Sun Jiaojiao, Zhao Xingfu, Zhou Jianbang, Dang Xinghong, Zhu Shenglong, Liu Liang, Zhou Zhenhe
Department of Geriatric Psychiatry, Wuxi Mental Health Center, Nanjing Medical University, Wuxi, Jiangsu, China.
Department of General Psychiatry, Yangzhou Wutaishan Hospital, Yangzhou, Jiangsu, China.
J Alzheimers Dis. 2023;91(2):767-778. doi: 10.3233/JAD-220780.
Resting-state function MRI (rs-fMRI) research on successful aging can provide insight into the mechanism of aging with a different perspective from aging-related disease.
rs-fMRI research was used to analyze the brain function characteristics of successful aging.
A total of 47 usual aging individuals and 26 successful aging (SA) individuals underwent rs-fMRI scans and neuropsychological tests. Volume-based rs-fMRI data analysis was performed with DPASF to obtain ALFF, ReHo, DC, and VMHC.
The SA group showed increased ALFF in right opercular part of inferior frontal gyrus (Frontal_Inf_Oper_R) and right supramarginal gyrus; increased ReHo in right middle temporal pole gyrus and decreased ReHo in left superior frontal gyrus and middle occipital gyrus; increased DC in right medial orbitofrontal gyrus and pulvinar part of thalamus; decreased DC in left fusiform gyrus and right medial frontal gyrus; increased VMHC in right medial orbitofrontal gyrus; and decreased VMHC in the right superior temporal gyrus, right and left middle temporal gyrus, right and left triangular part of inferior frontal gyrus. ALFF in Frontal_Inf_Oper_R were found to be significantly correlated with MMSE scores (r = 0.301, p = 0.014) and ages (r = -0.264, p = 0.032) in all subjects, which could be used to distinguish the SA (AUC = 0.733, 95% CI: 0.604-0.863) by ROC analysis.
The brain regions with altered fMRI characteristics in SA group were concentrated in frontal (6 brain regions) and temporal (4 brain regions) lobes. ALFF in Frontal_Inf_Oper_R was significantly correlated to cognitive function and ages, which might be used to distinguish the SA.
静息态功能磁共振成像(rs-fMRI)对成功老化的研究能够从与衰老相关疾病不同的角度深入了解衰老机制。
采用rs-fMRI研究分析成功老化的脑功能特征。
47名正常老化个体和26名成功老化(SA)个体接受rs-fMRI扫描及神经心理学测试。使用DPASF进行基于体素的rs-fMRI数据分析,以获取局部一致性(ALFF)、局部低频波动(ReHo)、动态聚类(DC)和体素镜像同伦连接性(VMHC)。
SA组在右侧额下回岛盖部(额下回岛盖部_R)和右侧缘上回的ALFF增加;右侧颞中极回的ReHo增加,左侧额上回和枕中回的ReHo减少;右侧眶额内侧回和丘脑枕部的DC增加;左侧梭状回和右侧额内侧回的DC减少;右侧眶额内侧回的VMHC增加;右侧颞上回、左右颞中回、左右额下回三角部的VMHC减少。发现所有受试者中额下回岛盖部_R的ALFF与简易精神状态检查表(MMSE)评分(r = 0.301,p = 0.014)和年龄(r = -0.264,p = 0.032)显著相关,通过ROC分析,其可用于区分SA(曲线下面积[AUC] = 0.733,95%置信区间[CI]:0.604 - 0.863)。
SA组功能磁共振成像特征改变的脑区集中在额叶(6个脑区)和颞叶(4个脑区)。额下回岛盖部_R的ALFF与认知功能和年龄显著相关,可能用于区分SA。