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Decreased Gray Matter Concentration and Local Synchronization of Spontaneous Activity in the Motor Cortex in Duchenne Muscular Dystrophy

S.-Y. Lv, Q.-H. Zou, J.-L. Cui, N. Zhao, J. Hu, X.-Y. Long, Y.-C. Sun, J. He, C.-Z. Zhu, Y. He and Y.-F. Zang
American Journal of Neuroradiology December 2011, 32 (11) 2196-2200; DOI: https://doi.org/10.3174/ajnr.A2718
S.-Y. Lv
aFrom the Departments of Radiology (S.-Y.L., J.-L.C., N.Z., Y.-C.S., J.He) and Neurology (J.Hu), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
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Q.-H. Zou
bState Key Laboratory of Cognitive Neuroscience and Learning (Q.-H.Z., X.-Y.L., C.-Z.Z., Y.H.), Beijing Normal University, Beijing, China
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J.-L. Cui
aFrom the Departments of Radiology (S.-Y.L., J.-L.C., N.Z., Y.-C.S., J.He) and Neurology (J.Hu), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
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N. Zhao
aFrom the Departments of Radiology (S.-Y.L., J.-L.C., N.Z., Y.-C.S., J.He) and Neurology (J.Hu), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
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J. Hu
aFrom the Departments of Radiology (S.-Y.L., J.-L.C., N.Z., Y.-C.S., J.He) and Neurology (J.Hu), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
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X.-Y. Long
bState Key Laboratory of Cognitive Neuroscience and Learning (Q.-H.Z., X.-Y.L., C.-Z.Z., Y.H.), Beijing Normal University, Beijing, China
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Y.-C. Sun
aFrom the Departments of Radiology (S.-Y.L., J.-L.C., N.Z., Y.-C.S., J.He) and Neurology (J.Hu), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
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J. He
aFrom the Departments of Radiology (S.-Y.L., J.-L.C., N.Z., Y.-C.S., J.He) and Neurology (J.Hu), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
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C.-Z. Zhu
bState Key Laboratory of Cognitive Neuroscience and Learning (Q.-H.Z., X.-Y.L., C.-Z.Z., Y.H.), Beijing Normal University, Beijing, China
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Y. He
bState Key Laboratory of Cognitive Neuroscience and Learning (Q.-H.Z., X.-Y.L., C.-Z.Z., Y.H.), Beijing Normal University, Beijing, China
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Y.-F. Zang
cCenter for Cognition and Brain Disorders and The Affiliated Hospital (Y.-F.Z.), Hangzhou Normal University, Hangzhou, Zhejiang, China
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    Fig 1.

    The defined mask based on the AAL template includes the bilateral primary sensorimotor cortex and supplementary motor area. The numbers below the images refer to the z coordinates in the TT space. R indicates right; L, left; Z, the z coordinates.

  • Fig 2.
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    Fig 2.

    Correlation between age and muscle strength in patients with DMD. A, Proximal limb. B, Distal limb. Black squares and regression lines indicate the correlations between age and the upper limb, while red dots and regression lines indicate the correlation between age and the lower limb.

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    Fig 3.

    The brain areas of deceased ReHo (A) and decreased GMC (B) in boys with DMD compared with controls. The numbers below the images refer to the z coordinates in the TT space. R indicates right; L, left; Z, the z coordinates.

  • Fig 4.
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    Fig 4.

    Correlation between ReHo at the left PSMC (BA 4) and muscle strength of the distal upper limb (DUL) with age as covariance. The x- and y-axes are the residuals of the original ReHo and muscle strength of the DUL, respectively, with age regressed out.

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    Table 1:

    The correlation between age and muscle strength in patients with DMD

    Muscle StrengthrP value
    Proximal upper limb3.6 ± 0.8−0.517.070
    Distal upper limb4.3 ± 0.5−0.693.009
    Proximal lower limb3.3 ± 0.7−0.548.052
    Distal lower limb4.3 ± 0.4−0.670.012
    • View popup
    Table 2:

    Brain areas of regional homogeneity and gray matter concentration difference between 2 groups in the defined motor cortex maska

    Volume (mm3)AreaHemisphereBATT CoordinatesPeak T Value
    XYZ
    Decreased ReHo in DMD
        2214PSMCL4−43−2553−2.73
    PSMCL5−22−4959−2.81
        1404SMAR611−1950−3.33
        459PSMCR447−1947−2.61
    Decreased GMC in DMD
        675PSMCL4−43−1332−4.40
    • Note:—L indicates left; R, right; BA = Brodmann area.

    • ↵a P < .05.

    • View popup
    Table 3:

    The correlation between MR imaging measures and the muscle strength in patients with DMD

    AreaReHo ValueGMC Value
    L-PSMC (BA 4)L-PSMC (BA 5)R-SMA (BA 6)R-PSMC (BA 4)L-PSMC (BA 4)
    Proximal upper limbr−0.347−0.3880.3530.260−0.550
    P0.3600.3020.3520.5000.125
    Distal upper limbr−0.784−0.2350.482−0.407−0.626
    P0.0120.5430.1890.2770.071
    Proximal lower limbr−0.1050.208−0.5300.0120.248
    P0.7890.5920.1420.9760.520
    Distal lower limbr−0.428−0.4350.094−0.271−0.520
    P0.2500.2420.8100.4810.151
    • Note:—L indicates left; R, right; BA, Brodmann area.

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American Journal of Neuroradiology: 32 (11)
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S.-Y. Lv, Q.-H. Zou, J.-L. Cui, N. Zhao, J. Hu, X.-Y. Long, Y.-C. Sun, J. He, C.-Z. Zhu, Y. He, Y.-F. Zang
Decreased Gray Matter Concentration and Local Synchronization of Spontaneous Activity in the Motor Cortex in Duchenne Muscular Dystrophy
American Journal of Neuroradiology Dec 2011, 32 (11) 2196-2200; DOI: 10.3174/ajnr.A2718

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Decreased Gray Matter Concentration and Local Synchronization of Spontaneous Activity in the Motor Cortex in Duchenne Muscular Dystrophy
S.-Y. Lv, Q.-H. Zou, J.-L. Cui, N. Zhao, J. Hu, X.-Y. Long, Y.-C. Sun, J. He, C.-Z. Zhu, Y. He, Y.-F. Zang
American Journal of Neuroradiology Dec 2011, 32 (11) 2196-2200; DOI: 10.3174/ajnr.A2718
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