Comparison of Brain Gray Matter Volume Changes in Peritoneal Dialysis and Hemodialysis Patients with Chronic Kidney Disease: a VBM Study

Overview

Journal Front Neurosci

Date 2024 May 13

PMID 38737098

Authors

Fenglin Xiao

Lili Zhou

Yan Li

Chaoyang Zhang

Ying Liu

Huan Yu

Xiaoping Li

Chunyu Wang

Xinxin Yin

Xin Gao

Affiliations

Soon will be listed here.

Abstract

Objective: This study aims to compare gray matter volume changes in patients with chronic kidney disease (CKD) undergoing peritoneal dialysis (PD) and hemodialysis (HD) using voxel-based morphometry (VBM).

Methods: A total of 27 PD patients, 25 HD patients, and 42 healthy controls were included. VBM analysis was performed, and cognitive function was assessed using the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment Scale (MoCA). The correlation between cognitive function and changes in brain gray matter volume was analyzed.

Results: Both peritoneal dialysis and hemodialysis patients had partial gray matter volume reduction compared to the controls, but the affected brain regions were not uniform. The hemodialysis patients had greater volume reduction in certain brain regions than the PD patients. The MMSE and MoCA scores were positively correlated with gray matter volume changes.

Conclusion: Different dialysis modalities cause damage to specific areas of the brain, which can be detected using VBM. VBM, combined with cognitive function assessment, can help detect structural brain changes and cognitive impairment in patients with different dialysis modalities. The comprehensive application of VBM in the field of neurological function deserves further exploration.

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