Brain Abnormalities in Congenital Fibrosis of the Extraocular Muscles Type 1: A Multimodal MRI Imaging Study

To explore the possible brain structural and functional alterations in congenital fibrosis of extraocular muscles type 1 (CFEOM1) patients using multimodal MRI imaging. T1-weighted, diffusion tensor images and functional MRI data were obtained from 9 KIF21A positive patients and 19 age- and gender-m...

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Veröffentlicht in:PloS one 2015-07, Vol.10 (7), p.e0133473-e0133473
Hauptverfasser: Miao, Wen, Man, Fengyuan, Wu, Shaoqin, Lv, Bin, Wang, Zhenchang, Xian, Junfang, Sabel, Bernhard A, He, Huiguang, Jiao, Yonghong
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creator Miao, Wen
Man, Fengyuan
Wu, Shaoqin
Lv, Bin
Wang, Zhenchang
Xian, Junfang
Sabel, Bernhard A
He, Huiguang
Jiao, Yonghong
description To explore the possible brain structural and functional alterations in congenital fibrosis of extraocular muscles type 1 (CFEOM1) patients using multimodal MRI imaging. T1-weighted, diffusion tensor images and functional MRI data were obtained from 9 KIF21A positive patients and 19 age- and gender-matched healthy controls. Voxel based morphometry and tract based spatial statistics were applied to the T1-weighted and diffusion tensor images, respectively. Amplitude of low frequency fluctuations and regional homogeneity were used to process the functional MRI data. We then compared these multimodal characteristics between CFEOM1 patients and healthy controls. Compared with healthy controls, CFEOM1 patients demonstrated increased grey matter volume in bilateral frontal orbital cortex and in the right temporal pole. No diffusion indices changes were detected, indicating unaffected white matter microstructure. In addition, from resting state functional MRI data, trend of amplitude of low-frequency fluctuations increases were noted in the right inferior parietal lobe and in the right frontal cortex, and a trend of ReHo increase (p
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In addition, from resting state functional MRI data, trend of amplitude of low-frequency fluctuations increases were noted in the right inferior parietal lobe and in the right frontal cortex, and a trend of ReHo increase (p&lt;0.001 uncorrected) in the left precentral gyrus, left orbital frontal cortex, temporal pole and cingulate gyrus. CFEOM1 patients had structural and functional changes in grey matter, but the white matter was unaffected. These alterations in the brain may be due to the abnormality of extraocular muscles and their innervating nerves. Future studies should consider the possible correlations between brain morphological/functional findings and clinical data, especially pertaining to eye movements, to obtain more precise answers about the role of brain area changes and their functional consequence in CFEOM1.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0133473</identifier><identifier>PMID: 26186732</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abnormalities ; Adult ; Alterations ; Automation ; Brain ; Brain - abnormalities ; Brain - pathology ; Brain Mapping ; Brain research ; Change detection ; Comparative analysis ; Congenital diseases ; Correlation analysis ; Cortex (cingulate) ; Cortex (frontal) ; Cortex (parietal) ; Cortex (temporal) ; Diffusion ; Eye Diseases, Hereditary - diagnosis ; Eye movements ; Female ; Fibrosis ; Fluctuations ; Functional magnetic resonance imaging ; Gene expression ; Genetic disorders ; Gray Matter - abnormalities ; Gray Matter - pathology ; Homogeneity ; Hospitals ; Humans ; Laboratories ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Morphometry ; Multimodal Imaging ; Muscles ; Nerves ; Neuroimaging ; NMR ; Nuclear magnetic resonance ; Oculomotor system ; Ophthalmoplegia ; Parietal lobe ; Patients ; Precentral gyrus ; Structure-function relationships ; Studies ; Substantia alba ; Substantia grisea ; Temporal lobe ; Tourette syndrome</subject><ispartof>PloS one, 2015-07, Vol.10 (7), p.e0133473-e0133473</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Miao et al. 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Abnormalities in Congenital Fibrosis of the Extraocular Muscles Type 1: A Multimodal MRI Imaging Study</title><author>Miao, Wen ; Man, Fengyuan ; Wu, Shaoqin ; Lv, Bin ; Wang, Zhenchang ; Xian, Junfang ; Sabel, Bernhard A ; He, Huiguang ; Jiao, Yonghong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-db296b392eafb59f17e9666eafacea8162c15606838115cda82a3a4d907e5ca93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abnormalities</topic><topic>Adult</topic><topic>Alterations</topic><topic>Automation</topic><topic>Brain</topic><topic>Brain - abnormalities</topic><topic>Brain - pathology</topic><topic>Brain Mapping</topic><topic>Brain research</topic><topic>Change detection</topic><topic>Comparative analysis</topic><topic>Congenital diseases</topic><topic>Correlation analysis</topic><topic>Cortex (cingulate)</topic><topic>Cortex (frontal)</topic><topic>Cortex 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One</addtitle><date>2015-07-17</date><risdate>2015</risdate><volume>10</volume><issue>7</issue><spage>e0133473</spage><epage>e0133473</epage><pages>e0133473-e0133473</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To explore the possible brain structural and functional alterations in congenital fibrosis of extraocular muscles type 1 (CFEOM1) patients using multimodal MRI imaging. T1-weighted, diffusion tensor images and functional MRI data were obtained from 9 KIF21A positive patients and 19 age- and gender-matched healthy controls. Voxel based morphometry and tract based spatial statistics were applied to the T1-weighted and diffusion tensor images, respectively. Amplitude of low frequency fluctuations and regional homogeneity were used to process the functional MRI data. We then compared these multimodal characteristics between CFEOM1 patients and healthy controls. Compared with healthy controls, CFEOM1 patients demonstrated increased grey matter volume in bilateral frontal orbital cortex and in the right temporal pole. No diffusion indices changes were detected, indicating unaffected white matter microstructure. In addition, from resting state functional MRI data, trend of amplitude of low-frequency fluctuations increases were noted in the right inferior parietal lobe and in the right frontal cortex, and a trend of ReHo increase (p&lt;0.001 uncorrected) in the left precentral gyrus, left orbital frontal cortex, temporal pole and cingulate gyrus. CFEOM1 patients had structural and functional changes in grey matter, but the white matter was unaffected. These alterations in the brain may be due to the abnormality of extraocular muscles and their innervating nerves. Future studies should consider the possible correlations between brain morphological/functional findings and clinical data, especially pertaining to eye movements, to obtain more precise answers about the role of brain area changes and their functional consequence in CFEOM1.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26186732</pmid><doi>10.1371/journal.pone.0133473</doi><oa>free_for_read</oa></addata></record>
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subjects Abnormalities
Adult
Alterations
Automation
Brain
Brain - abnormalities
Brain - pathology
Brain Mapping
Brain research
Change detection
Comparative analysis
Congenital diseases
Correlation analysis
Cortex (cingulate)
Cortex (frontal)
Cortex (parietal)
Cortex (temporal)
Diffusion
Eye Diseases, Hereditary - diagnosis
Eye movements
Female
Fibrosis
Fluctuations
Functional magnetic resonance imaging
Gene expression
Genetic disorders
Gray Matter - abnormalities
Gray Matter - pathology
Homogeneity
Hospitals
Humans
Laboratories
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Morphometry
Multimodal Imaging
Muscles
Nerves
Neuroimaging
NMR
Nuclear magnetic resonance
Oculomotor system
Ophthalmoplegia
Parietal lobe
Patients
Precentral gyrus
Structure-function relationships
Studies
Substantia alba
Substantia grisea
Temporal lobe
Tourette syndrome
title Brain Abnormalities in Congenital Fibrosis of the Extraocular Muscles Type 1: A Multimodal MRI Imaging Study
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