文章摘要
轻度认知障碍小脑静息态功能连接的改变及相关因素分析
Altered functional connectivity of cerebellum in mild cognitive impairment: a resting-state fMRI study
投稿时间:2018-10-15  
DOI:10.3969/j.issn.1000-0399.2019.04.006
中文关键词: 轻度认知障碍  小脑  亚区  静息态功能成像  功能连接
英文关键词: Mild cognitive impairment  Cerebellum  Subregion  Resting-state fMRI  Function connectivity
基金项目:国家自然科学基金面上项目(项目编号:81471649)
作者单位E-mail
倪虹 100050 北京市宣武中医院放射科  
贾秀琴 100053 北京 首都医科大学宣武医院放射科  
李晖 100053 北京 首都医科大学宣武医院放射科  
李坤成 100053 北京 首都医科大学宣武医院放射科 cjr.likuncheng@vip.163.com 
摘要点击次数: 1785
全文下载次数: 0
中文摘要:
      目的 探讨轻度认知障碍(MCI)患者小脑静息态功能连接(rsFC)改变,并分析功能连接变化与认知功能的相关性。方法 选取2012年9月至2015年12月于首都医科大学宣武医院神经内科记忆障碍门诊就诊的22例MCI患者作为观察组,另选取同时期体检人群中与观察组患者年龄、性别及教育年限相匹配的正常老年人28例作为对照组(HC)。应用静息态功能磁共振成像技术(rs-fMRI)采集数据,比较两组患者小脑认知相关亚区脚Ⅱ和小叶IX与全脑其他脑区功能连接差异,采用偏相关分析法探究MCI组脑功能连接改变与临床量表分值之间相关性。结果 与HC组比较,MCI组小脑亚区主要与额顶叶部分脑区、岛叶及小部分颞叶脑区连接减弱,同时伴有额顶枕叶及边缘叶部分脑区连接增强,但MCI组右侧小脑半球脚Ⅱ亚区无连接增强脑区。MCI组左侧小脑半球脚Ⅱ亚区与左额中回、左内侧额上回功能连接强度分别与听觉词语学习测验延迟再认(AVLT-R)存在正相关性(r=0.501、0.495,P均<0.05),右侧小脑小叶IX亚区与左额上回背外侧功能连接强度与AVLT-R存在正相关性(r=0.524,P<0.05)。右侧小叶IX亚区与右楔前叶之间功能连接与简易智能精神状态量表(MMSE)呈现相关性(r=0.462,P<0.05)。结论 MCI患者小脑半球脚Ⅱ和小叶IX亚区异常功能连接改变与认知功能相关。
英文摘要:
      Objective To investigate the altered resting functional connectivities (rsFC) of the cerebellar subregions in mild cognitive impairment (MCI) and the correlation between the changes of rsFC and cognitive function. Methods From Sept 2012 to Dec 2015, 22 patients with MCI were selected as the observation group, and 28 healthy elderly matched with age, sex and education years as health group (HC). Resting-state functional magnetic resonance imaging (rs-fMRI) was used to collect data. The differences in functional connectivities between the cerebellar CrusⅡ and lobule IX in the cognitive-related subregions of the cerebellum and other brain regions were compared between the two groups. Partial correlation analysis was used to explore the correlation between functional connectivity changes and clinical scale scores in MCI group. Results Compared with the controls, it was observed that rsFC decreased between cerebellar subregions and part of the frontal lobe, parietal lobe, temporal lobe and insula in MCI patients. Meanwhile, there was increased connectivities in frontal, occipital lobe and limbic lobe but no strengthened rsFC was detected between any other regions and the right cerebellar Crus Ⅱ. In MCI group, AVLT-R scores showed a positive correlation with the cerebellar subregional rsFC value including the left Crus Ⅱ and the left middle frontal gyrus, the left Crus Ⅱ and the left medial superior frontal gyrus, the right lobule IX and the left superior frontal gyrus (r=0.501, r=0.495, r=0.524, P<0.05). MMSE scores showed a correlation with the functional connectivity between the right lobule IX and the right anterior cuneiform lobe (r=0.462, P<0.05). Conclusions The abnormal rsFC of the cerebellar Crus Ⅱ and lobule IX in MCI patients may be associated with cognitive performance.
查看全文   查看/发表评论  下载PDF阅读器
关闭