First-episode depression: Diffusion tensor imaging of deep white matter

Xi-zhen Wang, Shanshan Gao, Shuai Wang, Hongwei Sun, Yanyu Wang, Nengzhi Jiang, Guohua Xie
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Abstract

The value of diffusion tensor imaging (DTI) was investigated in the cerebral white matter microstructural abnormalities in patients with first-episode depression. Thirteen patients with first-episode depression and fourteen age- and gender-matched healthy volunteers were performed DTI. The apparent diffusion coefficient (ADC) and fractional anisotropy (FA) of prefrontal lobe deep white matter, the parahippocampal gyrus, the genu, body and splenium of the corpus callosum were recorded. FA and ADC in the deep white matter of frontal lobe, the right parahippocampal gyrus and the genu of the corpus callosum in the depression group were different from those of control group (P<;0.05). There were no significant differences of FA and ADC in the left parahippocampal gyrus and the body and splenium of the corpus callosum between two groups (P>0.05). DTI was valuable in detection of microstructural abnormalities of the white matter in patients with first-episode depression. The microstructural abnormalities in the deep white matter of frontal lobe, the right side of the parahippocampal gyrus and genu of the corpus callosum may be the neurobiological basis of first-episode depression.
首发抑郁:深部白质弥散张量成像
探讨弥散张量成像(DTI)在首发抑郁症患者脑白质微结构异常中的应用价值。13名首发抑郁症患者和14名年龄和性别匹配的健康志愿者进行了DTI。记录前额叶深部白质、海马旁回、膝、体、胼胝体脾的表观扩散系数(ADC)和分数各向异性(FA)。抑郁症组脑额叶深部白质、右侧海马旁回、胼胝体膝FA、ADC与对照组比较差异有统计学意义(P0.05)。DTI在检测首发抑郁症患者白质微结构异常方面有价值。额叶深部白质、海马旁回右侧和胼胝体膝的微结构异常可能是首发抑郁症的神经生物学基础。
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