Frequency-Specific Alterations of Fractional Amplitude of Low-Frequency Fluctuations in Adult-Onset Hypothyroidism.

IF 2.5 4区 医学 Q3 NEUROSCIENCES
Qian Shi, Yalan Han, Jing Tian, Gang Huang, Limin Tian, Rui Qin, Jiancang Cao, Lianping Zhao
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引用次数: 0

Abstract

Background: The neuropathophysiological mechanisms of brain damage underlying hypothyroidism remain unclear. Fractional amplitude of low-frequency fluctuations (fALFF) has been established as a reliable indicator for investigation of abnormal spontaneous brain activity that occurs at specific frequencies in different types of mental disorder. However, the changes of fALFF in specific frequency bands in hypothyroidism have not yet been investigated.

Methods: Fifty-three hypothyroid patients and 39 healthy controls (HCs) underwent thyroid-related hormone levels tests, neuropsychological assessment, and magnetic resonance imaging (MRI) scans. The fALFF in the standard band (0.01-0.1 Hz), slow-4 (0.027-0.073 Hz), and slow-5 bands (0.01-0.027 Hz) were analyzed. An analysis of Pearson correlation was conducted between fALFF, thyroid-related hormone levels, and neuropsychological scores in hypothyroid patients.

Results: Compared to HCs, within the routine band, hypothyroidism group showed significantly decreased fALFF in left lingual gyrus, middle temporal gyrus (MTG), precentral gyrus, calcarine cortex, and right inferior occipital gyrus; within the slow-5 band, the hypothyroidism group exhibited decreased fALFF in left lingual gyrus, MTG, superior temporal gyrus, postcentral gyrus, and paracentral lobule, and increased fALFF in supplementary motor area (SMA) and right middle frontal gyrus; additionally, fALFF in the left lingual gyrus within the routine and slow-5 bands were negatively correlated with the level of thyroid stimulating hormone.

Conclusions: In this study, the slow-5 frequency band exhibits better sensitivity than the standard band in detecting fALFF values. A decrease of fALFF values in the lingual gyrus and MTG was observed in both the standard and slow-5 bands and might present potential neuroimaging biomarkers for hypothyroidism.

Clinical trial registration: No: ChiCTR2000028966. Registered 9 January, 2020, https://www.chictr.org.cn.

成年甲状腺功能减退症患者低频波动分振幅的频率特异性变化
背景:甲状腺功能减退症导致脑损伤的神经病理生理机制仍不清楚。低频波动分数振幅(fALFF)已被确定为一种可靠的指标,可用于研究不同类型精神障碍患者在特定频率下出现的异常自发脑活动。然而,甲状腺功能减退症患者特定频段的 fALFF 变化尚未得到研究:53名甲减患者和39名健康对照组(HCs)接受了甲状腺相关激素水平检测、神经心理学评估和磁共振成像(MRI)扫描。对标准波段(0.01-0.1 Hz)、慢-4 波段(0.027-0.073 Hz)和慢-5 波段(0.01-0.027 Hz)的 fALFF 进行了分析。对甲状腺功能减退症患者的fALFF、甲状腺相关激素水平和神经心理学评分进行了皮尔逊相关性分析:与普通人群相比,在常规波段内,甲减患者左侧舌回、颞中回(MTG)、中央前回、钙皮质和右侧枕下回的 fALFF 明显降低;在慢-5 波段内,甲减患者左侧舌回、颞中回(MTG)、中央前回、钙皮质和右侧枕下回的 fALFF 明显降低;在慢-5波段中,甲减组人的左舌回、颞中回、颞上回、中央后回和中央小叶旁的fALFF减少,而辅助运动区(SMA)和右额中回的fALFF增加;此外,常规波段和慢-5波段中左舌回的fALFF与促甲状腺激素水平呈负相关。结论在这项研究中,慢-5 频段在检测 fALFF 值方面比标准频段表现出更高的灵敏度。在标准频段和慢5频段中均观察到舌回和MTG的fALFF值下降,这可能是甲状腺功能减退症的潜在神经影像生物标记物:临床试验注册号:ChiCTR2000028966。注册时间:2020年1月9日,https://www.chictr.org.cn。
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来源期刊
CiteScore
2.80
自引率
5.60%
发文量
173
审稿时长
2 months
期刊介绍: JIN is an international peer-reviewed, open access journal. JIN publishes leading-edge research at the interface of theoretical and experimental neuroscience, focusing across hierarchical levels of brain organization to better understand how diverse functions are integrated. We encourage submissions from scientists of all specialties that relate to brain functioning.
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