基于TBSS方法的冠状动脉疾病患者大脑白质变化的扩散皮质成像
Tong Li1, Rui Qin1, Cuicui Li1
1Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Frontiers in aging neuroscience
|March 1, 2024
概括
冠状动脉疾病患者表现出白质微观结构的变化,包括辐射收缩和复杂性,可通过扩散曲解成像 (DKI) 检测到. 这些发现与认知障碍相关,为辅助诊断提供了潜力.
科学领域:
- 神经成像是一种神经成像.
- 放射学 放射学是一门学科.
- 心脏病学 心脏病学
背景情况:
- 冠状动脉疾病 (CAD) 越来越多地与认知障碍 (CI) 相关.
- 在患有CI的CAD患者中,潜在的白质微观结构变化仍然不完全理解.
- 扩散曲解成像 (DKI) 为白质完整性提供了先进的见解.
研究的目的:
- 用DKI研究CAD和CI患者的白质微结构变化.
- 在这个人群中探索DKI参数与认知功能之间的相关性.
主要方法:
- 28名CAD患者和30名健康对照 (HC) 接受了扩散序列头部成像.
- 包括FA,KFA,MK,AK,RK和MD在内的DKI参数是使用DKE软件生成的.
- 进行了基于通道的空间统计 (TBSS) 和与认知得分 (MMSE,MoCA) 的相关性分析.
主要成果:
- 与HC相比,CAD患者在各种白质通道中显示了FA,KFA,MK和RK的显著减少.
- 在冠状辐射体,体和内部囊中注意到了具体的减少.
- 内部囊的右后肢和大脑脚中的FA值与MMSE得分呈正相关.
结论:
- 患有CAD的患者表现出辐射收缩和大脑白质微观结构的复杂性.
- 全脑TBSS DKI分析客观地反映了CAD患者的白质损伤.
- DKI为CI的CAD的辅助诊断提供了基础.
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