首发精神分裂症(FES)的CT图像脑形态改变特征

Characteristics of Brain Morphological Changes in CT Images of First episode Schizophrenia (FES)

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(4)
作者
作者单位

郑州市第九人民医院放射科 ;

摘要
【摘要】探讨首发精神分裂症(FES)的电子计算机断层扫描仪(CT)图像脑形态改变特征。方法 将我院2020年1月至2021年1月期间收治的37例FES患者作为病例组,同期接受体检的36例作为健康组,所纳入本研究的患者均接受头部CT扫描。比较两组患者脑区差异、第三脑室变化、脑侧室相关指数、脑室扩大及脑萎缩的相关指数。结果 病例组第三脑室体部最大宽度、前角指数(FHI)、侧脑室脑比率(VBR)、侧脑室前角间最小宽度、侧脑室前角间最大宽度、侧脑室颞角最大宽度(左侧)、侧脑室颞角最大宽度(右侧)、第三脑室体部最大宽度高于健康组(P<0.05);右内侧眶额叶、右侧额上回、左侧额上回、左侧额极、左侧中央旁小叶、左侧扣带回峡部、第三脑室外侧壁至同侧脑岛面距离(左侧)、第三脑室外侧壁至同侧脑岛面距离(右侧)、室中央指数(CMI)、前额叶萎缩指数(PFAI)、低于健康组(P<0.05)。结论 经CT检查发现FES患者存在脑体积减小、脑室扩大、脑萎缩异常等脑形态,可为研究FES的发病提供影像学依据。
Abstract
[Abstract] Objective To investigate the characteristics of brain morphological changes in first episode schizophrenia (FES) on computed tomography (CT) images. Methods 37 FES patients admitted in our hospital from January 2020 to January 2021 were taken as the case group, and 36 patients who received physical examination at the same time were taken as the health group. All patients included in this study received head CT scanning. The difference of brain area, the change of the third ventricle, the correlation index of lateral ventricle, the correlation index of ventricular enlargement and brain atrophy were compared between the two groups. Results The maximum width of the body of the third ventricle, the index of the anterior horn (FHI), the ratio of lateral ventricle to brain (VBR), the minimum width of the anterior horn of the lateral ventricle, the maximum width of the anterior horn of the lateral ventricle, the maximum width of the temporal angle of the lateral ventricle (left side), the maximum width of the temporal angle of the lateral ventricle (right side), and the maximum width of the body of the third ventricle in the case group were higher than those in the healthy group (P<0.05); The distance from the right medial orbitofrontal lobe, the right superior frontal gyrus, the left superior frontal gyrus, the left frontal pole, the left paracentral lobule, the left cingulate isthmus, the distance from the lateral wall of the third ventricle to the ipsilateral insular surface (left), the distance from the lateral wall of the third ventricle to the ipsilateral insular surface (right), the ventricular central index (CMI), and the prefrontal atrophy index (PFAI) were lower than those in the healthy group (P<0.05). Conclusion The brain morphology of FES patients, such as decreased brain volume, enlarged ventricles, and abnormal brain atrophy, can provide imaging evidence for the study of FES.
关键词
【关键词】首发精神分裂症;电子计算机断层扫描仪;脑形态改变特征;脑区差异
KeyWord
[Key words] First episode schizophrenia; Computer tomography scanner; Characteristics of brain morphological changes; Brain region difference
基金项目
页码 687-690
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慕新科*. 首发精神分裂症(FES)的CT图像脑形态改变特征 [J]. 国际精神病学杂志. 2023; 50; (4). 687 - 690.

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