The neuropathological mechanism of mild cognitive impairment (MCI) remains unclarified. Diffusion tensor imaging (DTI) studies revealed white matter (WM) microarchitecture alterations in MCI, but consistent findings and conclusions have not yet been drawn. The present coordinate-based meta-analysis (CBMA) of tract-based spatial statistics (TBSS) studies aimed to identify the most prominent and robust WM abnormalities in patients with MCI. A systematic search of relevant studies was conducted through January 2022 to identify TBSS studies comparing fractional anisotropy (FA) between MCI patients and healthy controls (HC). We used the seed-based d mapping (SDM) software to achieve the CBMA and analyze regional FA alterations in MCI. Meta-regression analysis was subsequently applied to explore the potential associations between clinical variables and FA changes. MCI patients demonstrated significantly decreased FA in widely distributed areas in the corpus callosum (CC), including the genu, body, and splenium of the CC, as well as one cluster in the left striatum. FA in the body of the CC and in three clusters in the splenium of the CC was negatively associated with the mean age. Additionally, FA in the genu of the CC and in three clusters in the splenium of the CC had negative correlations with the MMSE scores. Disrupted integrities of the CC and left striatum might play vital roles in the process of cognitive decline. These findings enhanced our understanding of the neural mechanism underlying WM neurodegeneration in MCI and provided perspectives for the early detection and intervention of dementia.
基金:
Medical and Health Science and Technology Development Plan of Shandong Province [202003061210]; Key Research and Development Plan of Jining City [2021YXNS024, 2022JNZC130]; Cultivation Plan of High-level Scientific Research Projects of Jining Medical University [JYGC2021KJ006]; National Natural Science Foundation of China [81901358]; Natural Science Foundation of Shandong Province [ZR2019BH001, ZR2021YQ55]; Young Taishan Scholars of Shandong Province [tsqn201909146]; Postgraduate Education and Teaching Reform Research Project of Shandong Province [SDYJG19212]; Fund for Teachers' Research of Jining Medical University [600903001]
第一作者机构:[1]Shandong Daizhuang Hosp, Dept Psychiat, Jining, Peoples R China
通讯作者:
通讯机构:[2]Jining Med Univ, Sch Mental Hlth, Jining, Peoples R China[5]Jining Med Univ, Affiliated Hosp, Dept Psychol, Jining, Peoples R China
推荐引用方式(GB/T 7714):
Li Longfei,Yang Wei,Wan Yu,et al.White matter alterations in mild cognitive impairment revealed by meta-analysis of diffusion tensor imaging using tract-based spatial statistics[J].BRAIN IMAGING AND BEHAVIOR.2023,17(6):639-651.doi:10.1007/s11682-023-00791-5.
APA:
Li, Longfei,Yang, Wei,Wan, Yu,Shen, Hailong,Wang, Ting...&Zhou, Cong.(2023).White matter alterations in mild cognitive impairment revealed by meta-analysis of diffusion tensor imaging using tract-based spatial statistics.BRAIN IMAGING AND BEHAVIOR,17,(6)
MLA:
Li, Longfei,et al."White matter alterations in mild cognitive impairment revealed by meta-analysis of diffusion tensor imaging using tract-based spatial statistics".BRAIN IMAGING AND BEHAVIOR 17..6(2023):639-651