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Altered gray matter morphometry in psychogenic erectile dysfunction patients: A Surface-based morphometry study.

Zilei Tian1,2,3, Ziyang Ma4, Beihong Dou5

  • 1Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, Sichuan, China.

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|August 6, 2025
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Summary
This summary is machine-generated.

Psychogenic erectile dysfunction (pED) shows distinct cortical morphological changes in brain regions like the orbitofrontal cortex. These brain alterations correlate with symptoms and can help differentiate pED patients from healthy individuals.

Keywords:
Brain cortical thickness, cortical complexityErectile dysfunctionMRIMachine learningReward system

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Medical Imaging

Background:

  • Psychogenic erectile dysfunction (pED) is a common condition without a clear organic cause.
  • Understanding the brain's role in pED is crucial for diagnosis and treatment.
  • Cortical morphological characteristics in pED patients have not been well-studied.

Purpose of the Study:

  • To investigate cortical morphological alterations in pED patients using surface-based morphometry (SBM).
  • To explore the correlation between these morphological changes and clinical symptoms.
  • To assess the feasibility of using these features for objective pED diagnosis.

Main Methods:

  • Enrolled 50 pED patients and 50 healthy controls (HC).
  • Utilized surface-based morphometry (SBM) to analyze cortical thickness, sulcus depth, gyrification index, and fractal dimension.
  • Performed correlation analysis and developed a support vector classification model.

Main Results:

  • pED patients exhibited significant cortical morphological alterations in the orbitofrontal cortex, cingulate cortex, dorsolateral prefrontal cortex, and precentral gyrus.
  • These alterations were correlated with pED clinical symptoms.
  • A classifier based on 11 features achieved 82% accuracy in distinguishing pED from HC.

Conclusions:

  • pED is associated with specific cortical morphological aberrations.
  • These findings enhance understanding of pED's central pathological patterns.
  • The study supports objective diagnosis and potential neuromodulation strategies for pED.