Relationship between microbleeds on susceptibility-weighted MRI and newly-developed depression in patients after mild traumatic brain injury
10.12025/j.issn.1008-6358.2017.20161131
- VernacularTitle:轻度创伤性脑损伤后磁敏感加权成像脑内微出血与外伤后抑郁发生的相关性
- Author:
Ping ZHU
1
;
Yue-Hua LI
;
Xiao-Bing LI
;
Xiao-Er WEI
;
Xuan WANG
Author Information
1. 上海市第六人民医院南院奉贤区中心医院放射科
- Keywords:
traumatic brain inj ury;
depression;
magnetic resonance imaging;
susceptibility-weighted
- From:
Chinese Journal of Clinical Medicine
2017;24(1):31-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between abnormality on susceptibility-weighted imaging (SWI)and newly-developed depression after mild traumatic brain injury.Methods:Totally 200 brain injury patients with routine CT and MRI were examined.All patients underwent MRI including conventional MR sequences and SWI.The number and volume of microbleed lesions were semi-automatically outlined and manually counted.All patients were followed up with the Structured Clinical Interview for DSM-Ⅳ Axis I Disorders (SCID-Ⅳ)within 1 year after TBI.Results:The difference in microbleed lesions on SWI was compared between the depressive and non-depressive groups.The depressive group had a higher rate of abnormality on SWI than which in the non-depressive group (P<0.001 ).Among patients that had exhibited microbleed lesions,the number and volume of lesions were greater in the depressive group than the non-depressive group (allP<0.001). These differences in numbers and volume of lesions were found only at the frontal,parietal,and temporal lobes (all P<0.001).Among patients that had exhibited microbleed lesions,the number and volume of lesions in other areas were not significantly different between the depressive and non-depressive groups.Conclusions:SWI was useful to identify the microbleed lesions after mild TBI.The distribution range and location of microbleed lesions were correlated with depression after TBI.
