单眼弱视治疗前后视放射的扩散张量成像研究
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2011年深圳市科技计划项目(No.201103146)


Optic radiation alterations in the treatment of monocular amblyopia: a diffusion tensor imaging study
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Science and Technology Plan Project of Shenzhen in 2011(No. 201103146)

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    摘要:

    目的:利用磁共振扩散张量成像(diffusion tensor imaging,DTI)技术研究单眼弱视儿童治疗前后视放射的变化及其神经机制。

    方法:选择18例左眼屈光参差性弱视儿童经过为期9mo的弱视治疗,对治疗前后的视放射进行DTI检查,比较分析治疗前后视放射的各向异性分数(fractional anisotropy, FA)值和表观扩散系数(apparent diffusion coefficient, ADC)值的变化。

    结果:治疗后两侧视放射的FA 值均高于治疗前(P<0.05),ADC值均低于治疗前(P<0.05)。右侧视放射治疗前后FA 值和ADC值的变化均大于左侧视放射(P<0.05)。

    结论:单眼弱视儿童经过有效的弱视治疗后,两侧视放射的神经纤维均得到不同程度的改善。

    Abstract:

    AIM: To investigate the alterations of optic radiations(ORs)in monocular amblyopic children underwent treatment by using diffusion tensor imaging(DTI),and to explore its underlying neuromechanism.

    METHODS: Eighteen children with anisometropic amblyopia(all left eyes)were recruited for amblyopia therapy. DTI data of ORs were acquired for each patient twice: before and after 9mo amblyopia therapy. The fractional anisotropy(FA)values and apparent diffusion coefficient(ADC)values were campared between the previous and posterior scans.

    RESULTS: On both sides of ORs, the FA values of posterior therapy were higher than those of previous therapy(P<0.05), while the ADC values of posterior therapy were lower than those of previous therapy(P<0.05). The alterations of FA values and ADC values of ORs on the right side were greater than those of ORs on the left side after therapy(P<0.05).

    CONCLUSION: Both sides of ORs in monocular amblyopic children are modified to varying degrees after myopia therapy.

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吴进,曾洪武,方佃刚,等.单眼弱视治疗前后视放射的扩散张量成像研究.国际眼科杂志, 2014,14(2):321-323.

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  • 收稿日期:2013-10-24
  • 最后修改日期:2014-01-08
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  • 在线发布日期: 2014-01-20
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