Objective: Recent studies suggested that diabetic optic neuropathy(DON) independently increases the incidence of brain diseases like cerebral infarction and hemorrhage. In this study, voxel-level degree centrality (DC) was used to study potential changes in functional network brain activity in DON patients. Methods: The study included 14 DON patients and 14 healthy controls (HCs) matched by age, sex, and weight. All subjects underwent resting functional magnetic resonance imaging. Receiver operating characteristic curves and Pearson correlation analysis were performed. Results: The DC values of the left frontal mid orb (LFMO) and right middle frontal Gyrus (RMFG)/right frontal sup (RFS) were significantly lower in DON patients compared to HCs. The DC value of the left temporal lobe (LTL) was also significantly higher than in HCs. Conclusion: Three different brain regions show DC changes in DON patients, suggesting common optic neuropathy in the context of diabetes and providing new ideas for treating optic nerve disease in patients with long-term diabetes. Abbreviations: DC = degree centrality; DON = diabetic optic neuropathy; HC = healthy control; LFMO = left frontal mid orb; RMFS = right middle frontal gyrus; RFS = right frontal sup; LTL = left temporal lobe; FFA = fluorescein fundus angiography; fMRI = functional magnetic resonance imaging; VMHC = voxel-mirrored homotopic connectivity; ALFF = low-frequency fluctuation amplitude; AUC = area under the curve; BCVA = best corrected visual acuity.

译文

:目的:最近的研究表明,糖尿病性视神经病变(DON)独立增加了脑梗塞和出血等脑部疾病的发生率。在这项研究中,体素水平度中心(DC)用于研究DON患者的功能网络脑部活动的潜在变化。方法:该研究包括14例DON患者和14例按年龄,性别和体重配对的健康对照(HCs)。所有受试者均接受静息功能磁共振成像。进行接收机工作特性曲线和Pearson相关分析。结果:与HCs相比,DON患者的左额中球(LFMO)和右中额回(RMFG)/右额上视(RFS)的DC值显着降低。左颞叶(LTL)的DC值也显着高于HCs。结论:三个不同的大脑区域显示DON患者DC的变化,提示在糖尿病背景下常见的视神经病变,并为治疗长期糖尿病患者的视神经疾病提供了新的思路。缩写:DC =中心度; DON =糖尿病性视神经病变; HC =健康对照; LFMO =左额中球; RMFS =右中额回; RFS =右前额; LTL =左颞叶; FFA =荧光素眼底血管造影;功能磁共振成像=功能磁共振成像; VMHC =体素镜像同位连接; ALFF =低频波动幅度; AUC =曲线下面积; BCVA =最佳矫正视力。

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