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Updated: Feb 11, 2026

Multiple-mouse Neuroanatomical Magnetic Resonance Imaging
Published on: February 27, 2011
Morphometric Magnetic Resonance Imaging Study in Children With Primary Monosymptomatic Nocturnal Enuresis
Mengxing Wang1, Anyi Zhang2,3, Jilei Zhang1
1Shanghai Key Laboratory of Magnetic Resonance, Department of Physics, School of Physics and Materials Science, East China Normal University, Shanghai, China.
Insights
Children with primary monosymptomatic nocturnal enuresis (PMNE) have brain structural differences. Specifically, increased gray matter volume in the frontal lobe and reduced gyrification in the precuneus were observed in affected children.
Area of Science:
- Neuroscience
- Pediatrics
- Radiology
Background:
- Primary monosymptomatic nocturnal enuresis (PMNE) is common in children.
- Previous research indicated functional brain abnormalities in children with PMNE.
- Limited studies have explored structural gray matter changes in PMNE.
Purpose of the Study:
- To investigate brain structural changes in gray matter of children with PMNE.
- Utilize magnetic resonance imaging (MRI) to compare gray matter volumes (GMVs) and gyrification indices (GIs) between children with PMNE and healthy controls.
Main Methods:
- Structural MRI data were collected from 26 children with PMNE and 28 healthy children.
- Voxel-based and surface-based morphometry analyses were performed to calculate GMVs and GIs.
- Two-sample t-tests identified differences in GMV and GI between the two groups.
Main Results:
- Children with PMNE exhibited significantly increased GMVs in the supplementary motor area and medial prefrontal cortex compared to controls.
- Children with PMNE showed significantly reduced GIs in the right precuneus compared to controls.
Conclusions:
- Children with PMNE demonstrate abnormal gray matter volumes in the frontal lobe.
- Altered gyrification indices in the precuneus are also noted in children with PMNE.
- These structural brain changes may contribute to the pathological mechanisms underlying PMNE.
Objective:
Primary monosymptomatic nocturnal enuresis (PMNE) refers to bed-wetting in children who have no other lower urinary tract symptoms and are never dry for more than 6 months. Our previous studies demonstrated that children with PMNE exhibited brain functional abnormalities compared with healthy controls; however, researches on the abnormalities in gray matter were limited. This study aimed to investigate brain structural changes in gray matter of children with PMNE using magnetic resonance imaging (MRI).
Methods:
Gray matter volumes (GMVs) and gyrification indices (GIs) were calculated using voxel-based and surface-based morphometry analyses of structural MRI data acquired from 26 children with PMNE and 28 healthy children. To identify between-group differences in gray matter, two-sample t-tests were conducted on GMV and GI images separately.
Results:
Compared with the controls, children with PMNE showed significantly increased GMVs in the supplementary motor area and medial prefrontal cortex regions (mean GMV in PMNE: 0.54 ± 0.07 l; mean GMV in controls: 0.50 ± 0.06 l) and reduced GIs in the right precuneus (mean GI in PMNE: 25.74° ± 2.34°; mean GI in controls: 27.97° ± 1.79°).
Conclusion:
Children with PMNE showed abnormal GMVs in frontal lobe and GIs in precuneus, and these changes might be involved in the pathological mechanism of PMNE.
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