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Xu S, Fan Y, Mao C, Hu Z, Yang Z, Qu L, Xu Y, Yu L, Zhu X. Multimodal magnetic resonance imaging analysis of early mild cognitive impairment. J Alzheimers Dis 2025; 104:1013-1027. [PMID: 40033775 DOI: 10.1177/13872877251321187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2025]
Abstract
BackgroundEarly mild cognitive impairment (EMCI) represents a prodromal stage of dementia, and early detection is crucial for delaying dementia progression. However, accurately identifying its neuroimaging features remains challenging.ObjectiveTo comprehensively evaluate structural and functional neuroimaging changes in EMCI using multimodal magnetic resonance imaging (MRI) techniques.MethodsOne hundred and eleven participants were included from the Alzheimer's Disease Neuroimaging Initiative (ADNI): 36 with cognitively normal (CN), 30 with EMCI, 32 with late mild cognitive impairment (LMCI), and 13 with Alzheimer's disease (AD). FreeSurfer software was employed to segment hippocampal and amygdala subregions. The amplitude of low-frequency fluctuation (ALFF), fractional ALFF (fALFF), regional homogeneity (ReHo), and functional connectivity were processed using Data Processing & Analysis for Brain Imaging toolbox. Graph Theoretical Network Analysis toolbox was utilized to evaluate global functional network.ResultsThe volume of most hippocampal and amygdala subregions was decreased in AD group than those of EMCI group in structural MRI. Significant differences were found between EMCI and AD group in fALFF (right insula) and ReHo (bilateral caudate regions). EMCI group exhibited stronger functional connectivity between left hippocampus and right inferior temporal gyrus (compared to CN), left inferior temporal gyrus (compared to LMCI), and cerebellum crus 8 (compared to AD). EMCI group exhibited stronger connectivity between right hippocampus and left anterior cingulate gyrus compared to AD. Network metrics showed no significant differences among these groups, but all exhibited small-world properties.ConclusionsMultimodal MRI analysis revealed the neuroimaging characteristics of EMCI and promoted the understanding of the mechanisms underlying neuroimaging changes in EMCI.
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Affiliation(s)
- Shuai Xu
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Yingao Fan
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Chenglu Mao
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Zheqi Hu
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Zhiyuan Yang
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Longjie Qu
- Department of Neurology, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, China
| | - Yun Xu
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
- Department of Neurology, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, China
- State Key Laboratory of Pharmaceutical Biotechnology and Institute of Translational Medicine for Brain Critical Diseases, Nanjing University, Nanjing, China
- Jiangsu Key Laboratory for Molecular Medicine, Medical School of Nanjing University, Nanjing, China
| | - Linjie Yu
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Xiaolei Zhu
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
- Department of Neurology, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, China
- State Key Laboratory of Pharmaceutical Biotechnology and Institute of Translational Medicine for Brain Critical Diseases, Nanjing University, Nanjing, China
- Jiangsu Key Laboratory for Molecular Medicine, Medical School of Nanjing University, Nanjing, China
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Lee WK, Hinrichs C, Chen YL, Wang PS, Guo WY, Wu YT. Analysis of the difference between Alzheimer's disease, mild cognitive impairment and normal people by using fractal dimensions and small-world network. PROGRESS IN BRAIN RESEARCH 2024; 290:179-190. [PMID: 39448112 DOI: 10.1016/bs.pbr.2024.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2024] [Revised: 07/17/2024] [Accepted: 07/24/2024] [Indexed: 10/26/2024]
Abstract
This research examined the distinctions in brain network characteristics among individuals with Alzheimer's disease (AD), mild cognitive impairment (MCI), and a control group. Magnetic resonance imaging (MRI) and mini-mental state examination (MMSE) data were retrieved from the Alzheimer's Disease Neuroimaging Initiative (ANDI) database, comprising 40 subjects in each group. Correlation maps for evaluating brain network connectivity were generated using fractal dimension (FD) analysis, a method capable of quantifying morphological changes in cortical and cerebral regions. Employing graph theory, each parcellated brain region was represented as a node, and edges between nodes were utilized to compute small-world network properties for each group. In the comparison between control and AD demonstrated the significantly lower FD values (P<0.05) in temporal lobe, motor cortex, part of occipital and parietal, hippocampus, amygdala, and entorhinal cortex, which present the atrophy. Similarly, comparing control group to MCIs, regions closely associated with memory, such as the hippocampus, showed significantly lower FD values. Furthermore, both AD and MCI groups displayed diminished connectivity and decreased network efficiency. In conclusion, fractal dimension (FD) analysis illustrate the progression of structural declination from mild cognitive impairment (MCI) to Alzheimer's disease (AD). Additionally, structural small-world network analysis presents itself as a potential method for assessing network efficiency and the progression of AD. Moving forward, further clinical assessments are warranted to validate the findings observed in this study.
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Affiliation(s)
- Wei-Kai Lee
- Institute of Biophotonics, National Yang Ming Chiao Tung University, Taipei, Taiwan; Brain Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Clay Hinrichs
- Hackettstown Medical Center, Atlantic Health System, Hackettstown, NJ, United States; Touro College of Osteopathic Medicine, New York, NY, United States; Rutgers Medical School, Newark, NJ, United States
| | - Yen-Ling Chen
- Department of Occupational Therapy, I-Shou University, Kaohsiung, Taiwan
| | - Po-Shan Wang
- Institute of Biophotonics, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Medicine, Taipei Municipal Gan-Dau Hospital, Taipei, Taiwan
| | - Wan-Yuo Guo
- Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan
| | - Yu-Te Wu
- Institute of Biophotonics, National Yang Ming Chiao Tung University, Taipei, Taiwan; Brain Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan; College Medical Device Innovation and Translation Center, National Yang Ming Chiao Tung University, Taipei, Taiwan.
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Wang M, Wang Y, Wang Z, Ren Q. The Abnormal Alternations of Brain Imaging in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review. J Alzheimers Dis Rep 2023; 7:901-919. [PMID: 37662615 PMCID: PMC10473125 DOI: 10.3233/adr-220083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 07/11/2023] [Indexed: 09/05/2023] Open
Abstract
Background Cognitive impairment (CI) is an important extrapulmonary complication in patients with chronic obstructive pulmonary disease (COPD). Multimodal Neuroimaging Examination can display changes in brain structure and functions in patients with COPD. Objective The purpose of this systematic review is to provide an overview of the variations in brain imaging in patients with COPD and their potential relationship with CI. Furthermore, we aim to provide new ideas and directions for future research. Methods Literature searches were performed using the electronic databases PubMed, Scopus, and ScienceDirect. All articles published between January 2000 and November 2021 that met the eligibility criteria were included. Results Twenty of the 23 studies focused on changes in brain structure and function. Alterations in the brain's macrostructure are manifested in the bilateral frontal lobe, hippocampus, right temporal lobe, motor cortex, and supplementary motor area. The white matter microstructural changes initially appear in the bilateral frontal subcortical region. Regarding brain function, patients with COPD exhibited reduced frontal cerebral perfusion and abnormal alterations in intrinsic brain activity in the bilateral posterior cingulate cortex, precuneus, right lingual gyrus, and left anterior central gyrus. Currently, there is limited research related to brain networks. Conclusion CI in patients with COPD may present as a type of dementia different from Alzheimer's disease, which tends to manifest as frontal cognitive decline early in the disease. Further studies are required to clarify the neurobiological pathways of CI in patients with COPD from the perspective of brain connectomics based on the whole-brain system in the future.
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Affiliation(s)
- Mengxue Wang
- Department of Neurology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China
| | - Yanjuan Wang
- Department of Neurology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China
| | - Zan Wang
- Department of Neurology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China
| | - Qingguo Ren
- Department of Neurology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China
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Ibáñez-Berganza M, Lucibello C, Santucci F, Gili T, Gabrielli A. Noise cleaning the precision matrix of short time series. Phys Rev E 2023; 108:024313. [PMID: 37723818 DOI: 10.1103/physreve.108.024313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 08/02/2023] [Indexed: 09/20/2023]
Abstract
We present a comparison between various algorithms of inference of covariance and precision matrices in small data sets of real vectors of the typical length and dimension of human brain activity time series retrieved by functional magnetic resonance imaging (fMRI). Assuming a Gaussian model underlying the neural activity, the problem consists of denoising the empirically observed matrices to obtain a better estimator of the (unknown) true precision and covariance matrices. We consider several standard noise-cleaning algorithms and compare them on two types of data sets. The first type consists of synthetic time series sampled from a generative Gaussian model of which we can vary the fraction of dimensions per sample q and the strength of off-diagonal correlations. The second type consists of time series of fMRI brain activity of human subjects at rest. The reliability of each algorithm is assessed in terms of test-set likelihood and, in the case of synthetic data, of the distance from the true precision matrix. We observe that the so-called optimal rotationally invariant estimator, based on random matrix theory, leads to a significantly lower distance from the true precision matrix in synthetic data and higher test likelihood in natural fMRI data. We propose a variant of the optimal rotationally invariant estimator in which one of its parameters is optimzed by cross-validation. In the severe undersampling regime (large q) typical of fMRI series, it outperforms all the other estimators. We furthermore propose a simple algorithm based on an iterative likelihood gradient ascent, leading to very accurate estimations in weakly correlated synthetic data sets.
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Affiliation(s)
- Miguel Ibáñez-Berganza
- Networks Unit, IMT School for Advanced Studies Lucca, Piazza San Francesco 19, 50100 Lucca, Italy and Istituto Italiano di Tecnologia. Largo Barsanti e Matteucci, 53, 80125 Napoli, Italy
| | - Carlo Lucibello
- AI Lab, Institute for Data Science and Analytics, Bocconi University, 20136 Milano, Italy
| | - Francesca Santucci
- Networks Unit, IMT School for Advanced Studies Lucca, Piazza San Francesco 19, 50100 Lucca, Italy
| | - Tommaso Gili
- Networks Unit, IMT School for Advanced Studies Lucca, Piazza San Francesco 19, 50100 Lucca, Italy
| | - Andrea Gabrielli
- Dipartimento di Ingegneria Civile, Informatica e delle Tecnologie Aeronautiche, Universitá degli Studi Roma Tre, Via Vito Volterra 62, 00146 Rome, Italy and Centro Ricerche Enrico Fermi, Via Panisperna 89a, 00184 Rome, Italy
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Yang Z, Chen Y, Hou X, Xu Y, Bai F. Topologically convergent and divergent large scale complex networks among Alzheimer's disease spectrum patients: A systematic review. Heliyon 2023; 9:e15389. [PMID: 37101638 PMCID: PMC10123263 DOI: 10.1016/j.heliyon.2023.e15389] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 03/16/2023] [Accepted: 04/05/2023] [Indexed: 04/28/2023] Open
Abstract
Alzheimer's disease (AD) is associated with disruption at the level of a large-scale complex network. To explore the underlying mechanisms in the progression of AD, graph theory was used to quantitatively analyze the topological properties of structural and functional connections. Although an increasing number of studies have shown altered global and nodal network properties, little is known about the topologically convergent and divergent patterns between structural and functional networks among AD-spectrum patients. In this review, we summarized the topological patterns of the large-scale complex networks using multimodal neuroimaging graph theory analysis in AD spectrum patients. Convergent deficits in the connectivity characteristics were primarily in the default mode network (DMN) itself both in the structural and functional networks, while a divergent changes in the neighboring regions of the DMN were also observed between the patient groups. Together, the application of graph theory to large-scale complex brain networks provides quantitative insights into topological principles of brain network organization, which may lead to increasing attention in identifying the underlying neuroimaging pathological changes and predicting the progression of AD.
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Affiliation(s)
- Zhiyuan Yang
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China
| | - Ya Chen
- Department of Neurology, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing 210008, China
| | - Xinle Hou
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China
| | - Yun Xu
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China
- Department of Neurology, Nanjing Drum Tower Hospital, State Key Laboratory of Pharmaceutical Biotechnology, Nanjing University, Nanjing 210008, China
| | - Feng Bai
- Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China
- Geriatric Medicine Center, Affiliated Taikang Xianlin Drum Tower Hospital, Medical School of Nanjing University, Nanjing 210008, China
- Correspondence to: 321 Zhongshan Road, Nanjing, 210008, China.
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Dai WZ, Liu L, Zhu MZ, Lu J, Ni JM, Li R, Ma T, Zhu XC. Morphological and Structural Network Analysis of Sporadic Alzheimer's Disease Brains Based on the APOE4 Gene. J Alzheimers Dis 2023; 91:1035-1048. [PMID: 36530087 DOI: 10.3233/jad-220877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
BACKGROUND Alzheimer's disease (AD) is an increasingly common type of dementia. Apolipoprotein E (APOE) gene is a strong risk factor for AD. OBJECTIVE Here, we explored alterations in grey matter structure (GMV) and networks in AD, as well as the effects of the APOEɛ4 allele on neuroimaging regions based on structural magnetic resonance imaging (sMRI). METHODS All subjects underwent an sMRI scan. GMV and cortical thickness were calculated using voxel-based morphological analysis, and structural networks were constructed based on graph theory analysis to compare differences between AD and normal controls. RESULTS The volumes of grey matter in the bilateral inferior temporal gyrus, right middle temporal gyrus, right inferior parietal lobule, right limbic lobe, right frontal lobe, left anterior cingulate gyrus, and bilateral olfactory cortex of patients with AD were significantly decreased. The cortical thickness in patients with AD was significantly reduced in the left lateral occipital lobe, inferior parietal lobe, orbitofrontal region, precuneus, superior parietal gyrus, right precentral gyrus, middle temporal gyrus, pars opercularis gyrus, insular gyrus, superior marginal gyrus, bilateral fusiform gyrus, and superior frontal gyrus. In terms of local properties, there were significant differences between the AD and control groups in these areas, including the right bank, right temporalis pole, bilateral middle temporal gyrus, right transverse temporal gyrus, left postcentral gyrus, and left parahippocampal gyrus. CONCLUSION There were significant differences in the morphological and structural covariate networks between AD patients and healthy controls under APOEɛ4 allele effects.
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Affiliation(s)
- Wen-Zhuo Dai
- Department of Neurology, Affiliated Wuxi Clinical College of Nantong University, Wuxi, Jiangsu Province, China.,Department of Neurology, The Affiliated Wuxi No. 2 People's Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.,Department of Neurology, Affiliated Wuxi No. 2 Hospital of Jiangnan University, Wuxi, Jiangsu Province, China
| | - Lu Liu
- Department of Neurology, The Affiliated Wuxi No. 2 People's Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China
| | - Meng-Zhuo Zhu
- Department of Neurology, Affiliated Wuxi Clinical College of Nantong University, Wuxi, Jiangsu Province, China
| | - Jing Lu
- Department of Neurology, The Affiliated Wuxi No. 2 People's Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China
| | - Jian-Ming Ni
- Radiology Department, Nanjing Medical University, Wuxi, Jiangsu Province, China
| | - Rong Li
- Department of Pharmacy, The Affiliated Wuxi No. 2 People's Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China
| | - Tao Ma
- Department of Neurology, Affiliated Wuxi Clinical College of Nantong University, Wuxi, Jiangsu Province, China.,Department of Neurology, The Affiliated Wuxi No. 2 People's Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.,Department of Neurology, Affiliated Wuxi No. 2 Hospital of Jiangnan University, Wuxi, Jiangsu Province, China
| | - Xi-Chen Zhu
- Department of Neurology, Affiliated Wuxi Clinical College of Nantong University, Wuxi, Jiangsu Province, China.,Department of Neurology, The Affiliated Wuxi No. 2 People's Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China.,Department of Neurology, Affiliated Wuxi No. 2 Hospital of Jiangnan University, Wuxi, Jiangsu Province, China
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Sheng X, Chen H, Shao P, Qin R, Zhao H, Xu Y, Bai F. Brain Structural Network Compensation Is Associated With Cognitive Impairment and Alzheimer's Disease Pathology. Front Neurosci 2021; 15:630278. [PMID: 33716654 PMCID: PMC7947929 DOI: 10.3389/fnins.2021.630278] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 01/26/2021] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Structural network alterations in Alzheimer's disease (AD) are related to worse cognitive impairment. The aim of this study was to quantify the alterations in gray matter associated with impaired cognition and their pathological biomarkers in AD-spectrum patients. METHODS We extracted gray matter networks from 3D-T1 magnetic resonance imaging scans, and a graph theory analysis was used to explore alterations in the network metrics in 34 healthy controls, 70 mild cognitive impairment (MCI) patients, and 40 AD patients. Spearman correlation analysis was computed to investigate the relationships among network properties, neuropsychological performance, and cerebrospinal fluid pathological biomarkers (i.e., Aβ, t-tau, and p-tau) in these subjects. RESULTS AD-spectrum individuals demonstrated higher nodal properties and edge properties associated with impaired memory function, and lower amyloid-β or higher tau levels than the controls. Furthermore, these compensations at the brain regional level in AD-spectrum patients were mainly in the medial temporal lobe; however, the compensation at the whole-brain network level gradually extended from the frontal lobe to become widely distributed throughout the cortex with the progression of AD. CONCLUSION The findings provide insight into the alterations in the gray matter network related to impaired cognition and pathological biomarkers in the progression of AD. The possibility of compensation was detected in the structural networks in AD-spectrum patients; the compensatory patterns at regional and whole-brain levels were different and the clinical significance was highlighted.
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Affiliation(s)
- Xiaoning Sheng
- Department of Neurology, Affiliated Drum Tower Hospital of Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing, China
| | - Haifeng Chen
- Department of Neurology, Affiliated Drum Tower Hospital of Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing, China
- Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China
- Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China
| | - Pengfei Shao
- Department of Neurology, Affiliated Drum Tower Hospital of Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing, China
| | - Ruomeng Qin
- Department of Neurology, Affiliated Drum Tower Hospital of Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing, China
- Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China
- Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China
| | - Hui Zhao
- Department of Neurology, Affiliated Drum Tower Hospital of Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing, China
- Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China
- Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China
| | - Yun Xu
- Department of Neurology, Affiliated Drum Tower Hospital of Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing, China
- Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China
- Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China
| | - Feng Bai
- Department of Neurology, Affiliated Drum Tower Hospital of Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing, China
- Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China
- Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China
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