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Brain iron deposition in primary insomnia-An in vivo susceptibility-weighted imaging study
Lin Chen1, Xin Wei2, Chen Liu2
1Department of Psychology, Third Military Medical University (Army Medical University), Chongqing, China.
Background:
To study the brain iron deposition and its relationships with cognitive impairment and sleep quality in primary insomnia (PI).
Methods:
Thirty-five patients with PI and 35 volunteers underwent MRI scanning using high-resolution susceptibility-weighted imaging sequence. Bilateral anterior cingulate cortices, posterior cingulate cortex, hippocampus, caudate nucleus, globus pallidus, putamen, thalamus, red nucleus, substantia nigra, parietal cortex, and frontal white matter were selected as regions of interest. The phase shift values of the above areas were compared between the two groups. Partial correlations between phase shifts values and neuropsychological scale scores including Pittsburgh Sleep Quality Index, Insomnia Severity Index, Mini Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Activities of Daily Living Scale, and Clinical Dementia Rating of the PI patients were analyzed.
Results:
Compared with the normal controls, the PI patients showed significant lower MMSE and MoCA scores and increased phase shift values in the left caudate nucleus, left putamen, left hippocampus, and bilateral thalamus (p < 0.05). Close correlation was found between the phase shift value of the left hippocampus and the MMSE scores of the PI patients (R = -0.447, p < 0.01).
Conclusion:
The PI patients exhibited significant cognitive impairment and increased iron deposition in several brain regions. The iron concentration of the left hippocampus is a biomarker of cognitive impairment and may play an important role in the pathophysiological mechanism.
Insights
Primary insomnia patients show increased brain iron deposition in key areas, linked to cognitive impairment. Hippocampal iron levels may indicate cognitive decline in insomnia.
Area of Science:
- Neuroimaging
- Neuroscience
- Medical Imaging
Background:
- Primary insomnia (PI) is a sleep disorder.
- Brain iron deposition is implicated in neurological disorders.
- Cognitive impairment is a common comorbidity in PI.
Purpose of the Study:
- To investigate brain iron deposition in PI patients.
- To explore the relationship between iron deposition, cognitive function, and sleep quality in PI.
Main Methods:
- 35 PI patients and 35 controls underwent MRI using susceptibility-weighted imaging.
- Regions of interest included hippocampus, thalamus, basal ganglia, and cortical areas.
- Phase shift values (iron concentration proxy) were correlated with cognitive and sleep scores.
Main Results:
- PI patients had lower MMSE and MoCA scores than controls.
- Increased phase shift values were observed in the left caudate nucleus, left putamen, left hippocampus, and bilateral thalamus in PI patients.
- A significant negative correlation was found between left hippocampus phase shift values and MMSE scores.
Conclusions:
- PI is associated with significant cognitive impairment and increased brain iron deposition.
- Elevated iron in the left hippocampus may serve as a biomarker for cognitive impairment in PI.
- Brain iron dysregulation might contribute to the pathophysiology of PI and associated cognitive deficits.
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