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Long-term follow-up of dynamic brain changes in patients recovered from COVID-19 without neurological manifestations

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Radiol,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China [2]Chinese Acad Sci, Innovat Acad Precis Measurement Sci & Technol,Wuh, Natl Ctr Magnet Resonance Wuhan,State Key Lab Mag, Wuhan Inst Phys & Math,Key Lab Magnet Resonance B, Wuhan, Hubei, Peoples R China [3]Huazhong Univ Sci & Technol,Tongji Hosp,Inst & Dept Infect Dis,Wuhan,Hubei,Peoples R China [4]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Anesthesiol,Wuhan,Hubei,Peoples R China [5]Univ Chinese Acad Sci, Beijing, Peoples R China
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BACKGROUND. After the initial surge in COVID-19 cases, large numbers of patients were discharged from a hospital without assessment of recovery. Now, an increasing number of patients report postacute neurological sequelae, known as "long COVID" - even those without specific neurological manifestations in the acute phase. METHODS. Dynamic brain changes are crucial for a better understanding and early prevention of "long COVID." Here, we explored the cross-sectional and longitudinal consequences of COVID-19 on the brain in 34 discharged patients without neurological manifestations. Gray matter morphology, cerebral blood flow (CBF), and volumes of white matter tracts were investigated using advanced magnetic resonance imaging techniques to explore dynamic brain changes from 3 to 10 months after discharge. RESULTS. Overall, the differences of cortical thickness were dynamic and finally returned to the baseline. For cortical CBF, hypoperfusion in severe cases observed at 3 months tended to recover at 10 months. Subcortical nuclei and white matter differences between groups and within subjects showed various trends, including recoverable and long-term unrecovered differences. After a 10-month recovery period, a reduced volume of nuclei in severe cases was still more extensive and profound than that in mild cases. CONCLUSION. Our study provides objective neuroimaging evidence for the coexistence of recoverable and long-term unrecovered changes in 10-month effects of COVID-19 on the brain. The remaining potential abnormalities still deserve public attention, which is critically important for a better understanding of "long COVID" and early clinical guidance toward complete recovery. FUNDING. National Natural Science Foundation of China.

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出版当年[2021]版:
大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
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大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
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出版当年[2020]版:
Q1 MEDICINE, RESEARCH & EXPERIMENTAL
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Q1 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Radiol,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China
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通讯机构: [2]Chinese Acad Sci, Innovat Acad Precis Measurement Sci & Technol,Wuh, Natl Ctr Magnet Resonance Wuhan,State Key Lab Mag, Wuhan Inst Phys & Math,Key Lab Magnet Resonance B, Wuhan, Hubei, Peoples R China [5]Univ Chinese Acad Sci, Beijing, Peoples R China [*1]Chinese Acad Sci, Innovat Acad Precis Measurement Sci & Technol, Wuhan 430071, Hubei, Peoples R China
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