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Diffusion Tensor Imaging and Decision Making in Cocaine Dependence 英文参考文献
DiffusionTensorImagingandDecisionMakingin
CocaineDependence
ScottD.Lane1,2*,JoelL.Steinberg1,LiangsuoMa1,KhaderM.Hasan2,3,LarryA.Kramer3,EdwardA.
Zuniga1,PonnadaA.Narayana2,3,FrederickGerardMoeller1,2
1Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, Houston, Texas, United States of America, 2Program in
Neuroscience,GraduateSchoolofBiomedicalSciences,UniversityofTexasHealthScienceCenteratHouston,Houston,Texas,UnitedStatesofAmerica,3Departmentof
DiagnosticandInterventionalImaging,UniversityofTexasHealthScienceCenteratHouston,Houston,Texas,UnitedStatesofAmerica
Abstract
Background:Chronicstimulantabuseisassociatedwithbothimpairmentindecisionmakingandstructuralabnormalities
inbraingrayandwhitematter.Recentdatasuggestthesestructuralabnormalitiesmayberelatedtofunctionalimpairment
inimportantbehavioralprocesses.
Methodology/PrincipalFindings:In15cocaine-dependentand18controlsubjects,weexaminedrelationshipsbetween
decision-makingperformanceontheIowaGamblingTask(IGT)andwhitematterintegrityasmeasuredbydiffusiontensor
imaging (DTI). Whole brain voxelwise analyses showed that, relative to controls, the cocaine group had lower fractional
anisotropy(FA)andhighermeanofthesecondandthirdeigenvalues(lH)infrontalandparietalwhitematterregionsand
thecorpuscallosum.CocainesubjectsshowedworseperformanceontheIGT,notablyoverthelast40trials.Importantly,FA
andlHvaluesintheseregionsshowedasignificantrelationshipwithIGTperformanceonthelast40trials.
Conclusions: Compromised white matter integrity in cocaine dependence may be related to functional impairments in
decisionmaking.
Citation:LaneSD,SteinbergJL,MaL,HasanKM,KramerLA,etal.(2010)DiffusionTensorImagingandDecisionMakinginCocaineDependence.PLoSONE5(7):
e11591.doi:10.1371/journal.pone.0011591
Editor:KenjiHashimoto,ChibaUniversityCenterforForensicMentalHealth,Japan
ReceivedApril12,2010;AcceptedJune18,2010;PublishedJuly16,2010
Copyright: ? 2010 Lane et al. This is an open-access article
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