注意缺陷多动障碍儿童静息态的脑功能磁共振成像研究

摘要

Objective To investigate the characteristics of brain function in children with attentiondeficit hyperactivity disorder(ADHD)in resting state using functional magnetic resonance imaging(fMRI).Methods Fifteen healty school children and 14 children with ADHD were experienced resting-state fMRI scans,A regional homogeneity (ReHo)approach was used to analyze blood oxygen level-dependent fMRI (BOLD-fMRI)data in resting state.The fMRI data were processed with software SPM2 and REST 1.2.Results Compared with controls.ADHD showed decreased ReHo in bilateral inferior parietal lobule (Z=3.73,Z=3.34),bilateral cuneus(Z=3.42,Z=3.86),left middle frontal gyrus(Z=3.24),left middle temporal gyrus(Z=3.24),left precuneus(Z=3.45),right insula(Z=3.09)and risht cerebellum (Z=3.42),and increased ReHo in the bilateral inferior frontal gyrus(Z=3.19,Z=2.93).Conclusion Compared with the normal controls,children with ADHD children may have abnormal neural activity in several brain regions which are related to execution control,attention and default mode network.%目的 探讨注意缺陷多动障碍(ADHD)儿童静息态脑功能磁共振成像的特点.方法 对15名正常学龄期儿童(对照组)和14例ADHD儿童(ADHD组)进行静息态功能磁共振成像(fMRI)扫描,采用局部一致性(ReHo)作为测最指标.结果 ADHD组在双侧顶下小叶(Z=3.73,Z=3.34)、双侧楔叶(Z=3.42,Z=3.86)、左侧额中回(Z=3.24)、左侧颢中同(Z=3.24)、左侧楔前叶(Z=3.45)及右侧岛叶(Z=3.09)、右侧小脑(Z=3.42)等区域的ReHo值低于对照组,而双侧额下回(Z=3.19,Z=2.93)的ReHo值高于对照组.结论与对照组比较,静息态下ADHD患者与执行控制功能、注意认知功能及默认网络功能等相关区域存在异常.