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Brain Microstructural Abnormalities in Type 2 Diabetes Mellitus: A Systematic Review of Diffusion Tensor Imaging Studies Publisher Pubmed



Sanjari Moghaddam H1 ; Ghazi Sherbaf F1 ; Aarabi MH1
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Authors Affiliations
  1. 1. Neuroradiology Division, Tehran University of Medical Sciences, School of Medicine, Tehran, Iran

Source: Frontiers in Neuroendocrinology Published:2019


Abstract

Type 2 diabetes mellitus (T2DM) is associated with deficits in the structure and function of the brain. Diffusion tensor imaging (DTI) is a highly sensitive method for characterizing cerebral tissue microstructure. Using PRISMA guidelines, we identified 29 studies which have demonstrated widespread brain microstructural impairment and topological network disorganization in patients with T2DM. Most consistently reported structures with microstructural abnormalities were frontal, temporal, and parietal lobes in the lobar cluster; corpus callosum, cingulum, uncinate fasciculus, corona radiata, and internal and external capsules in the white matter cluster; thalamus in the subcortical cluster; and cerebellum. Microstructural abnormalities were correlated with pathological derangements in the endocrine profile as well as deficits in cognitive performance in the domains of memory, information-processing speed, executive function, and attention. Altogether, the findings suggest that the detrimental effects of T2DM on cognitive functions might be due to microstructural disruptions in the central neural structures. © 2019 Elsevier Inc.
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