Quantitative 3.0T MR Spectroscopy Reveals Decreased Creatine Concentration in the Dorsolateral Prefrontal Cortex of Patients with Social Anxiety Disorder 英文参考文献.docVIP
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Quantitative 3.0T MR Spectroscopy Reveals Decreased Creatine Concentration in the Dorsolateral Prefrontal Cortex of Patients with Social Anxiety Disorder 英文参考文献
Quantitative3.0TMRSpectroscopyRevealsDecreased
CreatineConcentrationintheDorsolateralPrefrontal
CortexofPatientswithSocialAnxietyDisorder
QiangYue1.,MengqiLiu1.,XiaojingNie2,QizhuWu1,JunLi3,WeiZhang2*,XiaoqiHuang1,
QiyongGong1*
1Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, People’s Republic of China, 2Department of
Psychiatry, West China Hospital of Sichuan University, Chengdu, People’s Republic of China, 3Department of geriatrics, West China Hospital of Sichuan University,
Chengdu,People’sRepublicofChina
Abstract
Background:Thebrainbiochemicalchangesofsocialanxietyhavenotbeenclarifiedalthoughtherehavebeenalimited
numberofMRspectroscopicstudieswhichutilizedmetabolite/creatineratios.Presentstudyaimedtoexplorethealteration
ofabsolutemetaboliteconcentrationinsocialanxietydisorderusingquantitativeMRspectroscopy.
MaterialsandMethods:Witha3.0TMRscanner,singlevoxelMRspectroscopy(stimulatedechoacquisitionmode,TR/TE/
TM=2000/20/16ms)wasperformedintheleftdorsolateralprefrontalcortexandrelatedregionsofninemedication-free
patientswithsocialanxietydisorderandninecontrols.Absolutemetaboliteconcentrationwascalculatedusingtissuewater
astheinternalreferenceandcorrectedforthepartialvolumeofcerebrospinalfluid.
Results:Intheleftdorsolateralprefrontalcortex,theN-acetylaspartate/creatineratioofpatientswassignificantlyhigher
than that of controls, and this was due to the decrease of creatine concentration instead of the increase of N-acetyl
aspartateconcentration.Furthermore,thecreatineconcentrationoftheleftdorsolateralprefrontalcortexwasnegatively
correlatedwiththescoresofLiebowitzsocialanxietyscale.
Conclusions:Thealterationofcreatinelevelintheleftdorsolateralprefrontalcortexsuggestsabnormalenergymetabolism
andcorrelateswithsymptomseverityinsocialanxietydisorder.Andmetaboliteconcentrationispreferabletometabolite/
creatineratiofortheinvestigationofindividual,absolutemetabolitechangesinthisregionofsocialanxietydisorder.
C
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