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Morphometric changes of whole brain in patients with alcohol addiction: a voxel-based morphometry study

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Author:
No author available
Journal Title:
Chinese Journal of Radiology
Issue:
9
DOI:
10.3760/cma.j.issn.1005-1201.2011.09.006
Key Word:
酒精中毒;行为,成瘾;磁共振成像;人体测量术;脑;Alcoholism;Behavior,addictive;Magnetic resonance imaging;Anthropometry;Brain

Abstract: Objective To evaluate morphometric changes of brain in patients with alcohol addiction by voxel-based morphometry. Methods Fifteen patients with alcohol addiction and 15 health controls were recruited and underwent fluid attenuated inversion recovery (FLAIR) and 3D fast spoiled gradient echo (FSPGR) T1 -weighted sequences on a 3.0 T MRI system. 3D FSPGR T1 structure images were normalized,segmented and smoothed, and then underwent voxel-based morphometry. An ANCOVA was applied with age,body mass index ( BMI ), and education years as covariates because of exact sex match. A statistical threshold of P < 0. 01 (uncorrected) and more than continuous 50 voxels were determined as significant.Results Regional results showed there was a significant reduction of gray matter volume in left middle frontal gyrus, superior frontal gyrus, precuneus, gyrus rectus, right medial superior frontal gyrus and orbital gyrus in patients with alcohol addiction compared with health controls, and the regional reduction of white matter volume in patients with alcohol addiction mainly located in the white matter of bilateral superior frontal gyrus. Global brain volume analysis showed there was a significant smaller volume in white matter [ (675. 14 ± 70. 62) ml]and brain parenchyma [ ( 1578. 81 ± 199. 05 ) ml]for patient group than that in white matter [ ( 841.33 :± 177. 35 ) ml]and brain parenchyma [ ( 1722. 13 ± 117.62) ml]for control group (t = 11.37,5. 764, respectively, P <0. 05 ), but there was no difference in the gray matter volume between patient group [(903.67 ±1±9.87) ml]and control group [(880.79 ±1±7.10) ml](t =0.177, P>0. 05 ). Conclusions Regional gray and white matter atrophy can be the initial changes in patients with alcohol addiction and the frontal region is a relative specific damaged brain region. VBM has a potential value for the detection of subtle brain atrophy in patients with alcohol addiction.

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