首页|期刊导航|磁共振成像|多模态结构-功能MRI在孤独症谱系障碍大尺度脑网络层级异常中的研究进展

多模态结构-功能MRI在孤独症谱系障碍大尺度脑网络层级异常中的研究进展OA

Research progress on multimodal structural-functional MRI studies of hierarchical large-scale brain network abnormalities in autism spectrum disorder

中文摘要英文摘要

孤独症谱系障碍(autism spectrum disorder,ASD)是一种发生于儿童早期的神经发育障碍,其核心症状有社交沟通困难和重复刻板行为;虽然ASD患者症状表现多样,但越来越多的证据表明其可能具有共同的神经生物学基础.MRI技术的发展让研究者能从多个角度无创地探究ASD患者的脑网络异常,本文系统梳理了近年来基于扩散MRI和功能MRI技术,应用基于纤维束的空间统计分析、图论分析、功能梯度、滑动窗口法对ASD脑网络研究,重点分析这些方法在揭示脑结构完整性、功能协同及层级网络组织方面的价值;同时,本文还探讨了多模态影像融合与人工智能在ASD亚型识别和辅助诊断中存在的潜力.总体来看,多模态MRI结果提示ASD存在跨尺度脑网络异常,为阐明其神经机制以及开展早期识别和个体化干预提供了新的影像学依据.本文在此基础上简要总结当前研究的主要局限,并从"微观结构—大尺度功能—结构-功能耦合—多模态分析"一体化视角对未来研究方向作出展望,为影像科医师和神经科学研究者提供参考.

Autism spectrum disorder(ASD)is a neurodevelopmental condition that emerges in early childhood,characterized by social communication difficulties and restricted,repetitive behaviors.Despite their diverse symptoms,individuals with ASD may have shared neurobiological characteristics.Advances in MRI now allow researchers to study brain network abnormalities in ASD from multiple,noninvasive perspectives.This review highlights recent studies using diffusion and functional MRI,covering tract-based spatial statistics,graph theory analyses,functional gradient mapping,and sliding-window approaches.We focus on how these methods help reveal white matter integrity,functional coordination,and hierarchical brain organization in ASD.We also discuss the potential of multimodal image fusion and artificial intelligence(AI)for ASD subtype identification and auxiliary diagnosis.Overall,findings from multimodal MRI indicate cross-scale alterations of brain networks in ASD,providing new imaging evidence for understanding its neural mechanisms and for supporting early identification and individualized intervention.On this basis,we briefly outline the main limitations of current research and,from an integrated perspective spanning"microstructure-large-scale function-structure-function coupling-multimodal analysis",propose future research directions to inform radiologists and neuroscience researchers.

许媛媛;张国敏;伍光榕;方婕;熊思言;杨伟

遵义医科大学第三附属医院(遵义市第一人民医院)放射科,遵义 563000遵义医科大学第三附属医院(遵义市第一人民医院)放射科,遵义 563000遵义医科大学第三附属医院(遵义市第一人民医院)放射科,遵义 563000遵义医科大学第三附属医院(遵义市第一人民医院)放射科,遵义 563000遵义医科大学第三附属医院(遵义市第一人民医院)放射科,遵义 563000遵义医科大学第三附属医院(遵义市第一人民医院)放射科,遵义 563000

医药卫生

孤独症谱系障碍多模态磁共振成像磁共振成像大尺度脑网络结构-功能耦合机器学习

autism spectrum disordermultimodal magnetic resonance imagingmagnetic resonance imaginglarge-scale brain networksstructure-function couplingmachine learning

《磁共振成像》 2026 (1)

128-133,6

Zunyi City Science and Technology Fund Project[No.Shikehui HZ(2023)491]. 遵义市科学技术基金项目[编号:市科会HZ字(2023)491号]

10.12015/issn.1674-8034.2026.01.020

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