Similarities and differences of white matter connectivity and water diffusivity in bipolar I and II disorder

被引:48
|
作者
Ha, Tae Hyon [1 ,6 ]
Her, Ju Young [1 ,6 ]
Kim, Jae Hyoung [2 ]
Chang, Jae Seung [1 ,6 ]
Cho, Hyun Sang [3 ]
Ha, Kyooseob [1 ,4 ,5 ,6 ]
机构
[1] Seoul Natl Univ, Bundang Hosp, Dept Psychiat, Mood Disorders Clin, Songnam 463707, Kyeonggi Do, South Korea
[2] Seoul Natl Univ, Bundang Hosp, Dept Radiol, Songnam 463707, Kyeonggi Do, South Korea
[3] Severance Mental Hosp, Dept Psychiat, Gwangju Si 464100, Kyeonggi Do, South Korea
[4] Seoul Natl Univ, Coll Med, Dept Psychiat, Seoul 110744, South Korea
[5] Inst Human Behav Med, Seoul 110744, South Korea
[6] Seoul Natl Univ, Bundang Hosp, Dept Psychiat, Clin Affect Neurosci Lab, Songnam 463707, Kyeonggi Do, South Korea
关键词
Bipolar I disorder; Bipolar II disorder; Diffusion tensor imaging; Fractional anisotropy; Apparent diffusion coefficient; CINGULATE CORTEX; CORPUS-CALLOSUM; RATING-SCALE; GRAY-MATTER; ABNORMALITIES; SCHIZOPHRENIA; BRAIN; METAANALYSIS; DEPRESSION; ANISOTROPY;
D O I
10.1016/j.neulet.2011.10.009
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Differences and similarities in microstructural white matter alterations between bipolar I and bipolar II disorder were investigated. Twelve patients with bipolar I disorder, 12 patients with bipolar II disorder and 22 healthy controls underwent diffusion tensor imaging. Fractional anisotropy (FA) and mean apparent diffusion coefficient (ADC) maps were compared between groups using voxel-based whole brain analyses. Both bipolar I and II groups had a FA decrease in the corpus callosum, cingulate and right prefrontal regions, and a ADC increase in the medial frontal, anterior cingulate, insular and temporal regions, compared to controls. The bipolar I group had a FA decrease in the right temporal white matter and a ADC increase in the frontal, temporal, parietal and thalamic regions, compared to the bipolar II group. The results suggest disrupted integrity of commissural fibers and white matter in the anterior paralimbic structures in bipolar disorder. Relative sparing of the dorsal system and long association fibers may differentiate bipolar II from I disorder. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:150 / 154
页数:5
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