机构:[1]1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University,China National Clinical Research Center for Neurological Diseases,Center of Stroke, Beijing Institute for Brain Disorders, Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, P.R. China重点科室诊疗科室神经病学中心神经病学中心首都医科大学附属天坛医院[2]Department of Neurology, General Hospital of The Yang Tze River Shipping, Wuhan Brain Hospital, Wuhan, Hubei, P.R. China[3]School of Medicine, Western Sydney University, Sydney, NSW, Australia[4]School of Biomedical Engineering, Capital Medical University, Beijing, P.R. China[5]Department of Rehabilitation Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, P.R. China首都医科大学附属天坛医院
Background: This study aimed to explore the amplitude of low-frequency fluctuations (ALFF) for whole-brain in leukoaraiosis (LA) patients suffering from cognitive decline or impairment. Material/Methods: Patients were selected by employing magnetic resonance imaging (MRI) technique. According to results of the clinical dementia rating and Montreal cognitive assessment (MoCA), patients were divided into 3 groups: LA patients diagnosed as vascular mild-cognitive impairment (LA-VaMCI, n=28), LA patients diagnosed as vascular-dementia (LA-VaD, n=18), and normal individuals (NC, n=28). Executive functions were evaluated by using the Stroop test and Trail Making Test (TMT). The higher scores in TMT test mean greater impairments. Changes for the ALFF were measured by using resting-state functional MRI (rs-fMRI) technique. Correlations between ALFF and cognition scores were analyzed. Results: It was found that widespread differences in ALFF were present predominantly in the posterior cingulate cortex/precuneus (PCC/PCu) and in the right inferior temporal gyrus (ITG). Compared with the NC group, ALFF values in PCC/PCu were significantly decreased (F=3.273, P=0.022) and ALFF values were significantly increased (F=2.864, P=0.033) in temporal regions of the LA-VaD patients. ALFF values in LA-VaMCI patients were significantly increased in ITG compared to that in the NC group (F=1.064, P=0.042) and the LA-VaD group (F=2.725, P=0.037). Impairment in executive functions were positively correlated with average ALFF of the left PCu. Conclusions: This research showed that LA patients exhibited abnormal intrinsic-brain activities. Furthermore, altered ALFF was positively correlated with executive function scores.
基金:
Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support [ZYLX201836]; National Key Technology Research and Development Program of ChinaNational Key Technology R&D Program [2018YFC2002300, 2018YFC 2002302, 2015BAI12B02]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [NSFC: 81371201, 31600933]; National Key Technology Research and Development Program of the Ministry of Science and Technology of The People's Republic of China [2015BAI12B04]; Hubei Province Health and Family Planning Scientific Research Project [WJ2017M208, WJ2017F057]
第一作者机构:[1]1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University,China National Clinical Research Center for Neurological Diseases,Center of Stroke, Beijing Institute for Brain Disorders, Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, P.R. China[2]Department of Neurology, General Hospital of The Yang Tze River Shipping, Wuhan Brain Hospital, Wuhan, Hubei, P.R. China
通讯作者:
通讯机构:[1]1 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University,China National Clinical Research Center for Neurological Diseases,Center of Stroke, Beijing Institute for Brain Disorders, Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, P.R. China[5]Department of Rehabilitation Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, P.R. China
推荐引用方式(GB/T 7714):
Wang Jinfang,Chen Hongyan,Liang Huazheng,et al.Low-Frequency Fluctuations Amplitude Signals Exhibit Abnormalities of Intrinsic Brain Activities and Reflect Cognitive Impairment in Leukoaraiosis Patients[J].MEDICAL SCIENCE MONITOR.2019,25:5219-5228.doi:10.12659/MSM.915528.
APA:
Wang, Jinfang,Chen, Hongyan,Liang, Huazheng,Wang, Wanming,Liang, Yi...&Zhang, Yumei.(2019).Low-Frequency Fluctuations Amplitude Signals Exhibit Abnormalities of Intrinsic Brain Activities and Reflect Cognitive Impairment in Leukoaraiosis Patients.MEDICAL SCIENCE MONITOR,25,
MLA:
Wang, Jinfang,et al."Low-Frequency Fluctuations Amplitude Signals Exhibit Abnormalities of Intrinsic Brain Activities and Reflect Cognitive Impairment in Leukoaraiosis Patients".MEDICAL SCIENCE MONITOR 25.(2019):5219-5228