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Shao Y, Li L, Peng W, Lu W, Wang Y. Age-related changes in the healthy adult visual pathway: evidence from diffusion tensor imaging with fixel-based analysis. RADIOLOGIE (HEIDELBERG, GERMANY) 2023; 63:73-81. [PMID: 37603069 DOI: 10.1007/s00117-023-01192-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 06/06/2023] [Indexed: 08/22/2023]
Abstract
BACKGROUND AND PURPOSE Fixel-based analysis (FBA) is a new method that overcomes the technical limitations of diffusion tensor imaging (DTI) by enabling the characterization of multiple fiber populations within a voxel, and provides biologically meaningful indicators. This study aimed to explore age-related changes in the visual pathway in healthy adults and to observe differences in imaging quality between data collected using different b‑values. METHODS In this prospective cross-sectional study, brain DTI scans which were collected with more than six uniformly distributed gradient directions and higher b‑values (up to 2000 s/mm2) than traditional DTI were performed in 72 healthy adults across the adult lifespan (20-79 years). After image preprocessing, FBA was used to process the dataset. At the same time, conventional DTI metrics were also calculated. RESULTS Pearson's correlation analysis showed that DTI parameters of white matter (optic nerve, optic chiasma, optic tract, and optic radiation) in the optic pathway were correlated with age. FA values were negatively correlated with age, while MD/AD/RD showed a positive correlation (P < 0.05). FBA showed that the index including FD/FC/FDC tended to decline with age (P < 0.05). Linear regression analysis showed a linear relationship between DTI metrics of the dataset collected by b‑values of 1000 and 2000 s/mm2 (P < 0.05). CONCLUSION FBA provides a useful method to assess age-related changes in the visual pathway, which is sensitive to diffusion. In addition, the b‑value influences DTI parameters and signal-to-noise ratio of the image.
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Affiliation(s)
- Yan Shao
- The Second Affiliated Hospital of Shandong First Medical University, 271000, Taian, Shandong, China
| | - Li Li
- The Second Affiliated Hospital of Shandong First Medical University, 271000, Taian, Shandong, China
| | - Wei Peng
- Department of Radiology, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430000, Wuhan, Hubei, China
| | - Weizhao Lu
- The Second Affiliated Hospital of Shandong First Medical University, 271000, Taian, Shandong, China
| | - Yi Wang
- Department of Ophthalmology, The Second Affiliated Hospital of Shandong First Medical University & Shandong Academy of Medical Sciences, 271000, Taian, Shandong, China.
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Luo YQ, Liang RB, Xu SH, Pan YC, Li QY, Shu HY, Kang M, Yin P, Zhang LJ, Shao Y. Altered regional brain white matter in dry eye patients: a brain imaging study. Aging (Albany NY) 2022; 14:2805-2818. [PMID: 35332110 PMCID: PMC9004581 DOI: 10.18632/aging.203976] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 03/15/2022] [Indexed: 12/03/2022]
Abstract
This study aimed to investigate the regional changes of brain white matter (WM) in DE patients using diffusion tensor imaging (DTI) and neurite orientation dispersion and density imaging (NODDI). A total of 25 dry eye patients (PAT) and 25 healthy controls (HC) were recruited. All subjects underwent DTI and NODDI, fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD), isotropic volume fraction (FISO), intra-cellular volume fraction (FICVF), and orientation dispersion index (ODI) were obtained respectively. Then complete Hospital Anxiety and Depression Scale (HADS), anxiety score (AS) or depression scores (DS) were obtained. Receiver operating characteristic (ROC) curve analysis was used to evaluate the reliability of DTI and NODDI in distinguishing the two groups. DTI revealed that PAT had lower FA in both the left superior longitudinal fasciculus (LSLF) and the corpus callosum (CC), and higher MD in the LSLF, the right posterior limb of the internal capsule and the right posterior thalamic radiation. PAT had significant AD changes in regions including the genu of the CC, the right posterior limb of internal capsule, and the right splenium of the CC. From NODDI, PAT showed increased ODI in the LSLF and increased FISO in the right splenium of the CC. FICVF showed a significant decrease in the LSLF while increased in the left anterior corona radiata and the CC. Furthermore, the average values of MD and FICVF were significantly correlated with DS and AS. Hence the results of this study suggest that there are regional changes in WM in DE patients which may contribute to further understanding of the pathological mechanism of DE.
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Affiliation(s)
- Yun-Qing Luo
- Department of Ophthalmology, The Second Affiliated Hospital of Nanchang University, Jiangxi Province Ocular Disease Clinical Research Center, Nanchang 330006, Jiangxi, PR China
| | - Rong-Bin Liang
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Jiangxi Province Medical Imaging Research Institute, Nanchang 330006, Jiangxi, PR China
| | - San-Hua Xu
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Jiangxi Province Medical Imaging Research Institute, Nanchang 330006, Jiangxi, PR China
| | - Yi-Cong Pan
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Jiangxi Province Medical Imaging Research Institute, Nanchang 330006, Jiangxi, PR China
| | - Qiu-Yu Li
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Jiangxi Province Medical Imaging Research Institute, Nanchang 330006, Jiangxi, PR China
| | - Hui-Ye Shu
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Jiangxi Province Medical Imaging Research Institute, Nanchang 330006, Jiangxi, PR China
| | - Min Kang
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Jiangxi Province Medical Imaging Research Institute, Nanchang 330006, Jiangxi, PR China
| | - Pin Yin
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Jiangxi Province Medical Imaging Research Institute, Nanchang 330006, Jiangxi, PR China
| | - Li-Juan Zhang
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Jiangxi Province Medical Imaging Research Institute, Nanchang 330006, Jiangxi, PR China
| | - Yi Shao
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Jiangxi Province Medical Imaging Research Institute, Nanchang 330006, Jiangxi, PR China
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Graham KL, Johnson PJ, Barry EF, Pérez Orrico M, Soligo DJ, Lawlor M, White A. Diffusion tensor imaging of the visual pathway in dogs with primary angle-closure glaucoma. Vet Ophthalmol 2020; 24 Suppl 1:63-74. [PMID: 32990378 DOI: 10.1111/vop.12824] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 08/09/2020] [Accepted: 08/14/2020] [Indexed: 12/13/2022]
Abstract
OBJECTIVE To describe measurements of in vivo structures of the visual pathway beyond the retina and optic nerve head associated with canine primary angle-closure glaucoma (PACG). METHODS A prospective pilot study was conducted using magnetic resonance diffusion tensor imaging (DTI) to obtain quantitative measures of the optic nerve, chiasm, tract, and lateral geniculate nucleus (LGN) in dogs with and without PACG. 3-Tesla DTI was performed on six affected dogs and five breed, age- and sex-matched controls. DTI indices of the optic nerve, optic chiasm, optic tracts, and LGN were compared between normal, unilateral PACG, and bilateral PACG groups. Intra-class correlation coefficient (ICC) was calculated to assess intra-observer reliability. RESULTS Quantitative measurements of the optic nerve, optic tract, optic chiasm, and LGN were obtained in all dogs. There was a trend for reduced fractional anisotropy (FA) associated with disease for all structures assessed. Compared to the same structure in normal dogs, FA, and radial diffusivity (RD) of the optic nerve was consistently higher in the unaffected eye in dogs with unilateral PACG. Intra-observer reliability was excellent for measurements of the optic nerve (ICC: 0.92), good for measurements of the optic tract (ICC: 0.89) and acceptable for measures of the optic chiasm (ICC: 0.71) and lateral geniculate nuclei (ICC: 0.76). CONCLUSION Diffusivity and anisotropy measures provide a quantifiable means to evaluate the visual pathway in dogs. DTI has potential to provide in vivo measures of axonal and myelin injury and transsynaptic degeneration in canine PACG.
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Affiliation(s)
- Kathleen L Graham
- Clinical Ophthalmology and Eye Health, University of Sydney, Sydney, NSW, Australia
| | | | - Erica F Barry
- Cornell College of Veterinary Medicine, Ithaca, NY, USA
| | | | | | - Mitchell Lawlor
- Clinical Ophthalmology and Eye Health, University of Sydney, Sydney, NSW, Australia
| | - Andrew White
- Clinical Ophthalmology and Eye Health, University of Sydney, Sydney, NSW, Australia.,Westmead Institute for Medical Research, Westmead, NSW, Australia
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Huang X, Li HJ, Peng DC, Ye L, Yang QC, Zhong YL, Zhou FQ, Shao Y. Altered brain network centrality in patients with late monocular blindness: a resting-state fMRI study. Arch Med Sci 2019; 15:1301-1307. [PMID: 31572477 PMCID: PMC6764322 DOI: 10.5114/aoms.2019.87133] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Accepted: 05/22/2017] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION The aim of the study was to investigate the underlying functional network brain activity changes in patients with late monocular blindness (MB) and the relationship with their clinical features using the voxel-wise degree centrality (DC) method. MATERIAL AND METHODS A total of 32 patients with MB (25 males and 7 females), and 32 healthy controls (HCs) (25 males and 7 females) closely matched in age, sex, and education, underwent resting-state functional magnetic resonance imaging scans. The DC method was used to assess local features of spontaneous brain activity. Correlation analysis was performed to explore the relationships between the observed mean DC signal values of the different areas and clinical features in these patients. RESULTS Compared with HCs, MB patients had significantly lower DC values in the bilateral cuneus/V1/V2, and significantly higher DC values in the left inferior temporal gyrus and bilateral medial frontal gyrus. However, there was no relationship between the observed mean DC values of the different brain areas and the behavioral performance. CONCLUSIONS Late monocular blindness involves brain function network dysfunction in many regions, which might indicate impairment of the visual cortex and other vision-related brain regions in the MBs.
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Affiliation(s)
- Xin Huang
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Hai-Jun Li
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - De-Chang Peng
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Lei Ye
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Qi-Chen Yang
- Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China
| | - Yu-Lin Zhong
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Fu-Qing Zhou
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Yi Shao
- Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Nanchang, China
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Wu CN, Duan SF, Mu XT, Wang Y, Lan PY, Wang XL, Li KC. Assessment of optic nerve and optic tract alterations in patients with orbital space-occupying lesions using probabilistic diffusion tractography. Int J Ophthalmol 2019; 12:1304-1310. [PMID: 31456921 DOI: 10.18240/ijo.2019.08.11] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 05/15/2019] [Indexed: 12/29/2022] Open
Abstract
AIM To investigate the diffusion changes in both the optic nerve and optic tract in orbital space-occupying lesion patients with decreased visual acuity, and its clinical significance using probabilistic diffusion tractography (PDT). METHODS Twenty patients with orbital space-occupying lesions and 25 age- and gender-matched healthy persons were included. All patients and controls underwent routine orbital magnetic resonance imaging and diffusion tensor imaging (DTI), using a 3.0T magnetic resonance scanner (Trio Tim Siemens). After the image data were preprocessed, each DTI parameters of the optic nerve and optic tract was obtained by PDT, including fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD) and radial diffusivity (RD). The asymmetry index (AI) of each parameter was calculated. Compared the parameters of the affected side optic nerve and ipsilateral optic tract with the contralateral side by paired sample t-test; compared AI of parameters of optic nerve and optic tract between the patient group and the control group by independent sample t-test. Patients were divided into three subgroups according to the low vision grade standard of WHO, compared the FA and AI of FA between the three subgroups by single factor variance analysis. RESULTS The affected side optic nerve presented significantly decreased FA, increased MD, AD, and RD values compared to the unaffected side (P<0.05). The AI of FA, MD, AD, and RD of optic nerve in the patients was significantly higher than that of the controls (P<0.05). The comparison results of the optic tract showed that there was no significant difference between the patient group and control group in terms of the bilateral optic tracts in patients (P>0.05). The AIs of the FA value of the optic nerve in the eyesight <0.1 subgroup was significantly higher than that in the other groups (P<0.05). CONCLUSION FA, MD, AD, and RD of the affected side optic nerve of the orbital space-occupying lesions have significantly changed, the FA value is the most sensitive. The PDT could be a useful tool to provide valid quantitative markers of optic nerve injuries and evaluate the severity of orbital diseases, which other examinations cannot be acquired.
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Affiliation(s)
- Chun-Nan Wu
- Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.,Department of Radiology, the Third Medical Center of Chinese PLA General Hospital, Beijing 100039, China
| | - Shao-Feng Duan
- Division of Nuclear Technology and Applications, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049, China.,Beijing Engineering Research Center of Radiographic Techniques and Equipment, Beijing 100049, China
| | - Xue-Tao Mu
- Department of Radiology, the Third Medical Center of Chinese PLA General Hospital, Beijing 100039, China
| | - Yi Wang
- Orbital Disease Institute, the Third Medical Center of Chinese PLA General Hospital, Beijing 100039, China
| | - Peng-Yu Lan
- Department of Radiology, the Third Medical Center of Chinese PLA General Hospital, Beijing 100039, China
| | - Xiao-Lu Wang
- Department of Otolaryngology, the Third Medical Center of Chinese PLA General Hospital, Beijing 100039, China
| | - Kun-Cheng Li
- Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
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Altered regional homogeneity in patients with late monocular blindness: a resting-state functional MRI study. Neuroreport 2018; 28:1085-1091. [PMID: 28858036 PMCID: PMC5916480 DOI: 10.1097/wnr.0000000000000855] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Many previous studies have demonstrated that the blindness patients have has functional and anatomical abnormalities in the visual and other vision-related cortex. However, changes in the brain function in late monocular blindness (MB) at rest are largely unknown. In this study, we investigated the underlying regional homogeneity (ReHo) of brain-activity abnormalities in patients with late MB and their relationship with clinical features. A total of 32 patients with MB (25 male and seven female) and 32 healthy controls (HCs) (25 male and seven female) closely matched in age, sex, and education underwent resting-state functional MRI scans. The ReHo method was used to assess local features of spontaneous brain activities. Patients with MB were distinguishable from HCs using the receiver operating characteristic curve. The relationship between the mean ReHo in brain regions and the behavioral performance was calculated using correlation analysis. Compared with HCs, patients with MB showed significantly decreased ReHo values in the right rectal gyrus, right cuneus, right anterior cingulate, and right lateral occipital cortex and increased ReHo values in the right inferior temporal gyrus, right frontal middle orbital, left posterior cingulate/precuneus, and left middle frontal gyrus. However, there was no significant relationship between the different mean ReHo values in the brain regions and the clinical features. Late MB involves abnormalities of the visual cortex and other vision-related brain regions, which may reflect brain dysfunction in these regions.
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