白质高信号与认知障碍的关系。

IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Magnetic resonance imaging Pub Date : 2025-11-01 Epub Date: 2025-07-29 DOI:10.1016/j.mri.2025.110464
Wen-Jun Feng, Yu-Meng Gu, Xiao-Shuang Xia, Xin Li
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引用次数: 0

摘要

目的:本研究旨在研究白质高强度(WMH)患者的认知功能障碍特征,并比较不同程度的WMH严重程度在认知功能障碍方面的差异。方法:2018年11月至2022年12月,从某医院住院部和门诊部随机招募100名参与者。该队列包括55名患有脑血管疾病(CSVD)的患者和45名没有脑血管疾病的对照组。在CSVD组中,有37人患有WMH。对WMH组和对照组进行认知功能评估,以评估WMH相关认知功能障碍的特征。此外,通过比较不同WMH严重程度患者的认知量表得分和弥散张量成像(DTI)获得的分数各向异性(FA)值,分析认知表现和多脑区病变特征的变化。结果:对照组和CSVD组在年龄、高血压、糖尿病、冠心病、吸烟和体力活动方面存在统计学差异(P )。结论:WMH患者的认知功能障碍主要表现为执行功能和注意力的明显下降,而记忆和语言障碍则不太明显。严重的WMH与侧脑室前角的更大损伤相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of white matter hyperintensities with cognitive impairment.

Objective: This study aimed to examine the characteristics of cognitive impairment in individuals with white matter hyperintensities (WMH) and to compare differences in cognitive dysfunction across varying levels of WMH severity.

Methods: A total of 100 participants were randomly recruited from inpatient and outpatient departments of a hospital between November 2018 and December 2022. The cohort included 55 patients with cerebral small vessel disease (CSVD) and 45 control participants without CSVD. Among the CSVD group, 37 individuals had WMH. Cognitive function assessments were conducted for both the WMH and control groups to evaluate the characteristics of WMH-related cognitive dysfunction. Furthermore, cognitive scale scores and fractional anisotropy (FA) values obtained from diffusion tensor imaging (DTI) were compared among patients with varying WMH severity levels to analyze variations in cognitive performance and lesion characteristics across multiple brain regions.

Results: Statistically significant differences were observed between the control and CSVD groups in age, hypertension, diabetes, coronary heart disease, smoking, and physical activity (P < 0.05). The WMH and control groups demonstrated significant differences in the Montreal Cognitive Assessment (MoCA) total score, Digit Span Test (DST)-forward, DST-backward, Color Trail Test (CTT)-A, and CTT-B scores (p < 0.05). Significant differences were also identified between the mild and severe WMH groups (p < 0.05). Analysis of moderate and severe WMH groups indicated significant differences in FA values of the anterior horn of the lateral ventricle (p < 0.05), along with significant differences in age, DST-forward, and CTT-B scores (p < 0.05).

Conclusion: Cognitive impairment in individuals with WMH is predominantly characterized by marked declines in executive function and attention, while memory and language impairments are less pronounced. Severe WMH is associated with greater damage to the anterior horn of the lateral ventricle.

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来源期刊
Magnetic resonance imaging
Magnetic resonance imaging 医学-核医学
CiteScore
4.70
自引率
4.00%
发文量
194
审稿时长
83 days
期刊介绍: Magnetic Resonance Imaging (MRI) is the first international multidisciplinary journal encompassing physical, life, and clinical science investigations as they relate to the development and use of magnetic resonance imaging. MRI is dedicated to both basic research, technological innovation and applications, providing a single forum for communication among radiologists, physicists, chemists, biochemists, biologists, engineers, internists, pathologists, physiologists, computer scientists, and mathematicians.
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