利用功能磁共振成像(Functional magnetic resonance imaging,fMRI)技术,研究静息态下首发抑郁症患者脑功能的改变。采用Siemens3.0T磁共振仪对5名首发抑郁症患者和1名性别年龄相仿的正常对照志愿者进行静息态fMRI采集,采用低频振幅(Amplitude of low-frequency fluctuation,ALFF)的方法分析数据,进行双样本t检验后分析静息态脑功能的差异。结果发现,抑郁症组大脑左侧小脑6区、左侧颞下回、双侧尾状核、右侧舌回、左侧眶部额上回、右侧中央沟盖、右侧前扣带和旁扣带脑回、右侧额中回、右侧岛盖部额下回、右侧补充运动区、左侧顶上回、右侧中央后回、右侧背外侧额上回ALFF降低。首发抑郁症患者大脑的额叶、颞叶、扣带回及尾状核等位置存在功能异常,这些区域的异常与情绪、认知、记忆等领域有关,与抑郁症息息相关。
To investigate the discrepancies in brain function of first-episode depressed patients,five firstepisode depressed patients and one healthy volunteer of the same age undergo resting-state functional magnetic resonance imaging(fMRI)scans by Siemens 3.0Tand collecting data are anylized by the amplitude of low-frequency fluctuation(ALFF).Then,the ALFF results are possessed by two-sample t-test.The result shows the ALFF value of the depressed group are decreased in the particular areas,including the left cerebellar lobe,the left superior temporal gyrus,the bilateral caudate nucleus,the right lingual gyrus,the left superior frontal gyrus,the right rolandic operculum,the right anterior cingulate gyri,the right middle frontal gyrus,the right inferior frontal gyrus,the right supplementary motor area,the left superior parietal gyrus,and the right postcentral gyrus.The research result suggests that the first-episode depressed patients have functional discrepancies in the frontal lobe,the temporal lobe,the cingulate gyrus and the caudate nucleus.These areas are directly correlated with emotion,cognition and memory.Abnormalities in these areas are closely bound up with depression.