Altered resting cerebral blood flow specific to patients with diabetic retinopathy revealed by arterial spin labeling perfusion magnetic resonance imaging.

Background: Previous neuroimaging studies have shown that patients with diabetic retinopathy (DR) were accompanied by abnormalities in cerebral functional and structural architecture, whereas the resting cerebral blood flow (CBF) alterations in patients with DR are not well understood.Purpose: To ex...

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Publicado en:Acta Radiologica Vol. 62; no. 4; pp. 524 - 533
Autores principales: Huang, Xin, Wen, Zhi, Tong, Yan, Qi, Chen-Xing, Shen, Yin
Formato: diagnostic images research tables/charts Journal Article
Publicado: Sage Publications Inc. Apr2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2021
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      pub: Sage Publications Inc.
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        atl: Altered resting cerebral blood flow specific to patients with diabetic retinopathy revealed by arterial spin labeling perfusion magnetic resonance imaging.
      aug:
        au:
          Huang, Xin
          Wen, Zhi
          Tong, Yan
          Qi, Chen-Xing
          Shen, Yin
        affil: Eye Center, Renmin Hospital of Wuhan University, Wuhan, Hubei, PR China
      sug:
        subj:
          Free Radicals
          Perfusion Magnetic Resonance Imaging
          Cerebrovascular Circulation
          Diabetic Retinopathy Physiopathology
          Diabetic Retinopathy
          Male
          Middle Age
          Adult
          Female
          Clinical Assessment Tools
          Human
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Male
          Female
      ab: Background: Previous neuroimaging studies have shown that patients with diabetic retinopathy (DR) were accompanied by abnormalities in cerebral functional and structural architecture, whereas the resting cerebral blood flow (CBF) alterations in patients with DR are not well understood.Purpose: To explore CBF alterations in patients with DR using pseudo-continuous arterial spin labeling (pCASL) imaging.Material and Methods: Thirty-one individuals with DR (15 men, 16 women; mean age = 53.38 ± 9.12 years) and 33 healthy controls (HC) (12 men, 21 women; mean age = 51.61 ± 9.84 years) closely matched for age, sex, and education, underwent pCASL imaging scans. Two-sample T test was conducted to compare different CBF values between two groups.Results: Patients with DR exhibited significantly increased CBF values in the left middle temporal gyrus (Brodmann's area, BA 22) and the bilateral supplementary motor area (BA3) and decreased CBF values in the bilateral calcarine (BA17,18) and bilateral caudate relative to HC group (two-tailed, voxel level at P < 0.01, Gaussian random field (GRF), cluster level at P < 0.05). Moreover, the HbA1c (%) level showed a positive correlation with CBF values in the bilateral caudate (r = 0.473, P = 0.007) in patients with DR.Conclusion: Our results highlighted that patients with DR had abnormal CBF values in the visual cortices, caudate, middle temporal gyrus, and supplementary motor area, which might reflect vision and sensorimotor and cognition dysfunction in patients with DR. These findings might help us to understanding the neural mechanism of patients with DR.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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