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Predicting individual autistic symptoms for patients with autism spectrum disorder using interregional morphological connectivity 利用区域间形态连接预测自闭症谱系障碍患者的个体自闭症症状
IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-04-19 DOI: 10.1016/j.pscychresns.2024.111822
Xun-Heng Wang, Peng Wu, Lihua Li

Intelligent predictive models for autistic symptoms based on neuroimaging datasets were beneficial for the precise intervention of patients with ASD. The goals of this study were twofold: investigating predictive models for autistic symptoms and discovering the brain connectivity patterns for ASD-related behaviors. To achieve these goals, we obtained a cohort of patients with ASD from the ABIDE project. The autistic symptoms were measured using the Autism Diagnostic Observation Schedule (ADOS). The anatomical MRI datasets were preprocessed using the Freesurfer package, resulting in regional morphological features. For each individual, the interregional morphological network was constructed using a novel feature distance-based method. The predictive models for autistic symptoms were built using the support vector regression (SVR) algorithm with feature selection method. The predicted autistic symptoms (i.e., ADOS social score, ADOS behavior) were significantly correlated to the original measures. The most predictive features for ADOS social scores were located in the bilateral fusiform. The most predictive features for ADOS behavior scores were located in the temporal pole and the lingual gyrus. In summary, the autistic symptoms could be predicted using the interregional morphological connectivity and machine learning. The interregional morphological connectivity could be a potential biomarker for autistic symptoms.

基于神经影像数据集的自闭症症状智能预测模型有利于对自闭症患者进行精确干预。本研究的目标有两个:研究自闭症症状的预测模型和发现 ASD 相关行为的大脑连接模式。为了实现这些目标,我们从 ABIDE 项目中获得了一批 ASD 患者。自闭症症状使用自闭症诊断观察表(ADOS)进行测量。使用 Freesurfer 软件包对解剖 MRI 数据集进行预处理,得出区域形态特征。使用基于特征距离的新方法构建了每个个体的区域间形态学网络。使用支持向量回归(SVR)算法和特征选择方法建立了自闭症症状预测模型。预测的自闭症症状(即 ADOS 社交评分、ADOS 行为)与原始测量结果显著相关。对 ADOS 社交评分最具预测性的特征位于双侧纺锤体。对 ADOS 行为评分最具预测性的特征位于颞极和舌回。总之,利用区域间形态连接和机器学习可以预测自闭症症状。区域间形态连通性可作为自闭症症状的潜在生物标志物。
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引用次数: 0
Auditory P50 Sensory Gating Alterations in Major Depressive Disorder and their Relationship to Clinical Symptoms 重度抑郁症的听觉 P50 感觉门控改变及其与临床症状的关系
IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-04-02 DOI: 10.1016/j.pscychresns.2024.111813
Sara de la Salle , Hayley Bowers , Meagan Birmingham , Jennifer L. Phillips , Pierre Blier , Verner Knott

Cognitive deficits in depression are pervasive and include impairments in attention and higher-order functions but the degree to which low-level sensory processes are affected is unclear. The present work examined event-related potential (P50 and N100) features of auditory sensory gating (i.e., the ability to inhibit P50/N100 responses to redundant stimuli) and their relationship to depressive symptoms, including ruminations and dysfunctional attitudes. In 18 patients with major depressive disorder (MDD) and 18 healthy volunteers, auditory sensory gating was measured using a paired-stimulus paradigm yielding ratio (rP50, rN100) and difference (dP50, dN100) gating indices, which reflected amplitude reductions from first (S1) to second (S2) stimulus. Patients with MDD exhibited diminished rP50 and dP50 gating scores and delayed S1-N100 latencies compared to healthy volunteers. These measures were positively associated with ruminative thoughts, negative attitudes and degree of depression. Study findings implicate aberrant sensory processing in depressed patients that is related to severity of maladaptive thinking.

抑郁症患者普遍存在认知缺陷,包括注意力和高阶功能受损,但低级感觉过程受影响的程度尚不清楚。本研究考察了听觉门控的事件相关电位(P50 和 N100)特征(即抑制对冗余刺激的 P50/N100 反应的能力)及其与抑郁症状(包括反刍和功能失调态度)的关系。在18名重度抑郁症(MDD)患者和18名健康志愿者中,使用成对刺激范式测量了听觉门控,得出了比值(rP50、rN100)和差值(dP50、dN100)门控指数,它们反映了从第一个刺激(S1)到第二个刺激(S2)的振幅降低。与健康志愿者相比,多发性硬化症患者的rP50和dP50门控得分降低,S1-N100潜伏期延迟。这些指标与反刍想法、消极态度和抑郁程度呈正相关。研究结果表明,抑郁症患者的感觉处理异常与适应不良思维的严重程度有关。
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引用次数: 0
Behavioral state-dependent associations between EEG temporal correlations and depressive symptoms 脑电图时空相关性与抑郁症状之间的行为状态相关性
IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-03-27 DOI: 10.1016/j.pscychresns.2024.111811
Ruifang Cui , Xinyang Hao , Pei Huang , Mengling He , Weiyi Ma , Diankun Gong , Dezhong Yao

Previous studies have shown abnormal long-range temporal correlations in neuronal oscillations among individuals with Major Depressive Disorders, occurring during both resting states and transitions between resting and task states. However, the understanding of this effect in preclinical individuals with depression remains limited. This study investigated the association between temporal correlations of neuronal oscillations and depressive symptoms during resting and task states in preclinical individuals, specifically focusing on male action video gaming experts. Detrended fluctuation analysis (DFA), Lifetimes, and Waitingtimes were employed to explore temporal correlations across long-range and short-range scales. The results indicated widespread changes from the resting state to the task state across all frequency bands and temporal scales. Rest-task DFA changes in the alpha band exhibited a negative correlation with depressive scores at most electrodes. Significant positive correlations between DFA values and depressive scores were observed in the alpha band during the resting state but not in the task state. Similar patterns of results emerged concerning maladaptive negative emotion regulation strategies. Additionally, short-range temporal correlations in the alpha band echoed the DFA results. These findings underscore the state-dependent relationships between temporal correlations of neuronal oscillations and depressive symptoms, as well as maladaptive emotion regulation strategies, in preclinical individuals.

以往的研究表明,重度抑郁症患者的神经元振荡存在异常的长程时间相关性,这种异常发生在静息状态以及静息状态和任务状态之间的转换过程中。然而,临床前抑郁症患者对这种效应的了解仍然有限。本研究调查了临床前患者在静息状态和任务状态下神经元振荡的时间相关性与抑郁症状之间的关联,特别关注男性动作视频游戏专家。研究人员采用了去趋势波动分析(DFA)、寿命分析和等待时间分析来探讨长程和短程范围内的时间相关性。结果表明,在所有频段和时间尺度上,从静息状态到任务状态都发生了广泛的变化。在大多数电极上,α 频段的静息-任务 DFA 变化与抑郁评分呈负相关。在静息状态下,α 频段的 DFA 值与抑郁评分呈显著的正相关,但在任务状态下则不然。在适应不良的消极情绪调节策略方面也出现了类似的结果。此外,α波段的短程时间相关性也与DFA结果一致。这些发现强调了临床前个体神经元振荡的时间相关性与抑郁症状以及适应不良的情绪调节策略之间的状态依赖关系。
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引用次数: 0
Neurobiological correlates of religious coping among older adults with and without mood disorders: An exploratory study 患有和未患有情绪障碍的老年人宗教应对的神经生物学相关性:一项探索性研究
IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-03-26 DOI: 10.1016/j.pscychresns.2024.111812
David H. Rosmarin , Poornima Kumar , Caroline C. Kaufman , Mia Drury , David Harper , Brent P. Forester

In this study, 32 older adults with and without mood disorders completed resting-state functional Magnetic Resonance Imaging and measures of demographics, spirituality/religion, positive and negative religious coping, and depression. Group Independent Component Analysis identified and selected three a priori resting state networks [cingulo-opercular salience (cSN), central executive (CEN) and Default Mode Networks (DMN)] within the Triple Network Mode. We investigated associations of religious coping with within- and between-network connectivity, controlling for age. Insular connectivity within the cSN was associated with negative religious coping. Religious coping was associated with anti-correlation between the DMN and CEN even when controlling for depression.

在这项研究中,32 名患有和未患有情绪障碍的老年人完成了静息态功能磁共振成像和人口统计学、灵性/宗教、积极和消极宗教应对以及抑郁症的测量。小组独立分量分析确定并选择了三重网络模式中的三个先验静息状态网络[脑回-小脑突出(cSN)、中央执行(CEN)和默认模式网络(DMN)]。在控制年龄的前提下,我们研究了宗教应对与网络内和网络间连接的关联。cSN内的岛状连接与消极宗教应对相关。即使在控制抑郁的情况下,宗教应对也与DMN和CEN之间的反相关性有关。
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引用次数: 0
A scoping review of functional near-infrared spectroscopy biomarkers in late-life depression: Depressive symptoms, cognitive functioning, and social functioning 晚年抑郁症的功能性近红外光谱生物标志物范围综述:抑郁症状、认知功能和社会功能
IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-03-26 DOI: 10.1016/j.pscychresns.2024.111810
Yujie Tong , Qiwei Wang , Xiao Wang , Yuxian Xiang , Long Cheng , Xiaodong Hu , Yun Chen , Luyao Huo , Yong Xu , Sha Liu

Late-life depression is one of the most damaging mental illnesses, disrupting the normal lives of older people by causing chronic illness and cognitive impairment. Patients with late-life depression, accompanied by changes in appetite, insomnia, fatigue and guilt, are more likely to experience irritability, anxiety and somatic symptoms. It increases the risk of suicide and dementia and is a major challenge for the public health systems. The current clinical assessment, identification and effectiveness assessment of late-life depression are primarily based on history taking, mental status examination and scale scoring, which lack subjectivity and precision. Functional near-infrared spectroscopy is a rapidly developing optical imaging technology that objectively reflects the oxygenation of hemoglobin in different cerebral regions during different tasks and assesses the functional status of the cerebral cortex. This article presents a comprehensive review of the assessment of functional near-infrared spectroscopy technology in assessing depressive symptoms, social functioning, and cognitive functioning in patients with late-life depression. The use of functional near-infrared spectroscopy provides greater insight into the neurobiological mechanisms underlying depression and helps to assess these three aspects of functionality in depressed patients. In addition, the study discusses the limitations of previous research and explores potential advances in the field.

晚年抑郁症是危害最大的精神疾病之一,会导致慢性疾病和认知障碍,从而扰乱老年人的正常生活。伴有食欲改变、失眠、疲劳和负罪感的晚年抑郁症患者更容易出现烦躁、焦虑和躯体症状。它增加了自杀和痴呆的风险,是公共卫生系统面临的一大挑战。目前,晚年抑郁症的临床评估、识别和疗效评价主要基于病史采集、精神状态检查和量表评分,缺乏主观性和精确性。功能性近红外光谱技术是一项发展迅速的光学成像技术,可客观反映不同任务中不同脑区血红蛋白的含氧量,评估大脑皮层的功能状态。本文全面综述了功能性近红外光谱技术在评估晚年抑郁症患者的抑郁症状、社会功能和认知功能方面的应用。功能性近红外光谱技术的使用使人们对抑郁症的神经生物学机制有了更深入的了解,并有助于评估抑郁症患者这三个方面的功能。此外,该研究还讨论了以往研究的局限性,并探讨了该领域的潜在进展。
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引用次数: 0
Neural correlates of increased alcohol demand following alcohol cue exposure in adult heavy drinkers 成年酗酒者接触酒精线索后酒精需求增加的神经相关性
IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-03-23 DOI: 10.1016/j.pscychresns.2024.111809
Michael Amlung , Emma Marsden , Tegan Hargreaves , Lawrence H. Sweet , James G. Murphy , James MacKillop

Alcohol use disorder is associated with overvaluation of alcohol relative to other rewards, in part due to dynamic increases in value in response to alcohol-related cues. In a neuroeconomic framework, alcohol cues increase behavioral economic demand for alcohol, but the neural correlates these cue effects are unknown. This functional magnetic resonance imaging study combined a neuroeconomic alcohol purchase task with an alcohol cue exposure in 72 heavy drinkers with established sensitivity to alcohol cues (51 % female; mean age=33.74). Participants reported how many drinks they would consume from $0-$80/drink following exposure to neutral and alcohol images in a fixed order. Participants purchased significantly more drinks in the alcohol compared to the neutral condition, which was also evident for demand indices (i.e., intensity, breakpoint, Omax, elasticity; ps<0.001; ds=0.46–0.92). Alcohol purchase decisions were associated with activation in rostral middle and medial frontal gyri, anterior insula, posterior parietal cortex, and dorsal striatum, among other regions. Activation was lower across regions in the alcohol relative to neutral cue condition, potentially due to greater automaticity of choices in the presence of alcohol cues or attenuation of responses due to fixed cue order. These results contribute to growing literature using neuroeconomics to understand alcohol misuse and provide a foundation for future research investigating decision-making effects of environmental alcohol triggers.

与其他奖励相比,酒精使用障碍与高估酒精价值有关,部分原因是酒精相关线索会动态增加酒精价值。在神经经济学框架中,酒精线索会增加对酒精的行为经济需求,但这些线索效应的神经相关性尚不清楚。这项功能磁共振成像研究结合了神经经济学酒精购买任务和酒精线索暴露,研究对象是 72 名对酒精线索敏感的重度饮酒者(51% 为女性;平均年龄为 33.74 岁)。参与者在按固定顺序接触中性图像和酒精图像后,报告他们将从 0-80 美元/杯中消费多少杯酒。与中性条件相比,参与者在酒精条件下购买的饮料明显更多,这在需求指数(即强度、断点、Omax、弹性;ps<0.001; ds=0.46-0.92)方面也很明显。酒精购买决定与喙中和内侧额叶回、岛叶前部、顶叶后部皮层和背侧纹状体等区域的激活有关。与中性线索相比,酒精线索条件下各区域的激活程度较低,这可能是由于在酒精线索存在的情况下,选择的自动性更高,或者由于固定的线索顺序导致反应减弱。这些结果为越来越多的利用神经经济学来理解酒精滥用的文献做出了贡献,并为未来调查环境酒精诱因对决策影响的研究奠定了基础。
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引用次数: 0
Alterations of the amplitude of low-frequency fluctuation induced by repetitive transcranial magnetic stimulation combined with antidepressants treatment for major depressive disorder 重复经颅磁刺激结合抗抑郁药物治疗重度抑郁障碍所诱发的低频波动幅度的改变
IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-03-13 DOI: 10.1016/j.pscychresns.2024.111792
Jing Qiu , Weiguo Gu , Yuan Zhang , Lei Wang , Junkang Shen

We investigated the neuroimaging changes and clinical efficacy of repetitive transcranial magnetic stimulation (rTMS) combined with antidepressants in major depressive disorder (MDD) patients. We scanned 35 patients with MDD and 27 healthy controls (HC) with resting-state functional magnetic resonance imaging (fMRI) before and after treatment. We analyzed amplitude of low-frequency fluctuation (ALFF) and the correlation with clinical variables. The rate of significant efficacy after treatment was higher in the combination treatment group than in the antidepressant group, although not statistically significant. At baseline, ALFF increased in the left middle temporal, brain stem, and left cerebellum and decreased in the right anterior cingulate (ACC), right orbital frontal cortex (OFC), and right caudate. ALFF increased in the left fusiform and decreased in the right lingual gyrus, left middle occipital gyrus, and left superior occipital gyrus after antidepressants. ALFF increased in the right ACC, right OFC, and right rectus after combination treatment. ALFF changes in the right ACC/OFC were negatively correlated with HAMD changes. After treatment, abnormal activity in some brain regions normalized, but these regions differed between the two treatment groups. rTMS combined with antidepressants therapy may improve MDD symptoms by improving neuronal activity levels in the right ACC and right OFC.

我们研究了重复经颅磁刺激(rTMS)联合抗抑郁药物对重度抑郁障碍(MDD)患者的神经影像学变化和临床疗效。我们在治疗前后对 35 名 MDD 患者和 27 名健康对照组(HC)进行了静息态功能磁共振成像(fMRI)扫描。我们分析了低频波动振幅(ALFF)及其与临床变量的相关性。联合治疗组的疗效显著率高于抗抑郁剂组,但无统计学意义。基线时,左侧中颞叶、脑干和左侧小脑的ALFF增加,右侧前扣带回(ACC)、右侧眶额皮质(OFC)和右侧尾状核的ALFF减少。服用抗抑郁药后,左侧纺锤体的 ALFF 增加,右侧舌回、左侧枕中回和左侧枕上回的 ALFF 减少。联合用药后,右侧 ACC、右侧 OFC 和右侧直肌的 ALFF 有所增加。右侧ACC/OFC的ALFF变化与HAMD变化呈负相关。经颅磁刺激结合抗抑郁药物治疗可改善右侧ACC和右侧OFC的神经元活动水平,从而改善MDD症状。
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引用次数: 0
Amygdala functional connectivity in borderline personality disorder 边缘型人格障碍的杏仁核功能连接
IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-03-11 DOI: 10.1016/j.pscychresns.2024.111808
Laila Noor , Jonas Hoffmann , Tina Meller , Christian Gaser , Igor Nenadić

Borderline personality disorder (BPD) is characterised by structural and functional brain alterations. Yet, there is little data on functional connectivity (FC) across different levels of brain networks and parameters. In this study, we applied a multi-level approach to analyse abnormal functional connectivity. We analysed resting-state functional magnetic resonance imaging (fMRI) data sets of 69 subjects: 17 female BPD patients and 51 age-matched psychiatrically healthy female controls. fMRI was analysed using CONN toolbox including: a) seed-based FC analysis of amygdala connectivity, b) independent component analysis (ICA) based network analysis of intra- and inter-network FC of selected resting-state networks (DMN, SN, FPN), as well as c) graph-theory based measures of network-level characteristics. We show group-level seed FC differences with higher amygdala to contralateral (superior) occipital cortex connectivity in BPD, which correlated with schema-therapy derived measures of symptoms/traits across the entire cohort. While there was no significant group effect on DMN, SN, or FPN intra-network or inter-network FC, we show a significant group difference for local efficiency and cluster coefficient for a DMN-linked cerebellum cluster. Our findings demonstrate BPD-linked changes in FC across multiple levels of observation, which supports a multi-level analysis for future studies to consider different aspects of functional connectome alterations.

边缘型人格障碍(BPD)的特点是大脑结构和功能发生改变。然而,关于不同层次大脑网络和参数的功能连接(FC)的数据却很少。在这项研究中,我们采用了一种多层次的方法来分析异常功能连接。我们分析了 69 名受试者的静息态功能磁共振成像(fMRI)数据集:利用 CONN 工具箱对 fMRI 进行了分析,其中包括:a) 基于种子的杏仁核连通性 FC 分析;b) 基于独立成分分析 (ICA) 的选定静息态网络(DMN、SN、FPN)的网络内和网络间 FC 分析;以及 c) 基于图论的网络级特征测量。我们发现,在 BPD 患者中,杏仁核与对侧(上部)枕叶皮层的连通性较高,这与整个群体中症状/特征的图式疗法衍生测量结果相关。虽然 DMN、SN 或 FPN 网络内或网络间 FC 没有明显的群体效应,但我们发现 DMN 链接的小脑集群的局部效率和集群系数存在明显的群体差异。我们的研究结果表明,BPD 与多层次观察中的 FC 变化有关,这支持在未来的研究中进行多层次分析,以考虑功能连接组改变的不同方面。
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引用次数: 0
Subcortical-cortical white matter connectivity in adults with autism spectrum disorder and schizophrenia patients 自闭症谱系障碍成人和精神分裂症患者的皮层下-皮层白质连通性。
IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-03-07 DOI: 10.1016/j.pscychresns.2024.111806
Akila Weerasekera , Adrian Ion-Mărgineanu , Garry P. Nolan , Maria Mody

Autism spectrum disorder (ASD) and schizophrenia (SZ) are neuropsychiatric disorders that overlap in symptoms associated with social-cognitive impairment. Alterations of the cingulate cortex, subcortical, medial-temporal, and orbitofrontal structures are frequently reported in both disorders. In this study, we examined white-matter connectivity between these structures in adults with ASD and SZ patients compared with their respective neurotypical controls and indirectly with each other, using probabilistic and local DTI tractography. This exploratory study utilized publicly available neuroimaging databases, of adults with ASD (ABIDE II; n = 28) and SZ (COBRE; n = 38), age-gender matched neurotypicals (NT) and associated phenotypic data. Tractography was performed using Freesurfer and MRtrix software, and diffusion metrics of white-matter tracts between cingulate-, orbitofrontal- cortices, subcortical structures, parahippocampal, entorhinal cortex were assessed. In ASD, atypical diffusivity parameters were found in the isthmus cingulate and parahippocampal connectivity to subcortical and rostral-anterior cingulate, which were also associated with IQ and social skills (SRS). In contrast, atypical diffusivity parameters were observed between the medial-orbitofrontal cortex and subcortical structures in SZ, and were associated with executive function (i.e., IQ, processing speed) and emotional regulation. Overall, the results suggest that defects in the isthmus cingulate, medial-orbitofrontal, and striato-limbic white matter connectivity may help unravel the neural underpinnings of executive and social-emotional dysfunction at the core of neuropsychiatric disorders.

自闭症谱系障碍(ASD)和精神分裂症(SZ)都是神经精神疾病,在与社会认知障碍相关的症状方面存在重叠。在这两种疾病中,扣带皮层、皮层下、内侧颞叶和眶额叶结构的改变经常被报道。在本研究中,我们采用概率和局部 DTI tractography 技术,研究了 ASD 和 SZ 成人患者与各自的神经典型对照组相比,以及间接与其他对照组相比,这些结构之间的白质连通性。这项探索性研究利用了公开的神经影像数据库,其中包括 ASD(ABIDE II;n = 28)和 SZ(COBRE;n = 38)成人患者、年龄性别匹配的神经典型患者(NT)以及相关的表型数据。研究人员使用Freesurfer和MRtrix软件进行了切片成像,并评估了扣带回皮层、眶额皮层、皮层下结构、海马旁皮层和内侧皮层之间白质束的扩散指标。在 ASD 患者中,扣带回峡部和海马旁与皮层下和喙前扣带回的连接中发现了非典型扩散参数,这些参数也与智商和社交能力(SRS)相关。与此相反,在 SZ 中观察到内侧-轨道额叶皮层和皮层下结构之间的非典型扩散参数,这些参数与执行功能(即智商、处理速度)和情绪调节有关。总之,研究结果表明,扣带回峡部、内侧-前额叶和纹状体-边缘白质连接的缺陷可能有助于揭示作为神经精神障碍核心的执行和社会情感功能障碍的神经基础。
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引用次数: 0
Increased extra-neurite conductivity of brain in patients with Alzheimer's disease: A pilot study 阿尔茨海默病患者大脑神经元外传导性增加:一项试点研究
IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-03-05 DOI: 10.1016/j.pscychresns.2024.111807
Seowon Hong , Yunjeong Choi , Mun Bae Lee , Hak Young Rhee , Soonchan Park , Chang-Woo Ryu , Ah Rang Cho , Oh In Kwon , Geon-Ho Jahng

The objectives of this study were to investigate how the extra-neurite conductivity (EC) and intra-neurite conductivity (IC) were reflected in Alzheimer's disease (AD) patients compared with old cognitively normal (CN) people and patients with amnestic mild cognitive impairment (MCI) and to evaluate the association between those conductivity values and cognitive decline. To do this, high-frequency conductivity (HFC) at the Larmor frequency was obtained using MRI-based electrical property tomography (MREPT) and was decomposed into EC and IC using information of multi-shell multi-gradient direction diffusion tensor images. This prospective single-center study included 20 patients with mild or moderate AD, 25 patients with amnestic MCI, and 21 old CN participants. After decomposing EC and IC from HFC for all participants, we performed voxel-based and regions-of-interest analyses to compare conductivity between the three participant groups and to evaluate the association with either age or the Mini-Mental State Examination (MMSE) scores. We found increased EC in AD compared to CN and MCI. EC was significantly negatively associated with MMSE scores in the insula, and middle temporal gyrus. EC might be used as an imaging biomarker for helping to monitor cognitive function.

本研究的目的是调查阿尔茨海默病(AD)患者与认知能力正常(CN)的老年人和失忆性轻度认知障碍(MCI)患者相比,神经元外电导率(EC)和神经元内电导率(IC)是如何反映的,并评估这些电导率值与认知能力下降之间的关联。为此,利用基于磁共振成像的电特性断层扫描(MREPT)获得了拉莫尔频率的高频电导率(HFC),并利用多壳多梯度方向扩散张量图像的信息将其分解为EC和IC。这项前瞻性单中心研究包括20名轻度或中度AD患者、25名失忆性MCI患者和21名老年CN参与者。在将所有参与者的EC和IC从HFC中分解出来后,我们进行了基于体素和感兴趣区的分析,以比较三个参与者组之间的传导性,并评估其与年龄或迷你精神状态检查(MMSE)评分的关系。我们发现,与 CN 和 MCI 相比,AD 患者的导电率更高。在岛叶和颞中回,EC与MMSE评分呈明显负相关。EC可用作成像生物标志物,帮助监测认知功能。
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Psychiatry Research: Neuroimaging
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