1.Quantitative susceptibility mapping analysis of brain iron deposition characteristics and their correlation with cognitive function in Alzheimer's disease patients
Yuying SONG ; Saimaiti KHALIBINUR ; Xu ZHOU ; Xiangxin SONG ; XIE Yidai ABDIGITI ; Aizezi DILRABA ; Yibulayin HASYATI
The Journal of Practical Medicine 2025;41(20):3267-3275
Objective To investigate the correlation between brain iron content and cognitive function in patients with Alzheimer's disease(AD),and to assess the diagnostic value of iron deposition in AD using quantitative susceptibility mapping(QSM)technology.Methods Forty-three patients with AD who visited the Second Affiliated Hospital of Xinjiang Medical University between January 2024 and December 2024,and 42 healthy controls matched for gender and age were enrolled in the study.Comprehensive clinical data were collected from all participants.All subjects underwent brain MRI scans using a Philips Ingenia CX 3.0T magnetic resonance imaging system,including both QSM and conventional cranial MRI sequences.The acquired QSM images were post-processed and normalized using the STISuite software package,and the iron content in predefined regions of interest was quantified using ITK-SNAP.All participants also underwent neuropsychological assessments.Differences in regional brain iron content between AD patients and healthy controls were analyzed and compared.Spearman's correlation coefficient was calculated to evaluate the relationship between iron levels in the frontal cortex,basal ganglia,and hippocampus and cognitive performance.Receiver operating characteristic(ROC)curves were constructed to assess the diagnostic accuracy of iron deposition in differentiating AD patients from healthy controls.Results(1)Compared with the control group,the magnetic susceptibility values in the basal ganglia and hippocampus of the AD group showed statistically significant differences(P<0.01),with higher values observed in the AD group.No statistically significant difference was found in the susceptibility values of the frontal cortex between the AD group and the control group(P>0.05).(2)In the AD group,the susceptibility values of the left caudate nucleus and left hippocampus tail were negatively correlated with the MMSE scores(P<0.05).Additionally,the susceptibility values of the left caudate nucleus,left putamen,left hippocampus,and left hippocampus tail were negatively correlated with the MOCA scores(P<0.05).(3)The area under the curve(AUC)for diagnosing AD based on the left caudate nucleus was 0.758(95%CI:0.649-0.867),for the left putamen it was 0.719(95%CI:0.606-0.831),and for the left hippocampus tail it was 0.640(95%CI:0.518-0.763).Conclusions(1)The iron content in certain brain regions of AD patients is elevated compared to that in healthy controls,particularly in the basal ganglia and hippocampus.(2)The iron concentration in the brains of AD patients,especially in the left caudate nucleus,left putamen,left hippocampus,and hippocampal tail,is negatively correlated with cognitive function.Higher iron levels are associated with more severe cognitive impairment,suggesting that iron accumulation may serve as a potential biomarker for assessing disease severity.(3)Iron deposition in the left caudate nucleus and left putamen demonstrates certain diagnostic value for AD and holds promise as an imaging marker for the auxiliary diagnosis of the disease.
2.Quantitative susceptibility mapping analysis of brain iron deposition characteristics and their correlation with cognitive function in Alzheimer's disease patients
Yuying SONG ; Saimaiti KHALIBINUR ; Xu ZHOU ; Xiangxin SONG ; XIE Yidai ABDIGITI ; Aizezi DILRABA ; Yibulayin HASYATI
The Journal of Practical Medicine 2025;41(20):3267-3275
Objective To investigate the correlation between brain iron content and cognitive function in patients with Alzheimer's disease(AD),and to assess the diagnostic value of iron deposition in AD using quantitative susceptibility mapping(QSM)technology.Methods Forty-three patients with AD who visited the Second Affiliated Hospital of Xinjiang Medical University between January 2024 and December 2024,and 42 healthy controls matched for gender and age were enrolled in the study.Comprehensive clinical data were collected from all participants.All subjects underwent brain MRI scans using a Philips Ingenia CX 3.0T magnetic resonance imaging system,including both QSM and conventional cranial MRI sequences.The acquired QSM images were post-processed and normalized using the STISuite software package,and the iron content in predefined regions of interest was quantified using ITK-SNAP.All participants also underwent neuropsychological assessments.Differences in regional brain iron content between AD patients and healthy controls were analyzed and compared.Spearman's correlation coefficient was calculated to evaluate the relationship between iron levels in the frontal cortex,basal ganglia,and hippocampus and cognitive performance.Receiver operating characteristic(ROC)curves were constructed to assess the diagnostic accuracy of iron deposition in differentiating AD patients from healthy controls.Results(1)Compared with the control group,the magnetic susceptibility values in the basal ganglia and hippocampus of the AD group showed statistically significant differences(P<0.01),with higher values observed in the AD group.No statistically significant difference was found in the susceptibility values of the frontal cortex between the AD group and the control group(P>0.05).(2)In the AD group,the susceptibility values of the left caudate nucleus and left hippocampus tail were negatively correlated with the MMSE scores(P<0.05).Additionally,the susceptibility values of the left caudate nucleus,left putamen,left hippocampus,and left hippocampus tail were negatively correlated with the MOCA scores(P<0.05).(3)The area under the curve(AUC)for diagnosing AD based on the left caudate nucleus was 0.758(95%CI:0.649-0.867),for the left putamen it was 0.719(95%CI:0.606-0.831),and for the left hippocampus tail it was 0.640(95%CI:0.518-0.763).Conclusions(1)The iron content in certain brain regions of AD patients is elevated compared to that in healthy controls,particularly in the basal ganglia and hippocampus.(2)The iron concentration in the brains of AD patients,especially in the left caudate nucleus,left putamen,left hippocampus,and hippocampal tail,is negatively correlated with cognitive function.Higher iron levels are associated with more severe cognitive impairment,suggesting that iron accumulation may serve as a potential biomarker for assessing disease severity.(3)Iron deposition in the left caudate nucleus and left putamen demonstrates certain diagnostic value for AD and holds promise as an imaging marker for the auxiliary diagnosis of the disease.
3.Influencing factors of growth hormone in response to insulin tolerance test in 50 healthy adults
Xiangxin SONG ; Feng GU ; Yancheng XU ; Jiapu GE ; Liquan CUI
Chinese Journal of Endocrinology and Metabolism 2014;30(1):52-54
The peak level of growth hormone (GH) stimulated by insulin tolerance test (ITT) is thegold standard for diagnosis of growth hormone deficiency in adults.This study was aimed to explore the factors influencing GH response to ITT in 50 healthy adults.The results showed that the nadir or decreased amplitude of blood glucose was not related to GH peak level.In multivariable analysis,the GH level stimulated by ITT was negatively associated with body mass index(P<0.01),but there was no any association with age,gender,and waist circumference.
4.Analysis of blood lipid profile of the Uyghur people with abnormal glucose metabolism in Xinjiang province by different diagnostic criteria for metabolic syndrome
Limin ZHAO ; Yunzhi LUO ; Xiangxin SONG ; Xinling WANG
Journal of Chinese Physician 2013;15(11):1485-1489
Objective To study the prevalence of metabolic syndrome (MS) within the Uyghur people with abnormal glucose metabolism in Xinjiang province according to three different diagnostic criteria and effects of accumulation of MS components on blood lipid profile.Methods Components of MS and blood lipid profile were observed with 666 Uyghur people with abnormal glucose metabolism after cluster randomized sampling method for selecting in Xinjiang province,and analyzed with the recommended diagnostic criteria by the National Cholesterol Education Program-Adult treatment Panel Ⅲ(NCEP-ATP Ⅲ,2001),the Chinese Diabetes Society under Chinese Medical Association (CDS,2004) and the International Diabetes Federation (IDF,2005).Results Prevalence of MS was 21.92% (14.67%),23.72% (15.88%),57.51% (38.48%) with the criteria by NCEP-ATPⅢ,CDS,and IDF,respectively.IDF was the best among three criteria.The most combination was the abnormal glucose metabolism,dyslipidemia and obesity.In the ATPⅢ (2001),with the increase of number of components of metabolic syndrome,highdensity lipoprotein cholesterol (HDL-C) drop,low density lipoprotein cholesterol (LDL-C) increased; there was not significant difference in the CDS.Conclusions The incidence of MS was high in the Uyghur people with abnormal glucose metabolism in Xinjiang province.Most of them complicated with dyslipidemia.One of common components of MS included the elevated triglycerides,decreased HDL-C,and increased size of LDL-C particles,which could easily cause cardiovascular disease.

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