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11C-PIB-PET/CT与神经心理量表在轻度认知功能障碍和阿尔茨海默病中的相关性研究
Study on the relationship between11C-PIB-PET/CT and neuropsychological scales in mild cognitive impairment and Alzheimer's disease
- 重庆医科大学学报 2021年46卷第11期 页码：1370-1375
- 作者机构：
吉林大学中日联谊医院南湖神经内科、吉林省记忆与认知障碍疾病工程实验室，长春 130000
- 作者简介：
[ "陈文鸿，Email：245338431@qq.com，研究方向：阿尔茨海默病。" ]
赵晴，博士、吉林大学中日联谊医院主任医师、主任、博导。吉林省医学会神经病学专业委员会常委、痴呆及认知障碍学组副组长，中国老年医学会认知及心理障碍分会委员，中国微循环学会神经变性病专业委员会委员、东北分会常委，中国卒中学会血管性认知障碍学组委员，国际阿尔茨海默病防治协会首届神经认知分会委员，中国中药协会脑病药物研究专业委员会常委，中国老年学和老年医学会脑认知与健康分会常委，吉林省医师协会神经病学分会委员、运动障碍学组常委，吉林省卒中学会老年病学组委员；中国全科医学杂志及中国组织工程学杂志外审专家；现承担部省级课题10项，可支配经费400万元；发表文章50余篇，其中SCI论文20篇，核心期刊论文30余篇，编著1部；获吉林大学医疗成果奖4项。Email：zhaoqing@jlu.edu.cn。
- 基金信息：吉林省科技发展计划资助项目(20200404076YY);吉林省记忆与认知障碍疾病工程实验室资助项目(2020C054)
DOI：10.13406/j.cnki.cyxb.002928
中图分类号： R749.1纸质出版日期：2021-11-28，
收稿日期：2021-08-11，
扫 描 看 全 文
陈文鸿, 李松涛, 马阳阳, 等. 11C-PIB-PET/CT与神经心理量表在轻度认知功能障碍和阿尔茨海默病中的相关性研究[J]. 重庆医科大学学报, 2021,46(11):1370-1375.
Wenhong Chen, Songtao Li, Yangyang Ma, et al. Study on the relationship between11C-PIB-PET/CT and neuropsychological scales in mild cognitive impairment and Alzheimer's disease[J]. Journal of Shanxi Agricultural Sciences, 2021,46(11):1370-1375.
陈文鸿, 李松涛, 马阳阳, 等. 11C-PIB-PET/CT与神经心理量表在轻度认知功能障碍和阿尔茨海默病中的相关性研究[J]. 重庆医科大学学报, 2021,46(11):1370-1375. DOI： 10.13406/j.cnki.cyxb.002928.
Wenhong Chen, Songtao Li, Yangyang Ma, et al. Study on the relationship between11C-PIB-PET/CT and neuropsychological scales in mild cognitive impairment and Alzheimer's disease[J]. Journal of Shanxi Agricultural Sciences, 2021,46(11):1370-1375. DOI： 10.13406/j.cnki.cyxb.002928.
摘要
目的：
2
探索
11
C-匹兹堡化合物B正电子发射断层扫描成像（[N-methyl-
11
C]-2-（4-methylaminophenyl）-6-hydroxybenzothiazole，positron emission tomography，
11
C-PIB-PET/CT）与神经心理量表在轻度认知功能障碍（mild cognitive impairment，MCI）和阿尔茨海默病（Alzheimer's disease，AD）的关系。
方法：
2
选取吉林大学中日联谊医院神经内科2018年1月至2020年12月符合纳入标准的阿尔茨海默病及轻度认知功能障碍门诊及住院患者27例，收集患者一般资料、神经心理测试量表评分和
11
C-PIB-PET/CT成像，使用pMOD软件对患者
11
C-PIB-PET/CT成像进行处理，得到患者各脑区
11
C-PIB的标准摄取值比（standardized uptake value ratio，SUVR），组间对比得到显著差异的脑区，对所有患者具有显著差异的脑区SUVR与神经心理测试量表进行统计学分析。
结果：
2
①AD组SUVR均值高于MCI组SUVR均值，组间差异具有统计学意义（
P
<
0.01）。②2组患者SUVR值具有统计学差异（
P
<
0.01）的脑区为：左侧额下回（
P
=0.009）、左侧额上回（
P
=0.008）、左侧海马旁回及周围回（
P
=0.005）、右侧海马旁回及周围回（
P
=0.002）、左侧梭形回（
P
=0.002）、右侧梭形回（
P
=0.003）、左侧中央后回（
P
=0.003）、右侧楔叶（
P
=0.008）、左侧壳核（
P
=0.007）、右侧壳核（
P
=0.003）、右侧苍白球（
P
=0.006）、右侧扣带回前部（
P
=0.004）。③进一步将所有患者差异显著的脑区SUVR值与简易智能测试量表评分（mini-mental state examination，MMSE）及蒙特利尔认知评估（Montreal cognitive assessment，MoCA）行Pearson相关性分析。其中，左侧额上回（
r
=-0.454，
P
=0.029）、左侧海马旁回及周围回（
r
=-0.439，
P
=0.036）、左侧梭形回（
r
=-0.421，
P
=0.045）、左侧中央后回（
r
=-0.482，
P
=0.020）SUVR值与MMSE评分呈负相关（
P
<
0.05）。左侧额上回（
r
=-0.430，
P
=0.040）、左侧海马旁回及周围回（
r
=-0.418，
P
=0.047）、左侧梭形回（
r
=-0.454，
P
=0.030）、左侧中央后回（
r
=-0.477，
P
=0.021）、左侧壳核（
r
=-0.422，
P
=0.045）、右侧壳核（
r
=-0.419，
P
=0.047）SUVR值与MoCA评分呈负相关（
P
<
0.05）。
结论：
2
①AD组患者脑内
11
C-PIB的SUVR值显著高于MCI组患者。②AD组与MCI组患者多个脑区SUVR值具有显著差异。③额上回（左）、海马旁回及周围回（左）、梭形回（左）、中央后回（左）、壳核（左、右）部位Aβ蛋白沉积水平与认知功能损害相关。研究结果可为AD的早期识别诊断提供一定的影像学证据。
Abstract
Objective
:
2
To explore the relationship between [N-methyl-
11
C] -2- (4-methylaminophenyl) -6-hydroxybenzothiazole
positron emission tomography (
11
C-PIB-PET/CT) and neuropsychological scales in mild cognitive impairment (MCI) and Alzheimer's disease (AD).
Methods
:
2
Twenty-seven outpatients and inpatients with AD and MCI who met the inclusion criteria were selected from the Department of Neurology
China-Japan Union Hospital of Jilin University from January 2018 to December 2020
and general information
neuropsychological test scale scale scores and
11
C-PIB-PET/CT imaging of them were collected. The standardized uptake value ratio (SUVR) of
11
C-PIB in each brain region of the patients was obtained by processing the patient's
11
C-PIB-PET/CT imaging using pMOD software. The brain areas with significant differences were compared between the two groups
and the SUVR and neuropsychological test scale of all patients with statistical differences were statistically analyzed.
Results:
2
①The mean value of SUVR in the AD group was higher than the mean value of SUVR in the MCI group
and the differences between groups were statistically significant (
P
<
0.01). ②There were significant differences in the SUVR values of the brain regions of the two groups of paatients (
P
<
0.01): the left inferior frontal gyrus (
P
=0.009)
left superior frontal gyrus (
P
=0.008)
left parahippocampal gyrus and perirhinal gyrus (
P
=0.005)
right parahippocampal gyrus and perirhinal gyrus (
P
=0.002)
left syrinx (
P
=0.002)
right syrinx (
P
=0.003)
left postcentral gyrus (
P
=0.003)
right cuneus (
P
=0.008)
left cisternal nucleus (
P
=0.007)
right cisternal nucleus (
P
=0.003)
right pallidum (
P
=0.006) and right anterior cingulate gyrus (
P
=0.004). ③Further Pearson correlation analysis was performed between the significantly different SUVR values of brain regions and the scores of MMSE (Mini-Mental State Examination) and MoCA (Montreal Cognitive Assessment) scales in all patients. Among them
the SUVR values of the left superior frontal gyrus (
r
=-0.454
P
=0.029)
left parahippocampal gyrus and peripheral gyrus (
r
=-0.439
P
=0.036)
left syrinx (
r
=-0.421
P
=0.045)
and left postcentral gyrus (
r
=-0.482
P
=0.020) were negatively correlated with MMSE scores (
P
<
0.05). The left superior frontal gyrus (
r
=-0.430
P
=0.040)
left parahippocampal gyrus and peripheral gyrus (
r
=-0.418
P
=0.047)
left cingulate gyrus (
r
=-0.454
P
=0.030)
left postcentral gyrus (
r
=-0.477
P
=0.021)
left cisternal nucleus (
r
=-0.422
P
=0.045) and right cisternal nucleus (
r
=-0.419
P
=0.047) SUVR values were negatively correlated with MoCA scores (
P
<
0.05).
Conclusion:
2
①SUVR values of
11
CPIB in the brain of patients in the AD group were significantly higher than those of patients in the MCI group. ②SUVR values in several brain regions were significantly different between patients in the AD and MCI groups. ③The levels of Aβ protein deposition in the superior frontal gyrus (left)
parahippocampal gyrus and perirhinal gyrus (left)
sphenoid gyrus (left)
postcentral gyrus (left)
and nucleus accumbens (left and right) are associated with MCI. These results can provide some imaging evidence for the early identification and diagnosis of AD.
关键词
阿尔茨海默病轻度认知功能障碍11C-匹兹堡化合物B正电子发射断层扫描成像神经心理测试量表
Keywords
Alzheimer's diseasemild cognitive impairment[N-methyl-11C] -2- (4-methylaminophenyl) -6-hydroxybenzothiazole positron emission tomographyneuropsychological test
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