A voxel-based analysis of cerebral blood flow abnormalities in obsessive-compulsive disorder using pseudo-continuous arterial spin labeling MRI

To identify abnormalities of regional cerebral blood flow (rCBF) in individuals with obsessive-compulsive disorder (OCD) by conducting a voxel-based analysis of pseudo-continuous arterial spin labeling (pCASL) perfusion images. This prospective study included 23 OCD patients (nine males, 14 females;...

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Veröffentlicht in:PloS one 2020-07, Vol.15 (7), p.e0236512-e0236512
Hauptverfasser: Momosaka, Daichi, Togao, Osamu, Hiwatashi, Akio, Yamashita, Koji, Kikuchi, Kazufumi, Tomiyama, Hirofumi, Nakao, Tomohiro, Murayama, Keitaro, Suzuki, Yuriko, Honda, Hiroshi, Chen, Xi
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container_title PloS one
container_volume 15
creator Momosaka, Daichi
Togao, Osamu
Hiwatashi, Akio
Yamashita, Koji
Kikuchi, Kazufumi
Tomiyama, Hirofumi
Nakao, Tomohiro
Murayama, Keitaro
Suzuki, Yuriko
Honda, Hiroshi
Chen, Xi
description To identify abnormalities of regional cerebral blood flow (rCBF) in individuals with obsessive-compulsive disorder (OCD) by conducting a voxel-based analysis of pseudo-continuous arterial spin labeling (pCASL) perfusion images. This prospective study included 23 OCD patients (nine males, 14 females; age 21-62 years; mean ± SD 37.2 ± 10.7 years) diagnosed based on DSM-IV-TR criteria and 64 healthy controls (27 males, 37 females; age 20-64 years; mean ± SD 38.3 ± 12.8 years). Subjects were recruited from October 2011 to August 2017. Imaging was performed on a 3T scanner. Quantitative rCBF maps generated from pCASL images were co-registered and resliced with the three-dimensional T1-weighted images, and then spatially normalized to a brain template and smoothed. We used statistical nonparametric mapping to assess the differences in rCBF and gray matter volume between the OCD and control groups. The significance level was set at the p-value
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This prospective study included 23 OCD patients (nine males, 14 females; age 21-62 years; mean ± SD 37.2 ± 10.7 years) diagnosed based on DSM-IV-TR criteria and 64 healthy controls (27 males, 37 females; age 20-64 years; mean ± SD 38.3 ± 12.8 years). Subjects were recruited from October 2011 to August 2017. Imaging was performed on a 3T scanner. Quantitative rCBF maps generated from pCASL images were co-registered and resliced with the three-dimensional T1-weighted images, and then spatially normalized to a brain template and smoothed. We used statistical nonparametric mapping to assess the differences in rCBF and gray matter volume between the OCD and control groups. The significance level was set at the p-value &lt;0.05 with family-wise error rate correction for multiple comparisons. Compared to the control group, there were significant rCBF reductions in the right putamen, right frontal operculum, left midcingulate cortex, and right temporal pole in the OCD group. There were no significant between-group differences in the gray matter volume. The pCASL imaging noninvasively detected physiologically disrupted areas without structural abnormalities in OCD patients. The rCBF reductions observed in these regions in OCD patients could be associated with the pathophysiology of OCD.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32706796</pmid><doi>10.1371/journal.pone.0236512</doi><tpages>e0236512</tpages><orcidid>https://orcid.org/0000-0002-9846-8693</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abnormalities
Biology and Life Sciences
Blood
Blood flow
Brain
Cerebral blood flow
Cerebral circulation
Cortex (frontal)
Cortex (temporal)
Error correction
Females
Health aspects
Labeling
Labelling
Magnetic resonance imaging
Males
Mapping
Medical imaging
Medicine and Health Sciences
Mental disorders
Methods
Neuroimaging
Neuroses
Obsessive compulsive disorder
Operculum
Patients
Perfusion
Physiological aspects
Putamen
Research and Analysis Methods
Software
Spin labeling
Studies
Substantia grisea
Supervision
Temporal lobe
title A voxel-based analysis of cerebral blood flow abnormalities in obsessive-compulsive disorder using pseudo-continuous arterial spin labeling MRI
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