White matter microstructural alterations in chronic insomnia: an automated fiber quantification study linking diffusion changes to symptom severity.

IF 2 4区 医学 Q4 CLINICAL NEUROLOGY
Sleep and Biological Rhythms Pub Date : 2026-03-30 eCollection Date: 2026-07-01 DOI:10.1007/s41105-026-00650-y
Zhengwei Qu, Wenzheng Zhang, Maoyang Wang, Wen Li, Shengyan Miao, Chenyu Wang, Haizhu Xie, Jun Li, Xueyan Zhang
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引用次数: 0

Abstract

Purpose: Investigate white matter alterations in chronic insomnia (CI) using Automated Fiber Quantification (AFQ).

Methods: Diffusion tensor imaging data from 49 CI patients and 27 healthy controls were profiled for fractional anisotropy (FA), axial/mean/radial diffusivity (AD/MD/RD) across 100 nodes of 18 tracts.

Results: CI showed increased AD in bilateral anterior thalamic radiations, right inferior longitudinal fasciculus, right arcuate fasciculus; increased MD in bilateral anterior thalamic radiations, right corticospinal tract, forceps minor of the corpus callosum, and right inferior longitudinal fasciculus. Changes in specific segments correlated significantly with clinical scores.

Conclusions: AFQ reveals fiber-specific abnormalities linked to clinical scores in CI.

慢性失眠症的白质微结构改变:一项自动纤维定量研究将扩散变化与症状严重程度联系起来。
目的:利用自动纤维定量(AFQ)研究慢性失眠症(CI)患者的白质改变。方法:对49例CI患者和27例健康对照者的弥散张量成像数据进行分析,分析18个束100个淋巴结的分数各向异性(FA)、轴向/平均/径向弥散性(AD/MD/RD)。结果:CI显示双侧丘脑前区、右下纵束、右弓状束AD增高;双侧丘脑前辐射、右侧皮质脊髓束、胼胝体小管和右侧下纵束的MD增加。特定节段的变化与临床评分显著相关。结论:AFQ揭示了与CI临床评分相关的纤维特异性异常。
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来源期刊
Sleep and Biological Rhythms
Sleep and Biological Rhythms 医学-临床神经学
CiteScore
2.20
自引率
9.10%
发文量
71
审稿时长
>12 weeks
期刊介绍: Sleep and Biological Rhythms is a quarterly peer-reviewed publication dealing with medical treatments relating to sleep. The journal publishies original articles, short papers, commentaries and the occasional reviews. In scope the journal covers mechanisms of sleep and wakefullness from the ranging perspectives of basic science, medicine, dentistry, pharmacology, psychology, engineering, public health and related branches of the social sciences
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