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Diffusion tensor magnetic resonance imaging in brain white matter diseases
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作者 初曙光 沈天真 陈星荣 《中国临床康复》 CSCD 2002年第23期3609-3610,共2页
Objective To evaluate the usefulness of diffusion tensor MR imaging in brain white matter diseases. Methods A combined conventional and diffusion tensor MRI were obtained from 10 multiple sclerosis ,10 multiple lacuna... Objective To evaluate the usefulness of diffusion tensor MR imaging in brain white matter diseases. Methods A combined conventional and diffusion tensor MRI were obtained from 10 multiple sclerosis ,10 multiple lacunar infarction,3 cysticercosis,1 angiitis ,1 morphinist and 10 healthy control volunteers. After obtaining mean diffusivity (D) and fractional anisotropy images and image coregistration, the correlations of the lesions and the white matter pathways were investigated. D and AI values were measured form four big lesions which can be seen in T2WI and compared to contralateral white matter. Also D and AI value of four different anatomic locations of normal appearing white matter regions were measured in all patients and controls. Results Whereas the lesions of infarction, cysticercosis and angiitis were in and outside the white matter pathways, all plaques of multiple sclerosis were inside the whit matter pathways. The brain white matter lesions by 1 morphinist were beside the lateral ventricle with big patchy appearance, which was partly inside white matter. For MS, D value was higher in lesions than control white matter. But for other diseases, D value could be seen higher or lower compared to healthy side. AI values were lower in all lesions. D value was higher and AI was lower in normal appearing brain white matter when comparing MS to other cases or healthy control volunteers. Conclusion Diffusion tensor MR images can determine the correlations of the lesions and brain white matter pathways. The changes of D and AI values can improve specificity in differential diagnoses though quantitatively analyzing the tissue damage in lesions and normal appearing brain white matter. 展开更多
关键词 脑白质病变 弥散张量成像 诊断 临床应用 MRI
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Low-frequency blood oxygen level-dependent fluctuations in the brain white matter: more than just noise 被引量:2
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作者 Gong-Jun Ji Wei Liao +2 位作者 Fang-Fang Chen Lei Zhang Kai Wang 《Science Bulletin》 SCIE EI CAS CSCD 2017年第9期656-657,共2页
The spontaneous activity of the blood oxygen level-dependent(BOLD)signal has been demonstrated as a promising way for understanding how the brain intrinsically organized.However,most of these studies focused solely on... The spontaneous activity of the blood oxygen level-dependent(BOLD)signal has been demonstrated as a promising way for understanding how the brain intrinsically organized.However,most of these studies focused solely on the spontaneous activity in gray matter(GM)and not on white matter(WM).This is 展开更多
关键词 WM than Low-frequency blood oxygen level-dependent fluctuations in the brain white matter:more than just noise
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Maternal stress exposure during pregnancy impairs ultrastructural changes in the white matter and reduces cognitive function in offspring mice
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作者 CHENG Yan GUO Jian-wei +1 位作者 ZHU Bing YI Min-min 《Journal of Hainan Medical University》 CAS 2023年第16期7-15,共9页
Objective:To explore whether maternal stress exposure during pregnancy impairs cognitive function and white matter ultrastructure in offspring mice.Methods:The parent rats were divided into two groups:pressure exposur... Objective:To explore whether maternal stress exposure during pregnancy impairs cognitive function and white matter ultrastructure in offspring mice.Methods:The parent rats were divided into two groups:pressure exposure group(group PE)and control group(group C),and the positive date of vaginal smear of female SD rats was day 0 of gestation.Female mice in group PE were exposed to binding pressure(3 times/day)on day 14-20 of gestation for 45 min-1 h/time.Behavioral tests(Morris water maze and Y maze)were performed on 1-month-old offspring mice followed by cardiac perfusion of fixed brain specimens and placement in mixed fixative solution.The total volume of white matter,total length and volume of myelinated nerve fibers and total length and volume of myelin sheath were calculated using modern stereoscopic methods,and the inner and outer diameter and inner and outer circumference of the myelin sheath were analyzed.Results:1)Behavioral tests:compared with the group C,the average latency of the 3th and 4th day in the group PE were significantly prolonged,the percentage of the resting time in the quadrant of the platform and the frequency of acrossing the effective area of platform in the fifth day of space exploration experiment were significantly reduced of Morris water maze test,and visiting distance,duration and numbers in novel arm significantly increased of Y-maze test(P<0.05).2)Compared with group C,the total volume of white matter,total length of myelinated nerve fibers,total volume of myelinated nerve fibers and myelin sheath in the group PE were significantly reduced(P<0.05),the inner diameter and outer diameter of myelin sheath decreased significantly(P<0.05),and the inner perimeter,outer perimeter and inner and outer perimeter differences increased significantly(P<0.05).3)There was a correlation between behavioral test results and white matter ultrastructure measurement results.Conclusions:Maternal stress exposure during pregnancy could impair the cognitive function and white matter and its ultrastructure in the offspring,and there was a correlation between decreased cognitive function and white matter damages. 展开更多
关键词 Mental stress exposure Cognitive function white matter of the brain Morris water maze Y maze
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Age-related changes of lateral ventricular width and periventricular white matter in the human brain: a diffusion tensor imaging study 被引量:1
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作者 Yong Hyun Kwon Sung Ho Jang Sang Seok Yeo 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第9期986-989,共4页
Introduction Aging is the accumulation of multidimensional deterioration of process- ing of biological, psychological, and social changes with expansion over time (Bowen and Atwood, 2004; Grady, 2012). Aging-related... Introduction Aging is the accumulation of multidimensional deterioration of process- ing of biological, psychological, and social changes with expansion over time (Bowen and Atwood, 2004; Grady, 2012). Aging-related changes are typically accompanied by decline in cognitive function, urinary control, sensory-motor function, and gait ability (Bradley et al., 1991; Bowen and Atwood, 2004; Hedden and Gabrieli, 2004; Grady, 2012; Moran et al., 2012). In addition, a number of studies have suggested changes in brain structure with normal aging, such as decrease in cortical thickness or increase in ventricular width (Blatter et al., 1995; Tang et al., 1997; Uylings and de Brabander, 2002; Preul et al., 2006; Apostolova et al., 2012). In particular, ventricular enlargement has been suggested as a structural biomarker for normal aging and progression of some illnesses, such as Alzheimer's disease (Blatter et al., 1995; Tang et al., 展开更多
关键词 Age-related changes of lateral ventricular width and periventricular white matter in the human brain a diffusion tensor imaging study
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Bone morphogenetic protein signaling:a promising target for white matter protection in perinatal brain injury
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作者 Jill Chang Robert W.Dettman Maria L.V.Dizon 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第7期1183-1184,共2页
Prematurely born newborns,as well as those born at term,may suffer from several types of brain injury including hypoxic-ischemic injury,intracranial hemorrhage,both intraventricular and parenchymal,and injury that is ... Prematurely born newborns,as well as those born at term,may suffer from several types of brain injury including hypoxic-ischemic injury,intracranial hemorrhage,both intraventricular and parenchymal,and injury that is the consequence of intrauterine growth restriction(IUGR).Injury of all types can impact the motor and cognitive abilities of survivors.The mechanisms leading to disability are not completely understood. 展开更多
关键词 In Bone morphogenetic protein signaling:a promising target for white matter protection in perinatal brain injury
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Diffusion tensor imaging assesses white matter injury in neonates with hypoxic-ischemic encephalopathy 被引量:19
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作者 Hong-xin Li Xing Feng +3 位作者 Qian Wang Xuan Dong Min Yu Wen-juan Tu 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第4期603-609,共7页
With improvements in care of at-risk neonates, more and more children survive. This makes it increasingly important to assess, soon after birth, the prognosis of children with hypoxic-ischemic encephalopathy. Computed... With improvements in care of at-risk neonates, more and more children survive. This makes it increasingly important to assess, soon after birth, the prognosis of children with hypoxic-ischemic encephalopathy. Computed tomography, ultrasound, and conventional magnetic resonance imaging are helpful to diagnose brain injury, but cannot quantify white matter damage. In this study, ten full-term infants without brain injury and twenty-two full-term neonates with hypoxic-ischemic encephalopathy (14 moderate cases and 8 severe cases) underwent diffusion tensor imaging to assess its feasibility in evaluating white matter damage in this condition. Results demonstrated that fractional anisotropy, voxel volume, and number of fiber bundles were different in some brain areas between infants with brain injury and those without brain injury. The correlation between fractional anisotropy values and neonatal behavioral neurological assessment scores was closest in the posterior limbs of the internal capsule. We conclude that diffusion tensor imaging can quantify white matter injury in neonates with hypoxic-ischemic encephalopathy. 展开更多
关键词 nerve regeneration fractional anisotropy diffusion tensor imaging apparent diffusion coefficient voxel volume neonatal behavioralneurological assessment brain injury white matter NEUROIMAGING neural regeneration
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Correlation between white matter damage and gray matter lesions in multiple sclerosis patients 被引量:2
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作者 Xue-mei Han Hong-ji Tian +5 位作者 Zheng Han Ce Zhang Ying Liu Jie-bing Gu Rohit Bakshi Xia Cao 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第5期787-794,共8页
We observed the characteristics of white matter fibers and gray matter in multiple sclerosis patients, to identify changes in diffusion tensor imaging fractional anisotropy values following white matter fiber injury. ... We observed the characteristics of white matter fibers and gray matter in multiple sclerosis patients, to identify changes in diffusion tensor imaging fractional anisotropy values following white matter fiber injury. We analyzed the correlation between fractional anisotropy values and changes in whole-brain gray matter volume. The participants included 20 patients with relapsing-remitting multiple sclerosis and 20 healthy volunteers as controls. All subjects underwent head magnetic resonance imaging and diffusion tensor imaging. Our results revealed that fractional anisotropy values decreased and gray matter volumes were reduced in the genu and splenium of corpus callosum, left anterior thalamic radiation, hippocampus, uncinate fasciculus, right corticospinal tract, bilateral cingulate gyri, and inferior longitudinal fasciculus in multiple sclerosis patients. Gray matter volumes were significantly different between the two groups in the right frontal lobe(superior frontal, middle frontal, precentral, and orbital gyri), right parietal lobe(postcentral and inferior parietal gyri), right temporal lobe(caudate nucleus), right occipital lobe(middle occipital gyrus), right insula, right parahippocampal gyrus, and left cingulate gyrus. The voxel sizes of atrophic gray matter positively correlated with fractional anisotropy values in white matter association fibers in the patient group. These findings suggest that white matter fiber bundles are extensively injured in multiple sclerosis patients. The main areas of gray matter atrophy in multiple sclerosis are the frontal lobe, parietal lobe, caudate nucleus, parahippocampal gyrus, and cingulate gyrus. Gray matter atrophy is strongly associated with white matter injury in multiple sclerosis patients, particularly with injury to association fibers. 展开更多
关键词 nerve regeneration multiple sclerosis diffusion tensor imaging tract-based spatial statistics voxel-based morphometry gray matter white matter fractional anisotropy brain atrophy neural regeneration
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Therapeutic Effects of Myriocin in Experimental Alcohol-Related Neurobehavioral Dysfunction and Frontal Lobe White Matter Biochemical Pathology
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作者 Camilla Homans Emine B. Yalcin +4 位作者 Ming Tong Gina Gallucci David Bautista Natalia Moriel Suzanne de la Monte 《Journal of Behavioral and Brain Science》 2022年第2期23-42,共20页
Background & Objective: Chronic excessive alcohol consumption causes white matter degeneration with myelin loss and impaired neuronal conductivity. Subsequent rarefaction of myelin accounts for the sustained defic... Background & Objective: Chronic excessive alcohol consumption causes white matter degeneration with myelin loss and impaired neuronal conductivity. Subsequent rarefaction of myelin accounts for the sustained deficits in cognition, learning, and memory. Correspondingly, chronic heavy or repeated binge alcohol exposures in humans and experimental models alter myelin lipid composition leading to build-up of ceramides which can be neurotoxic and broadly inhibitory to brain functions. Methods: This study examined the effects of chronic + binge alcohol exposures (8 weeks) and intervention with myriocin, a ceramide inhibitor, on neurobehavioral functions (Open Field, Novel Object Recognition, and Morris Water Maze tests) and frontal lobe white matter myelin lipid biochemical pathology in an adult Long-Evans rat model. Results: The ethanol-exposed group had significant deficits in executive functions with increased indices of anxiety and impairments in spatial learning acquisition. Myriocin partially remediated these effects of ethanol while not impacting behavior in the control group. Ethanol-fed rats had significantly smaller brains with broadly reduced expression of sulfatides and reduced expression of two of the three sphingomyelins detected in frontal white matter. Myriocin partially resolved these effects corresponding with improvements in neurobehavioral function. Conclusion: Therapeutic strategies that support cerebral white matter myelin expression of sulfatide and sphingomyelin may help remediate cognitive-behavioral dysfunction following chronic heavy alcohol consumption in humans. 展开更多
关键词 ADOLESCENCE ALCOHOL Behavior Binge Drinking brain Atrophy MYRIOCIN NEURODEGENERATION Rat SULFATIDE white matter
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Adaptation to Fluctuating Neuronal Signal Traffic for Brain Connectivity
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作者 Gerhard Werner Bernhard J. Mitterauer 《Advances in Bioscience and Biotechnology》 CAS 2023年第5期237-244,共8页
Brain connectivity is commonly studied in terms of causal interaction or statistical dependency between brain regions. In this analysis paper, we draw attention to the constraining effect the dynamics of fiber tract c... Brain connectivity is commonly studied in terms of causal interaction or statistical dependency between brain regions. In this analysis paper, we draw attention to the constraining effect the dynamics of fiber tract connections may impose on neuronal signal traffic. We propose a model developed by Copelli and Kinouchi (l.c.) for a different purpose to safeguard signal transmission for brain connectivity by ensuring dynamic adaptation of signal reception to a wide frequency range of traffic flow over connecting fiber tracts. Gap junction connectivity would confer to neuronal groups the capacity of acting as collectives for dynamical adaptability to impinging neural traffic thereby forestalling traffic congestion and overload. It is suggested that applying this model to signal reception in brain connectivity would deliver the required functionality as a collective achievement of the interrelations between neurons and gap junctions, the latter regulated by glia. 展开更多
关键词 brain Connectivity white matter Neuronal Groups Gap Junctions
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Cornel iridoid glycoside protects against white matter lesions induced by cerebral ischemia via activation of neuregulin-1 pathway in rats
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作者 WANG Ming-yang HUA Xue-si +5 位作者 NIU Hong-mei SUN Zheng-yu ZHANG Li LI Ya-li ZHANG Lan LI Lin 《中国药理学与毒理学杂志》 CAS 北大核心 2019年第6期451-451,共1页
Ischemic stroke often elicits profound white matter lesions, which results in poor neurological outcomes and impairing the recovery in post-stroke. However, few studies have focused on white matter lesions caused by c... Ischemic stroke often elicits profound white matter lesions, which results in poor neurological outcomes and impairing the recovery in post-stroke. However, few studies have focused on white matter lesions caused by cerebral ischemia. The present study was aimed to investigate the effects of cornel iridoid glycoside(CIG), a main active component extracted from Cornus officinalis, on the white matter injury induced by ischemic stroke. CIG(60 and 120 mg·kg-1) were administered intragastrically 6 h after middle cerebral artery occlusion reperfusion(MCAO) surgery once a day for 7 d. A series of behavioral tests were carried out to evaluate the neurological function of MCAO rats. White matter structure was detected by luxol fast blue staining and transmission electron microscopy. Immunohistochemical staining was used to assess myelin loss, oligodendrocytes maturation and glial activation. Results showed that CIG remarkably decreased neurological deficit score, accelerated the recovery of somatosensory and motor functions, and ameliorated the memory deficit in MCAO rats. CIG alleviated white matter lesions and demyelination, increased myelin basic protein expression and the number of mature oligodendrocytes in the corpus callosum of MCAO rats. Besides, CIG inhibited the activation of microglia and astrocytes. Further data obtained by western blot analysis indicated that CIG increased the expression of brain-derived neurotrophic factor(BDNF)/p-Trk B, neuregulin-1/Erb B, and PI3 K p110α/p-Akt/p-m TOR in the corpus callosum of MCAO rats. Our findings demonstrated that CIG protected against white matter lesions induced by cerebral ischemia and the mechanisms were partially contributed to increasing BDNF and activating neuregulin-1/Erb B signaling and its downstream PI3 K/Akt/m TOR pathway in white matter. 展开更多
关键词 cornel IRIDOID GLYCOSIDE white matter lesions cerebral ischemia brain-DERIVED NEUROTROPHIC factor NEUREGULIN-1 PATHWAY
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磁共振波谱成像联合弥散加权成像在早产儿脑白质损伤诊断及预后评估中的应用
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作者 洪菲 宋磊 +1 位作者 季菊花 储晓彬 《中国CT和MRI杂志》 2024年第2期28-31,共4页
目的探讨磁共振波谱成像(MRS)联合弥散加权成像(DWI)在早产儿脑白质损伤早期诊断以及其预后评估中的应用价值。方法选取2021年1月-2023年1月102例脑白质损伤早产儿作为病例组,同期选取98例非脑白质损伤早产儿作为对照组,记录两组早产儿... 目的探讨磁共振波谱成像(MRS)联合弥散加权成像(DWI)在早产儿脑白质损伤早期诊断以及其预后评估中的应用价值。方法选取2021年1月-2023年1月102例脑白质损伤早产儿作为病例组,同期选取98例非脑白质损伤早产儿作为对照组,记录两组早产儿相关临床指标,并在出生后7d实施MRS、DWI检查,比较两组MRS代谢指标、DWI参数差异,使用点二列相关性检验MRS代谢指标、DWI参数与早产儿脑白质损伤的关系,并绘制受试者工作曲线(ROC)分析MRS联合DWI对早产儿脑白质损伤的早期诊断价值。予以病例组患儿长期随访,在矫正年龄6个月时使用Gesell发育诊断量表将患儿分为预后不良组与预后良好组,比较并分析2组患儿MRS代谢指标、DWI参数对早产儿脑白质损伤预后的评估价值。结果病例组N-乙酰天冬氨酸(NAA)、NAA/Cr、rADC明显低于对照组,肌酸(Cr)明显高于对照组,差异有统计学意义(P<0.05)。经点二列相关性检验显示NAA、NAA/Cr、rADC与早产儿脑白质损伤存在负相关关系(r<0,P<0.05);Cr与早产儿脑白质损伤存在正相关关系(r>0,P<0.05)。绘制ROC显示NAA、Cr、NAA/Cr以及rADC对早产儿脑白质损伤诊断具有较低的诊断价值,AUC分别为0.629、0.630、0.605、0.603;MRS联合DWI具有良好的诊断价值,AUC为0.713。随访结果显示102例患儿中21例为边缘状态,53例为发育异常,共74例为预后不良组,另28例发育良好为预后良好组。预后不良组患儿NAA、NAA/Cr、rADC明显低于预后良好组,Cr明显高于预后良好组,差异有统计学意义(P<0.05)。经点二列相关性检验显示NAA、NAA/Cr、rADC与脑白质损伤患儿预后不良存在负相关关系(r<0,P<0.05);Cr与预后不良存在正相关关系(r>0,P<0.05)。绘制ROC曲线显示NAA、NAA/Cr以及rADC对脑白质损伤患儿预后具有较低的评估价值,AUC分别为0.641、0.639、0.688;Cr、MRS联合DWI对脑白质损伤患儿预后具有良好的评估价值,AUC分别为0.755、0.833,以联合评估价值最高。结论MRS联合DWI对早产儿脑白质损伤以及其预后均有良好的评估价值。 展开更多
关键词 磁共振波谱成像 弥散加权成像 脑白质损伤 早产儿 预后
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血管源性脑白质病变的研究进展
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作者 付超 杨燕妮 +2 位作者 刘春燕 李艳君 耿庆文 《中西医结合护理》 2024年第7期119-122,共4页
脑白质病变(WML)在是一种在老年人群中常见的影像学改变,是脑小血管病的影像学特征之一,病因复杂,临床表现不一,若未能及时干预,可进展为脑卒中、精神情感异常、运动功能障碍以及认知功能障碍等,严重影响患者生活质量。本研究从病理组... 脑白质病变(WML)在是一种在老年人群中常见的影像学改变,是脑小血管病的影像学特征之一,病因复杂,临床表现不一,若未能及时干预,可进展为脑卒中、精神情感异常、运动功能障碍以及认知功能障碍等,严重影响患者生活质量。本研究从病理组织学、病理生理机制及年龄、高血压、睡眠质量、体力活动及认知障碍等方面与WML的相关性进行综述,进一步分析老年患者发生WML的影响因素,以为相关诊断、治疗及预后提供数据参考。 展开更多
关键词 脑白质病变 脑血管 认知障碍 影像学检查
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脑白质病变及大脑皮层厚度与老年轻型卒中后认知功能障碍的相关性研究
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作者 焦琳娜 李宝仪 +1 位作者 王琴 何建丽 《实用老年医学》 CAS 2024年第3期287-290,共4页
目的探讨老年轻型卒中后认知功能障碍(PSCI)与脑白质病变、大脑皮层厚度的关系。方法回顾性分析158例老年轻型卒中病人的临床资料,根据MoCA评估结果分为非PSCI组和PSCI组(MoCA<26分),比较2组的基线资料、MRI影像改变、大脑皮层厚度,... 目的探讨老年轻型卒中后认知功能障碍(PSCI)与脑白质病变、大脑皮层厚度的关系。方法回顾性分析158例老年轻型卒中病人的临床资料,根据MoCA评估结果分为非PSCI组和PSCI组(MoCA<26分),比较2组的基线资料、MRI影像改变、大脑皮层厚度,并采用多因素Logistic回归分析老年轻型卒中病人发生PSCI的影响因素。结果PSCI组与非PSCI组的腔隙性缺血灶、脑微出血、DWI阳性病变及血管间隙扩大检出率差异无统计学意义(P>0.05)。PSCI组年龄大于非PSCI组,脑白质病变较非PSCI组严重(P<0.05)。2组的左额下回三角部及右额下回三角部皮质厚度差异无统计学意义(P>0.05),但PSCI组左眶额部、右眶额部、左额中回及右额中回的皮质厚度均明显低于非PSCI组(P<0.05)。多因素分析显示,年龄、中重度脑白质病变均为老年轻型卒中病人发生PSCI的危险因素(OR=1.704、1.826,均P<0.05),前额叶脑皮质厚度(左眶额部、右眶额部、左额中回、右额中回)为老年轻型卒中病人发生PSCI的保护因素(OR=0.820、0.838、0.834、0.827,均P<0.05)。结论年龄、脑白质中重度病变及前额叶脑皮质厚度变薄均与PSCI密切相关,通过头颅MRI检查脑白质及大脑皮质厚度变化,可为临床预测PSCI的发生提供参考依据。 展开更多
关键词 卒中后认知功能障碍 轻型卒中 脑白质病变 大脑皮层厚度 磁共振成像
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BDNF和HDL-C与老年帕金森病患者脑白质病变的关系
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作者 华雪 王立娜 马文波 《中国实用神经疾病杂志》 2024年第8期936-940,共5页
目的探讨血清脑源性神经营养因子(BDNF)和高密度脂蛋白胆固醇(HDL-C)与老年帕金森病(PD)患者脑白质病变(WML)的关系。方法筛选116例老年PD患者为研究组,依据Fazckas分级分成PD-WML组和PD组,另选取同期人口学资料匹配的40例健康体检者为... 目的探讨血清脑源性神经营养因子(BDNF)和高密度脂蛋白胆固醇(HDL-C)与老年帕金森病(PD)患者脑白质病变(WML)的关系。方法筛选116例老年PD患者为研究组,依据Fazckas分级分成PD-WML组和PD组,另选取同期人口学资料匹配的40例健康体检者为对照组。比较不同组别的相关资料,应用多因素Logistic分析PD患者WML的影响因素,受试者工作特征(ROC)曲线分析血清BDNF、HDL-C与PD患者WML的关系。结果116例PD患者WML发生率为72.41%(84/116),Ⅰ、Ⅱ、Ⅲ级分别43、30、11例。PD-WML组年龄、高血压患病率、统一帕金森病评定量表Ⅲ(UPDRS-Ⅲ)评分均高于PD组(P<0.05),血清BDNF[(4.83±1.15)μg/L比(6.12±1.20)μg/L]、TC[(4.37±0.96)mmol/L比(4.84±1.04)mmol/L]和HDL-C[(1.07±0.29)mmol/L比(1.23±0.32)mmol/L]明显低于PD组(P<0.05)。年龄、高血压、BDNF和HDL-C是PD患者发生WML的独立影响因素(P<0.05)。对照组、PD组、WML轻度组(Ⅰ级)、WML中重度组(Ⅱ~Ⅲ级)血清BDNF、HDL-C均呈依次下降趋势(P<0.05),WML中重度组血清BDNF、HDL-C水平均明显低于WML轻度组(P<0.05)。血清BDNF、HDL-C以及联合诊断PD患者发生WML的曲线下面积(AUC)为0.834、0.768、0.899,单独诊断的截断值分别为5.70μg/L、1.15 mmol/L。血清BDNF、HDL-C以及联合诊断PD发生中重度WML的AUC为0.820、0.766、0.833,单独诊断的截断值分别为4.79μg/L、1.02 mmol/L。结论血清BDNF、HDL-C是PD患者发生WML的保护因素,可有效预测PD患者发生WML和评估病情严重程度。 展开更多
关键词 帕金森病 脑白质病变 脑源性神经营养因子 高密度脂蛋白胆固醇 相关性
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缓解期双相情感障碍Ⅰ型患者白质纤维结构异常的扩散张量成像研究
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作者 林泰锋 杜碧茵 +3 位作者 陈锦佳 吴海珊 肖叶玉 陈俊浩 《放射学实践》 CSCD 北大核心 2024年第4期455-460,共6页
目的:探讨缓解期双相情感障碍(BD)Ⅰ型患者脑白质神经纤维束的改变,及患者认知功能与脑白质病变的关系。方法:采用汉密尔顿抑郁量表(HAMD),杨氏躁狂量表(YMRS)和重复性成套神经心理状态量表(RBANS)对患者进行入组的筛查与认知评估。应用... 目的:探讨缓解期双相情感障碍(BD)Ⅰ型患者脑白质神经纤维束的改变,及患者认知功能与脑白质病变的关系。方法:采用汉密尔顿抑郁量表(HAMD),杨氏躁狂量表(YMRS)和重复性成套神经心理状态量表(RBANS)对患者进行入组的筛查与认知评估。应用3.0T磁共振仪对76例缓解期BD-Ⅰ型患者以及66例年龄、性别相匹配的健康志愿者(对照组)行DTI扫描,使用PANDA软件包提取全脑白质纤维束的各向异性分数(FA)和平均扩散率(MD),采用独立样本t检验进行组间差异比较,及Pearson相关分析探讨BD组中各纤维束的FA与临床可重复神经心理状态测验(RBANS)评分间的相关性。结果:相较于对照组,BD-Ⅰ型组的左、右侧钩束、右侧上纵束、右侧下额枕束及左侧毯束的FA值降低,MD值升高,差异均具有统计学意义(P<0.01)。BD-Ⅰ型组的左、右侧钩束、右侧上纵束和右侧下额枕束的FA值与RBANS量表评估的总分及即刻记忆、延迟记忆、视觉广度和注意力四项因子的评分均具有正相关关系(r=0.32~0.44,P均<0.05)。结论:缓解期双相障碍BD I型患者多个脑白质神经纤维束微观结构受损,且与认知功能改变相关。 展开更多
关键词 双相情感障碍 扩散张量成像 脑白质 神经纤维束
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一种新的评估脑白质纤维形态变化的长度特征构建
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作者 董卫红 秦姣龙 +4 位作者 倪黄晶 罗丹丹 吴烨 姚志剑 卢青 《中国生物医学工程学报》 CAS CSCD 北大核心 2024年第2期173-182,共10页
基于弥散张量成像(DTI)数据可对全脑白质纤维进行三维呈现。当前对脑白质纤维的形态分析已用于研究在发育过程或病理情况下纤维形态的变化。本研究提出了一种新的逐脑白质纤维上点累加的欧氏空间距离表征其长度的特征,并进一步采用人类... 基于弥散张量成像(DTI)数据可对全脑白质纤维进行三维呈现。当前对脑白质纤维的形态分析已用于研究在发育过程或病理情况下纤维形态的变化。本研究提出了一种新的逐脑白质纤维上点累加的欧氏空间距离表征其长度的特征,并进一步采用人类连接组计划(HCP)数据集中的50例样本从两个方面探究该特征稳定性。其一,不同纤维跟踪算法重建出的脑白质纤维对特征的影响;其二,同一种纤维跟踪算法下不同的脑白质纤维根数对特征的影响。纳入HCP数据集中的254例被试,运用该特征采用基于体素的分析(VBA)方式初步探究性别对脑白质纤维形态的影响。通过类内相关性系数(ICC)模型的计算发现,在两种纤维跟踪算法重建出的总体纤维长度比较接近的情况下,颅内绝大部分体素对应特征值的ICC在0.4以上。此外,同一种纤维跟踪算法下不同的脑白质纤维根数对特征的影响甚微,颅内体素对应特征值的ICC集中在0.8以上。性别对脑白质纤维长度影响的分析结果发现,相比于男性,女性在丘脑、穹窿、小脑中脚和苍白球区域的脑白质纤维长度特征值显著偏高;男性在右侧直回和右侧苍白球区域特征值显著高于女性。所提出的脑白质纤维长度特征丰富了脑白质纤维形态分析方法,可用于研究脑发育和脑相关的疾病。 展开更多
关键词 脑白质纤维 长度特征 稳定性 性别差异
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烟雾病患者的脑白质损伤及认知功能减退的研究进展
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作者 徐永辉 赵金兵 +3 位作者 张光绪 仇诚 陈立久 马骏 《临床神经外科杂志》 2024年第4期452-455,459,共5页
烟雾病(MMD)的特征是颈内动脉的颅内段部分及其近端分支的进行性狭窄或闭塞,导致缺血性或出血性卒中,致残率、病死率高。已有很多研究发现,MMD患者普遍存在脑白质的高信号,并有不同程度的脑白质损伤。同时MMD患者认知功能也被发现存在... 烟雾病(MMD)的特征是颈内动脉的颅内段部分及其近端分支的进行性狭窄或闭塞,导致缺血性或出血性卒中,致残率、病死率高。已有很多研究发现,MMD患者普遍存在脑白质的高信号,并有不同程度的脑白质损伤。同时MMD患者认知功能也被发现存在普遍减退的现象,在手术治疗后白质损伤及认知功能也都会得到一定的改善,说明MMD患者脑白质损伤及认知功能下降存在一致性。本文综述了MMD白质损伤的研究进展及较为全面的评估方法,并对血运重建术后MMD患者白质损伤及认知功能改善情况进行了总结。 展开更多
关键词 烟雾病 脑白质 认知功能 脑血运重建术
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近期皮质下小梗死患者眼底脉络膜厚度与脑白质高信号的相关性研究
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作者 崔凯迪 张敏 +1 位作者 恽文伟 章晨焱 《中华老年心脑血管病杂志》 CAS 北大核心 2024年第9期1065-1068,共4页
目的 探讨近期皮质下小梗死(recent small subcortical infarct, RSSI)患者脉络膜厚度与脑白质高信号(white matter hyperintensities, WMH)的关系。方法 回顾性纳入2021年11月至2023年5月常州市第二人民医院神经内科住院的RSSI患者83例... 目的 探讨近期皮质下小梗死(recent small subcortical infarct, RSSI)患者脉络膜厚度与脑白质高信号(white matter hyperintensities, WMH)的关系。方法 回顾性纳入2021年11月至2023年5月常州市第二人民医院神经内科住院的RSSI患者83例,根据脑室旁白质高信号(periventricular white matter hyperintensity, PWMH)分为无-轻度1组46例,中重度1组37例;又根据深部白质高信号(deep subcortical white matter hyperintensities, DWMH)分为无-轻度2组40例,中重度2组43例。所有患者行头颅磁共振成像、光学相干断层成像检查。利用软件半自动分割脉络膜并测量厚度,按照WMH部位分为PWMH及DWMH,分析脉络膜厚度与不同部位WMH的关系。结果 中重度2组年龄、吸烟、高血压、DWMH体积明显高于无-轻度2组,脉络膜厚度明显薄于无-轻度2组,差异有统计学意义(P<0.05,P<0.01)。中重度1组年龄、吸烟、高血压、PWMH体积明显高于无-轻度1组,差异有统计学意义(P<0.05,P<0.01)。多因素logistic回归分析显示,年龄(OR=1.170,95%CI:1.064~1.287,P=0.001)、高血压(OR=4.533,95%CI:1.215~16.914,P=0.024)、脉络膜厚度(OR=0.953,95%CI:0.931~0.975,P=0.001)是DWMH等级的独立危险因素。结论 RSSI患者脉络膜厚度变化是DWMH病变程度的独立影响因素。DWMH病变越严重,脉络膜厚度越薄。 展开更多
关键词 脑梗死 脉络膜 磁共振成像 脑白质高信号
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磁共振扩散张量成像在青少年抑郁症中的研究进展
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作者 邓杰 邱丽华 《中国医学影像学杂志》 CSCD 北大核心 2024年第8期850-854,共5页
抑郁症是致残的主要原因之一,通常始于青春期。青少年抑郁症常导致学业失败、同伴关系不佳、行为问题、家庭及社会关系冲突,甚至自杀等不良后果,早期预防和积极有效的治疗至关重要。磁共振扩散张量成像技术能定量评价脑白质微结构,构建... 抑郁症是致残的主要原因之一,通常始于青春期。青少年抑郁症常导致学业失败、同伴关系不佳、行为问题、家庭及社会关系冲突,甚至自杀等不良后果,早期预防和积极有效的治疗至关重要。磁共振扩散张量成像技术能定量评价脑白质微结构,构建结构网络,可用于分析青少年抑郁症患者脑白质异常与症状、年龄、性别等临床变量的相关性。青少年抑郁症扩散张量成像研究显示,青少年抑郁症患者存在胼胝体、扣带束及钩状束等多个白质纤维束微结构异常,前额叶-纹状体环路、前额叶-边缘系统神经环路受损,且与记忆、情绪调节、奖励处理、认知加工等密切相关,与成人抑郁症中的发现一致。本研究对扩散张量成像的成像原理、数据处理方法及在青少年抑郁症中的应用进展进行简要综述,为今后的研究提供新思路。 展开更多
关键词 抑郁症 青少年 弥散张量成像 白质 结构性脑网络
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阻塞性睡眠呼吸暂停患者脑白质及认知功能损害的扩散磁共振成像研究进展
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作者 周天宇 朱小影 张清 《磁共振成像》 CAS CSCD 北大核心 2024年第1期199-204,228,共7页
阻塞性睡眠呼吸暂停(obstructive sleep apnea, OSA)是一种全球性的睡眠呼吸障碍疾病,特征是间歇性低氧血症、高碳酸血症、微觉醒和睡眠碎片化,会导致大脑在结构和功能方面发生改变,现已有很多研究表明OSA是认知功能损害的重要因素。扩... 阻塞性睡眠呼吸暂停(obstructive sleep apnea, OSA)是一种全球性的睡眠呼吸障碍疾病,特征是间歇性低氧血症、高碳酸血症、微觉醒和睡眠碎片化,会导致大脑在结构和功能方面发生改变,现已有很多研究表明OSA是认知功能损害的重要因素。扩散磁共振成像(diffusion magnetic resonance imaging, dMRI)通过测量水分子在组织中的扩散特性来获取有关组织微结构的详细信息,在检测组织微结构的病理变化方面具有极高的敏感度和特异度,尤其是在白质纤维病变的诊断中非常敏感。近年来,dMRI快速兴起,在OSA脑白质及认知功能损害的研究中得到了广泛应用。本文对OSA患者脑白质及认知功能损害的dMRI研究进展进行综述,多序列地分析OSA患者脑白质扩散参数的变化,进一步探讨OSA神经病理改变与认知功能损害的联系,从而为诊断OSA患者认知功能损害提供神经影像学依据。 展开更多
关键词 阻塞性睡眠呼吸暂停 扩散磁共振成像 磁共振成像 认知功能损害 脑白质
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