A unique increase in prefrontal gray matter volume in hoarding disorder compared to obsessive-compulsive disorder

<div><p>Background</p><p>Hoarding disorder (HD) is a disease concept newly presented in DSM-5. As far as we know, no studies have examined the structural changes relevant to hoarding by applying the diagnostic criteria of HD in DSM-5. In the present study, we aimed to find abnormalities in gray matter (GM) structures of patients with HD.</p><p>Methods</p><p>Seventeen patients who met the DSM-5 criteria for HD, 17 obsessive-compulsive disorder (OCD) patients, and 17 healthy controls (HCs) participated in this study. All participants underwent MRI scanning of the brain by a 3.0-Tesla MRI scanner. In a voxel-based morphometric procedure, preprocessed GM structural images were used to compare the three groups. Thereafter we investigated the correlation between the clinical data (age of onset, symptomatic severity) and GM volume.</p><p>Results</p><p>The HD group showed a significantly increased GM volume compared to the OCD and healthy control groups (p<0.05) in both Brodmann area (BA)10 and BA11. There was no significant difference between OCD and healthy control groups. No significant correlation between the clinical data including age of onset, symptom severity score, and GM volume was observed in HD and OCD groups.</p><p>Conclusions</p><p>The results might help to explain the inconsistency of previous studies. As with OCD, HD is considered to have cognitive dysfunction as its basis. This result is convincing after considering the clinical features of HD and suggested that structural abnormalities in the prefrontal regions might relate to the pathophysiology of HD.</p></div

In-vivo APT imaging of lung tumors in the orthotopic mouse model.

<p>Representative T2-weighted images (left) and APT-weighted images (right, MTR_asym map at 3.5 ppm) of A549 (<b>A</b>) and LLC (<b>B</b>) where the tumors (open arrows) are delineated brighter than the surrounding tissues including spinal cord (closed arrows) and skeletal muscles. A typical region of interest to measure signal intensity on a tumor is demonstrated (<b>B</b>).</p

Analyses for Z-spectrum and MTR_asym of both types of lung tumors.

<p>Z-spectra of A549 (<b>A</b>) and LLC (<b>B</b>) tumors compared to that of spinal cord as a reference show that the LLC tumor has a larger CEST effect than A549 tumor. Corrected MTR_asym spectra of A549 and LLC (<b>C</b>) and corrected MTR_asym at 3.5 ppm (<b>D</b>) show that LLC has a larger APT effect than A549, which may be related to the malignancy of the tumors. *, <i>P</i>≤0.05; **, P≤0.01; ***, P≤0.001 by Student’s t-test.</p

Study design for APT imaging of the mice lung using the small animal ventilator.

<p>The animal was mechanically ventilated for constant amplitude and frequency of respiration at 32 breaths/min in which inhalation and end-expiration was 0.2 s and 1.6 s, respectively. The lung was inflated until the intrapulmonary pressure becomes 20 cm H₂O. Fast spin-echo images were obtained following a presaturation pulse (continuous-wave block pulse, B1 = 1.7 µT, duration = 4 s) in the end-expiratory phase.</p

The results of correlation analysis.

<p>No significant correlation between the DY-BOCS dimensional score (HD: hoarding score, OCD: contamination/washing score) and GM volume was observed in either the HD or OCD group.</p

Micrographs of the A549 tumor and LCC tumor.

<p>Hematoxylin-eosin staining (original magnification×400) demonstrates that LCC (<b>C</b>) have higher cell density and larger cell nuclei compared to A549 (<b>A</b>). Ki-67 staining (original magnification×200) reveals larger fraction of positive cells seen in LCC (<b>D</b>) than in A549 (<b>B</b>). This indicates the presence of a larger number of cells in active phases of the cell cycle (G₁, S, G₂, and mitosis) and thus the aggressive nature of LCC.</p

Differences in GM volumes among three groups (HD, OCD, and HCs).

<p>Differences in GM volumes among three groups (HD, OCD, and HCs).</p

The results of ROI analysis.

<p>In the comparison of the three groups based on the gray matter volume obtained by ROI analysis, the HD group showed significantly increased GM volumes compared to the OCD group and the healthy control group (p<0.05) in both BA10 and BA11.</p

Demographic and clinical characteristics of all subjects.

<p>Demographic and clinical characteristics of all subjects.</p

Amide Proton Transfer Imaging of Diffuse Gliomas: Effect of Saturation Pulse Length in Parallel Transmission-Based Technique

<div><p>In this study, we evaluated the dependence of saturation pulse length on APT imaging of diffuse gliomas using a parallel transmission-based technique. Twenty-two patients with diffuse gliomas (9 low-grade gliomas, LGGs, and 13 high-grade gliomas, HGGs) were included in the study. APT imaging was conducted at 3T with a 2-channel parallel transmission scheme using three different saturation pulse lengths (0.5 s, 1.0 s, 2.0 s). The 2D fast spin-echo sequence was used for imaging. Z-spectrum was obtained at 25 frequency offsets from -6 to +6 ppm (step 0.5 ppm). A point-by-point B0 correction was performed with a B0 map. Magnetization transfer ratio (MTR_asym) and ΔMTR_asym (contrast between tumor and normal white matter) at 3.5 ppm were compared among different saturation lengths. A significant increase in MTR_asym (3.5 ppm) of HGG was found when the length of saturation pulse became longer (3.09 ± 0.54% at 0.5 s, 3.83 ± 0.67% at 1 s, 4.12 ± 0.97% at 2 s), but MTR_asym (3.5 ppm) was not different among the saturation lengths in LGG. ΔMTR_asym (3.5 ppm) increased with the length of saturation pulse in both LGG (0.48 ± 0.56% at 0.5 s, 1.28 ± 0.56% at 1 s, 1.88 ± 0.56% at 2 s and HGG (1.72 ± 0.54% at 0.5 s, 2.90 ± 0.49% at 1 s, 3.83 ± 0.88% at 2 s). In both LGG and HGG, APT-weighted contrast was enhanced with the use of longer saturation pulses.</p></div