An optimized voxel-based morphometry study in the evaluation of brain structural abnormalities in anisometropic amblyopia patients

Objective: To investigate possible neural mechanism of anisometropic amblyopia by analysing the whole brain volume changes both in grey matter and white matter using optimized voxel-based morphometry (VBM). Methods: Twelve anisometropic amblyopia patients and 12 age,gender and handedness matched healthy volunteers underwent 3-dimensional (3D) fast spoiled gradient echo (FSPGR) sequence scanning on 1.5 Tesla MR system. Raw data was processed and analyzed using statistical parametric mapping (SPM) 5. Results: Compared to healthy controls,the grey matter exhibiting significantly decreased volume in patients included right cuneus, bilateral occipital gyrus, right middle frontal gyrus, left middle temporal gyrus, right superior temporal gyrus, right precuneus,and middle part of right cingulate gyrus (clusters > 10). The grey matter showing increased volume in patients included right cerebellum,right parahippocampal gyrus, left precentral gyrus,and left superior frontal gyrus (clusters > 10). The white matter volume in bilateral optic radiation and internal capsule, especially right optic radiation, decreased significantly in patient group (clusters > 10 ). No white matter showed significantly increased volume in patient group. Conclusion: VBM can be used to investigate the changes of grey matter volume and white matter volume in the whole brain of anisometropic amblyopia children, it provides a method to illustrate the presumed neuro-mechanism from a morphologic point of view. (authors)