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Cerebral alterations of type 2 diabetes mellitus on MRI: A pilot study
Bo Peng1, Zhiye Chen2, Lin Ma2
1Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou 215163, China; University of Chinese Academy of Sciences, Beijing 100049, China; Changchun Institute of Optics, Fine Mechanics and Physics, Chinese Academy of Sciences, Changchun 130033, China.
Abstract:
This study is to investigate gray matter volume, cortical thickness, and surface area of the brain in patients with type 2 diabetes mellitus (T2DM). High resolution T1-weighted MR images were obtained from eighteen T2DM and seventeen normal controls. All images were processed using our newly developed BrainLab toolbox. Declines of gray matter volume, cortical thickness, and surface area were found in T2DM patients. Significantly reduced ROIs of gray matter volume happened in subcortical gray nuclei (left caudate and right caudate), and significantly reduced ROIs of cortical thickness occurred in temporal lobe (left superior temporal gyrus), parietal lobe (left angular gyrus), and occipital lobe (right superior occipital gyrus, left middle occipital gyrus and right cuneus). Apparently reduced ROIs of surface area were mainly distributed in frontal lobe (right superior frontal gyrus (dorsal) and left paracentral lobule). The findings indicated that T2DM caused brain changes in specific regions. This work revealed neural alterations of T2DM, which had a great significance in early diagnosis of the disease.
Insights
Type 2 diabetes mellitus (T2DM) is linked to brain structure changes. This study found reduced gray matter volume, cortical thickness, and surface area in T2DM patients, aiding early diagnosis.
Area of Science:
- Neuroimaging
- Endocrinology
- Neurology
Background:
- Type 2 diabetes mellitus (T2DM) is a growing global health concern.
- Emerging evidence suggests T2DM may affect brain structure and function.
- Understanding these neural alterations is crucial for early detection and management.
Purpose of the Study:
- To investigate brain structural changes in T2DM patients.
- To quantify differences in gray matter volume, cortical thickness, and surface area.
- To identify specific brain regions affected by T2DM.
Main Methods:
- Acquisition of high-resolution T1-weighted MRI scans from 18 T2DM patients and 17 healthy controls.
- Processing of MRI data using a novel BrainLab toolbox.
- Analysis of regional differences in gray matter volume, cortical thickness, and surface area.
Main Results:
- T2DM patients exhibited significant reductions in gray matter volume in the left and right caudate nuclei.
- Cortical thickness was reduced in the temporal, parietal, and occipital lobes.
- Surface area reductions were primarily observed in the frontal lobe.
Conclusions:
- T2DM is associated with significant structural brain alterations in specific regions.
- These findings highlight potential neuroimaging biomarkers for T2DM.
- This research contributes to understanding the neural underpinnings of T2DM and its early diagnosis.
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