神经退行性疾病或脑血管疾病史,在 3.0 T 扫描仪上接受了脑核磁共振成像(43 对单卵双生(MZ)和 16 对双卵双生(DZ),中位年龄为 50±+27 岁)。volBrain自动体积测量管道用于从三维T1加权图像中计算皮层下和一般脑体积。根据年龄和性别调整的 MZ 和 DZ 配对内相关性,应用单变量 ACE 模型计算加性遗传、共有和非共有环境影响因素。结果调整年龄和性别后,发现大多数边缘皮层体积的遗传率为中度至高度遗传率(A:59.7% 至 73.1%),但内侧区和扣带回后部体积除外,这两个部位的体积检测到共有环境影响因素(C:分别为 56.6% 和 65.0%)。除 CA2-CA3 区由共同环境因素决定外(C:45.7%),其他海马区和大多数子区体积的遗传率都很高(A:67.0%-79.4%)。结论尽管在健康的成年双胞胎中,大多数边缘皮层、整个海马体和大多数子野的体积都受到遗传因素的很大影响,但内侧区、扣带回后部和海马体 CA2-CA3 区的体积则受到共同环境因素的影响。这些发现强调了独特环境因素的重要性,它们可能在预防与边缘皮层和海马有关的疾病方面发挥作用。
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引用次数: 0
MRI-based deep learning for differentiating between bipolar and major depressive disorders 基于磁共振成像的深度学习用于区分双相情感障碍和重度抑郁症。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-25 DOI: 10.1016/j.pscychresns.2024.111907
Ruipeng Li , Yueqi Huang , Yanbin Wang , Chen Song , Xiaobo Lai
Mood disorders, particularly bipolar disorder (BD) and major depressive disorder (MDD), manifest changes in brain structure that can be detected using structural magnetic resonance imaging (MRI). Although structural MRI is a promising diagnostic tool, prevailing diagnostic criteria for BD and MDD are predominantly subjective, sometimes leading to misdiagnosis. This challenge is compounded by a limited understanding of the underlying causes of these disorders. In response, we present SE-ResNet, a Residual Network (ResNet)-based framework designed to discriminate between BD, MDD, and healthy controls (HC) using structural MRI data. Our approach extends the traditional Squeeze-and-Excitation (SE) layer by incorporating a dedicated branch for spatial attention map generation, equipped with soft-pooling, a 7 × 7 convolution, and a sigmoid function, intended to detect complex spatial patterns. The fusion of channel and spatial attention maps through element-wise addition aims to enhance the model's ability to discriminate features. Unlike conventional methods that use max-pooling for downsampling, our methodology employs soft-pooling, which aims to preserve a richer representation of input features and reduce data loss. When evaluated on a proprietary dataset comprising 303 subjects, the SE-ResNet achieved an accuracy of 85.8 %, a recall of 85.7 %, a precision of 85.9 %, and an F1 score of 85.8 %. These performance metrics suggest that the SE-ResNet framework has potential as a tool for detecting psychiatric disorders using structural MRI data.
情绪障碍,尤其是双相情感障碍(BD)和重度抑郁障碍(MDD),表现为大脑结构的变化,可通过结构性磁共振成像(MRI)检测到。虽然结构磁共振成像是一种很有前途的诊断工具,但目前对双相情感障碍和重度抑郁障碍的诊断标准主要是主观性的,有时会导致误诊。由于对这些疾病的根本原因了解有限,这一难题变得更加复杂。为此,我们提出了 SE-ResNet,这是一种基于残差网络(ResNet)的框架,旨在利用结构磁共振成像数据区分 BD、MDD 和健康对照(HC)。我们的方法扩展了传统的 "挤压-激发"(SE)层,加入了一个用于生成空间注意力图的专用分支,该分支配备了软池化、7 × 7 卷积和sigmoid函数,旨在检测复杂的空间模式。通过元素相加的方式融合通道和空间注意力图,旨在增强模型对特征的辨别能力。与使用最大池法进行下采样的传统方法不同,我们的方法采用了软池法,旨在保留输入特征的更丰富表征并减少数据丢失。在由 303 名受试者组成的专有数据集上进行评估时,SE-ResNet 的准确率为 85.8%,召回率为 85.7%,精确率为 85.9%,F1 分数为 85.8%。这些性能指标表明,SE-ResNet 框架具有利用结构性 MRI 数据检测精神疾病的潜力。
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Psychiatry Research: Neuroimaging
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