COVID-19 感染后的弥散张量成像：系统回顾

IF 4.7 2区医学 Q1 NEUROIMAGING

NeuroImage Pub Date : 2025-03-15 DOI:10.1016/j.neuroimage.2025.121150

Breanna K. Nelson , Lea N. Farah , Sidney A. Saint , Catie Song , Thalia S. Field , Vesna Sossi , A. Jon Stoessl , Cheryl Wellington , William G. Honer , Donna Lang , Noah D. Silverberg , William J. Panenka

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Diffusion tensor imaging after COVID-19 infection: A systematic review

Background

Most COVID-19 neuroimaging research focuses on clinically evident lesions occurring during the acute period after infection. Chronic effects on brain structure, especially at a microstructural level, are less well defined. Existing advanced neuroimaging studies report inconsistent differences in white matter integrity after COVID-19 infection. Our aim was to systematically evaluate the advanced neuroimaging literature with a specific focus on examining diffusion MRI (dMRI) abnormalities observable after the resolution of the acute phase of COVID-19 illness.

Methods

A search of the literature was conducted on PubMed, Embase, and Scopus on May 27th, 2023, and an updated search was performed September 20th, 2024. Inclusion criteria were a quantitative comparison of dMRI metrics between COVID-19 patients and non-COVID-19 volunteers with MRI acquired >6 weeks after COVID-19. Studies that included only subgroups of COVID-19 patients with specific symptoms, case reports, and post-mortem studies were excluded. Forwards and backwards citation chasing were performed.

Results

The initial search identified 1709 unique records, and 11 met inclusion criteria. Most studies included hospitalized COVID-19 patients, with brain MRI acquired between 2 and 6 months after COVID-19 infection. The majority of studies reported lower fractional anisotropy and higher mean diffusivity in the post-COVID-19 cohort, compared to non-COVID-19 controls. However, there were inconsistent findings, with one study reporting higher fractional anisotropy after COVID-19 infection. Cohorts with a more severe acute COVID-19 illness tended to have lower fractional anisotropy and higher mean diffusivity than cohorts with a milder illness course. Compared to shorter follow-up periods, a longer time between COVID-19 and MRI was associated with fewer differences between COVID-19 patients and non-COVID-19 volunteers.

Conclusion

A review of the literature indicates that the heterogeneity of findings regarding dMRI metrics after the resolution of the acute phase of COVID-19 illness may be due in part to the severity of COVID-19 illness and the time between COVID-19 and MRI. Future studies should also consider how different SARS-CoV-2 variants differentially affect the structural brain differences after COVID-19.

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来源期刊

NeuroImage 医学-核医学

CiteScore

11.30

自引率

10.50%

发文量

809

审稿时长

63 days

期刊介绍： NeuroImage, a Journal of Brain Function provides a vehicle for communicating important advances in acquiring, analyzing, and modelling neuroimaging data and in applying these techniques to the study of structure-function and brain-behavior relationships. Though the emphasis is on the macroscopic level of human brain organization, meso-and microscopic neuroimaging across all species will be considered if informative for understanding the aforementioned relationships.