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Research ArticleBrain
Open Access

Reduced Regional Gray Matter Volume in Patients with Chronic Obstructive Pulmonary Disease: A Voxel-Based Morphometry Study

H. Zhang, X. Wang, J. Lin, Y. Sun, Y. Huang, T. Yang, S. Zheng, M. Fan and J. Zhang
American Journal of Neuroradiology February 2013, 34 (2) 334-339; DOI: https://doi.org/10.3174/ajnr.A3235
H. Zhang
aFrom the Department of Physiology and Neurobiology (H.Z., Y.S., Y.H., J.Z.), Medical College of Xiamen University, Xiamen, China
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X. Wang
bDepartment of Neurology (X.W.), Affiliated Hospital of Hangzhou Normal University, Hangzhou, China
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J. Lin
cMagnetic Resonance Center (J.L., T.Y.)
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Y. Sun
aFrom the Department of Physiology and Neurobiology (H.Z., Y.S., Y.H., J.Z.), Medical College of Xiamen University, Xiamen, China
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Y. Huang
aFrom the Department of Physiology and Neurobiology (H.Z., Y.S., Y.H., J.Z.), Medical College of Xiamen University, Xiamen, China
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T. Yang
cMagnetic Resonance Center (J.L., T.Y.)
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S. Zheng
dDepartment of Respiratory Medicine (S.Z.), Zhongshan Hospital, Medical College of Xiamen University, Xiamen, China
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M. Fan
eDepartment of Brain Protection and Plasticity (M.F.), Institute of Basic Medical Sciences, Beijing, China.
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J. Zhang
aFrom the Department of Physiology and Neurobiology (H.Z., Y.S., Y.H., J.Z.), Medical College of Xiamen University, Xiamen, China
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    Fig 1.

    Results of voxel-based morphometry–DARTEL analysis of the entire group of patients with COPD versus the entire group of controls. Note all regions in which patients with COPD had a significantly decreased gray matter volume compared with the controls at P < .05, corrected for multiple comparisons. Maximum intensity projections of all areas with significantly reduced gray matter volumes in the statistical parametric mapping (SPM) group analysis as an overlay on the SPM standard brain template.

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    Fig 2.

    Relatively reduced clusters (yellow) in the gray matter in patients with COPD compared with healthy controls (P < .05, false discovery rate–corrected). Sections (sagittal, coronal, and axial view) show reduced gray matter volume in the right gyrus rectus, bilateral orbital gyrus, and left superior frontal gyrus overlaid on a T1-weighted anatomic MR image in the Montreal Neurological Institute template.

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    Fig 3.

    Relatively reduced clusters (yellow) in gray matter in patients with COPD compared with healthy controls (P < .05, false discovery rate–corrected). Sections (sagittal, coronal, and axial view) show reduced gray matter volume in the bilateral inferior frontal and bilateral cingulate gyri overlaid on a T1-weighted anatomic MR image in the Montreal Neurological Institute template.

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    Fig 4.

    Relatively reduced clusters (yellow) in gray matter in patients with COPD compared with healthy controls (P < .05, false discovery rate–corrected). Sections (sagittal, coronal, and axial view) show reduced gray matter volume in the right anterior insula, right putamen, left amygdala, right parahippocampus, and right thalamus overlaid on a T1-weighted anatomic MR image in the Montreal Neurological Institute template.

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    Table 1:

    Demographic characteristics of the patients with COPD and healthy volunteers

    Patients with COPDControlsP Value
    No. of subjects2525
    Sex (female) (%)1616
    Age (yr) (mean)69.2 ± 8.1 (58–84)68.0 ± 8.0 (57–86).59
    Education (yr) (mean)6.7 ± 3.97.5 ± 5.0.53
    Family history of COPD (%)4–
    Disease duration (yr)7.0 ± 5.7–
    Actual smokers (%)4440.86
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    Table 2:

    Physiologic and psychological characteristicsa

    Patients with COPDControlsP Value
    BMI (kg/m2)20.8 ± 3.922.6 ± 2.6.081
    ADL20.1 ± 6.514.6 ± 1.5<.001
    Heart rate92.4 ± 16.270.9 ± 8.9<.001
    Blood pressure (mm Hg)
        Systolic pressure136.1 ± 19.1136.5 ± 18.0.940
        Diastolic pressure81.8 ± 10.777.5 ± 14.5.307
    Hematologic measurements
        Sao2 (%)94.0 ± 4.297.0 ± 1.3.003
        po2 (mm Hg)79.9 ± 23.398.5 ± 11.3.006
        pco2 (mm Hg)48.1 ± 6.039.8 ± 3.0<.001
        pH7.4 ± 0.067.4 ± 0.01.731
    Pulmonary function testing
        Respiratory rate (breaths/min)23.5 ± 6.016.9 ± 5.5.003
        FVC (% predicted)66.6 ± 17.296.1 ± 14.7<.001
        FEV1 (% predicted)43.4 ± 16.497.5 ± 16.9<.001
        FEV1/FVC (%)50.3 ± 10.780.0 ± 8.3<.001
    Cognitive tests
        MMSE23.3 ± 3.425.8 ± 2.1.021
        Digit Span
            Forward Task7.0 ± 1.67.7 ± 1.40.125
            Backward Task4.1 ± 1.94.3 ± 1.50.612
        Visual Reproduction8.2 ± 3.410.3 ± 3.00.031
        Figure Memory10.5 ± 3.012.4 ± 1.90.010
    • Note:—ADL indicates activities of daily living; BMI, body mass index; MMSE, Mini-Mental State Examination; pco2 = partial pressure of carbon dioxide.

    • ↵a Data are mean ± SD.

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American Journal of Neuroradiology: 34 (2)
American Journal of Neuroradiology
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H. Zhang, X. Wang, J. Lin, Y. Sun, Y. Huang, T. Yang, S. Zheng, M. Fan, J. Zhang
Reduced Regional Gray Matter Volume in Patients with Chronic Obstructive Pulmonary Disease: A Voxel-Based Morphometry Study
American Journal of Neuroradiology Feb 2013, 34 (2) 334-339; DOI: 10.3174/ajnr.A3235

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Reduced Regional Gray Matter Volume in Patients with Chronic Obstructive Pulmonary Disease: A Voxel-Based Morphometry Study
H. Zhang, X. Wang, J. Lin, Y. Sun, Y. Huang, T. Yang, S. Zheng, M. Fan, J. Zhang
American Journal of Neuroradiology Feb 2013, 34 (2) 334-339; DOI: 10.3174/ajnr.A3235
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