18F-FDG-PET/MR探究早期帕金森病脑代谢网络和功能网络改变特征
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南京医科大学附属南京医院

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国家重点研发计划(2022YFC2406900);江苏省社会发展基金(BE2017612);江苏省医学重点学科(JSDW202247)


18F-FDG-PET/MR unveils altered features of brain metabolic and functional networks in early Parkinson's disease
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Nanjing Hospital affiliated to NJMU

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    目的:18F-FDG-PET/MR和詹森-香农相似性估计[The Jensen–Shannon similarity estimation, JSSE]方法构建帕金森病(PD)个体脑代谢网络,探究网络拓扑属性的变化及其与大脑功能网络之间的相关性。 方法:回顾性分析2022年8月至2024年5月在南京市第一医院行18F-FDG-PET/MR显像且经临床确诊的帕金森病患者28例[男16例,女12例,年龄(63.4±11.3)岁],同时纳入与PD患者年龄与性别匹配的正常对照组(NC)20名(男10名、女10名,年龄63.0±9.4岁)。采用JSSE方法构建个体脑代谢网络,Matlab2013b利用Gretna分析网络拓扑属性和脑区之间代谢连接的变化。使用两独立样本t检验及Mann-Whitney U检验分析数据,通过Mantel检验分析PD组以及NC组代谢网络与功能网络矩阵之间的相关性。 结果:与NC组相比,PD组在全局属性方面表现出较高的同配性(t=-2.06,p=0.045);在节点属性方面,右侧梭状回节点度中心性(t=3.32,p<0.001)显著降低;共有15个关键代谢连接参数降低(p<0.001),其中左侧尾状核和左侧颞下回之间代谢连接减少最明显。PD代谢网络和功能网络矩阵之间存在显著的正相关(r=0.242,p<0.05),相关性大于NC组(r = 0.197,p<0.05)。 结论: PET/MR和 JSSE能早期识别PD脑拓扑属性和代谢连接异常,18F-FDG-PET/MR显像有助于PD早期诊断,从脑代谢与功能相关角度探究PD脑内在重塑机制变化。

    Abstract:

    Objective: This study aims to establish individualized cerebral metabolic networks in Parkinson's disease (PD) using integrated 18F-FDG-PET/MR imaging and Jensen-Shannon similarity estimation (JSSE) and characterize topological alterations in metabolic networks and their dynamic associations with functional networks. Methods: Twenty-eight patients with clinically confirmed Parkinson's disease [16 males, 12 females, age (63.4±11.3) years] who underwent 18F-FDG-PET/MR imaging at Nanjing First Hospital from August 2022 to May 2024 were retrospectively analyzed, and 20 age- and gender-matched normal controls (NC) with PD patients were included (10 males, 10 females, age 63.0±9.4 years). Individual brain metabolic networks were constructed using the JSSE method, and Matlab 2013b was used to analyze changes in network topological properties and metabolic connectivity between brain regions using Gretna. Data were analyzed using two independent samples t-test and Mann-Whitney U-test, and the Mantel test analyzed correlations between metabolic and functional network matrices in the PD group and the NC group. Results: Compared with the NC group, the PD group showed higher assortativity in terms of global attributes (t = -2.06,p=0.045); in terms of nodal attributes, the centrality of nodal degree in the right sarcolemmal gyrus (t = 3.32, p<0.001) was significantly reduced; 15 key metabolic connectivity parameters were reduced (p<0.001), with the reduction in metabolic connectivity between the left caudate nucleus and the left inferotemporal gyrus being the was the most pronounced. There was a significant positive correlation between the PD metabolic and functional network matrices (r = 0.242, p<0.05), and the correlation was greater than that in the NC group (r = 0.197, p<0.05). Conclusion: The integrated PET/MR and JSSE framework demonstrates clinical efficacy in detecting cerebral topological reorganization and metabolic connectivity aberrations in PD. 18F-FDG-PET/MR imaging is useful for the early diagnosis of PD and for exploring changes in the mechanisms of intrinsic remodeling of the brain in PD from the perspective of brain metabolism and function.

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  • 收稿日期:2025-02-06
  • 最后修改日期:2025-04-26
  • 录用日期:2025-07-02
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