Altered Gray Matter Volume in Patients With Type 1 Diabetes Mellitus

Altered Gray Matter Volume in Patients With Type 1 Diabetes Mellitus
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1 型糖尿病患者灰质体积的改变

DOI:
10.3389/fendo.2020.00045
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发表时间:
2020-02
影响因子:
5.2
通讯作者:
Jing Wang
Jing Wang
中科院分区:
医学2区
文献类型:
--
作者:
Jia Liu;Wenliang Fan;Yuxi Jia;Xiaoyun Su;Wenjun Wu;Xi Long;Xin Sun;Jie Liu;Wengang Sun;Tanjing Zhang;Qiyong Gong;Haojun Shi;Qing Zhu;Jing Wang

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背景和目的:许多影像学研究报道了1型糖尿病(T1DM)患者使用基于体素的形态学(VBM)的结构改变。然而,报告的结果并不一致,而且没有进行定量审查。因此,进行了定量荟萃分析,包括T1DM患者的VBM研究。材料和方法:应用基于种子的d图软件,对T1DM患者的灰质体积改变进行估计。同时,采用Meta回归分析方法,对人口统计学特征和临床特征的影响进行分析。结果:最终纳入6篇文献,共6个数据集,包括414例T1DM患者和216例健康对照。汇总荟萃分析发现,T1 DM患者显示左侧背外侧上级回和额中回的灰质体积显著增加,右侧舌回、小脑、楔前叶、左侧颞下回和颞中回的灰质体积减少。Meta回归分析显示,T1DM患者的平均年龄、女性患者比例、病程和HbAlc%与灰质改变不呈线性相关。结论:本荟萃分析表明,T1DM患者的灰质体积减少主要位于皮层和小脑。
Background and Purpose: Many imaging studies have reported structure alterations in patients with type 1 diabetes mellitus (T1DM) by using voxel-based morphometry (VBM). Nevertheless, the results reported were inconsistent and had not been reviewed quantitatively. Accordingly, the quantitative meta-analysis which including VBM studies of patients with T1DM was conducted. Materials and Methods: The gray matter volume alterations in patients with T1DM was estimated by using the software seed-based d mapping. Meantime, the meta-regression was applied to detect the effects of some demographics and clinical characteristics. Results: Six studies were finally included, which with 6 datasets comprising 414 T1DM patients and 216 healthy controls. The pooled meta-analyses detected that patients with T1DM showed robustly increased gray matter volume in the left dorsolateral superior frontal gyrus and middle frontal gyrus and a decreased gray matter volume in the right lingual gyrus, cerebellum, precuneus, the left inferior temporal gyrus, and middle temporal gyrus. The meta-regression showed that the mean age, the female patient's ratio, duration of illness and HbAlc% for T1DM patients were not linearly related with gray matter alterations. Conclusion: This meta-analysis demonstrates that gray matter volume decreases in T1DM patients were mainly locates in the cortical regions and cerebellum.
DOI: 10.2337/db10-0598
发表时间: 2011-01
期刊: Diabetes
影响因子: 7.7
作者:
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DOI: 10.1038/srep33748
发表时间: 2016-09-21
期刊: Scientific reports
影响因子: 4.6
作者:
Meng L;Jiang J;Jin C;Liu J;Zhao Y;Wang W;Li K;Gong Q
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DOI: 10.2337/dc10-1446
发表时间: 2011-02
期刊: Diabetes care
影响因子: 16.2
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通讯作者: de Roos A