Abnormal Fractional Amplitude of Low-frequency Fluctuation Changes in Patients With Diabetic Optic Neuropathy: a Functional MRI Study
The present study was to assess the spontaneous changes in brain activity in patients with DON using functional magnetic resonance imaging (fMRI). 14 DON patients and 14 healthy controls (HCs) were enrolled. All participants underwent resting-state fMRI (rs-fMRI). The fractional amplitude of low-frequency fluctuation (fALFF) method was applied to evaluate neural activity changes. The Hospital Anxiety and Depression Scale (HADS) was used to assess the anxiety and depression status of
... atus of participants. The independent sample t test and chi-squared test were applied to analyze demographics of DON patients and HCs. Receiver operating characteristic (ROC) curves were applied to analyze the variation in mean fALFF values between DON patients and HCs. The relationships between the fALFF values of brain regions and clinical behaviors in the DON group were analyzed using Pearson's correlation analysis. In contrast to HCs, the fALFF value of DON patients was significantly higher in the right precentral gyrus (RPCG). However, the fALFF values in right anterior cingulate gyrus (RACG) and left middle cingulate gyrus (LMCG) were markedly decreased in DON patients. The area under the curve (AUC) of ROCs for each brain region showed high accuracy. Pearson's correlation analysis showed that fALFF values of the right anterior cingulate gyrus and left middle cingulate gyrus were negatively correlated with HADS scores, while fALFF values of the left middle cingulate gyrus were negatively correlated with DON disease duration. To sum up, we found abnormal spontaneous brain activities in regions related to cognitive and emotional dysfunction, eye movement disorder, and vision loss in patients with DON. These results may indicate the underlying neuropathological mechanisms of DON, and show that fALFF may be an effective method by which to distinguish patients with DON from healthy individuals.