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Regional Brain Perfusion Changes in Cognition and Mood Regulatory Sites in Patients with Type 2 Diabetes Mellitus
Bhaswati Roy1, Sarah Choi2, Matthew J. Freeby 3, and Rajesh Kumar1,4,5,6
1Anesthesiology, University of California Los Angeles, Los Angeles, CA, United States, 2School of Nursing, University of California Los Angeles, Los Angeles, CA, United States, 3Medicine, Endocrinology - Diabetes and Metabolism, University of California Los Angeles, Los Angeles, CA, United States, 4Bioengineering, University of California Los Angeles, Los Angeles, CA, United States, 5Radiological Sciences, University of California Los Angeles, Los Angeles, CA, United States, 6Brain Research Institute, University of California Los Angeles, Los Angeles, CA, United States
T2DM patients show cognitive and mood changes, and brain tissue injury in those regions; however, the underlying cause of tissue injury is unknown. We found significantly reduced CBF in multiple brain areas and its associations with functional deficits in those control sites in the condition. 
Figure 1: Brain regions with reduced cerebral blood flow in T2DM patients over control subjects. The sites with reduced cerebral blood flow in T2DM patients were included the bilateral prefrontal cortices (a, b), right insula (c), bilateral cingulate (d, h), bilateral cerebellum (e, g), and right thalamus (f). All images are in neurological convention (L = left; R = right). Color bar indicates t-statistic values.
Figure 3: Cognition showed positive associations with cerebral blood flow in T2DM patients. Positive correlations appeared between MoCA scores and cerebral blood flow of the bilateral prefrontal cortices (a, c), right thalamus (b), right putamen (d), bilateral hippocampus (e, i), bilateral cerebellum (f, g), right amygdala (h), and bilateral basal forebrain (j, k). Figure conventions are same as in Figure 1.