Understanding the Mechanisms of Autism : an MRI and Social Cognition Study
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: MRI, Eye-tracking, Clinical Scales, Research of genetic anomalies.
- Кому может быть актуально
- Состояния в реестре: Autism Spectrum Disorder. Базовые параметры: 3 мес. — 28 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Франция
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
The main goal of this study is to investigate anatomo-functional brain abnormalities associated with autism spectrum disorders using a multimodal brain imaging approach, as well as its links to social cognition difficulties measured using eye-tracking
Подробное описание
Autism Spectrum Disorders (ASD) are neurodevelopmental disorders whose first manifestations appear early in childhood. Even if ASDs present a wide heterogeneity in clinical manifestations, abnormalities in social behavior, characterized in particular by a lack of preference for social information, remain the core of difficulties characteristic of autism.
Brain imaging investigations have revealed anatomo-functional abnormalities in autism, particularly in social brain regions. In parallel, eye-tracking studies have provided objective measures of social perception abnormalities in autism. These results illustrate the relevance of these research strategies in the context of ASD. Acquiring objective data on social behavior and linking them with brain imaging data opens up new avenues for research into the evolution of social skills during child development, and the brain changes underlying this process.
In this context, the main hypothesis of this study is that the investigation of the neural bases of autism spectrum disorders, using an approach combining multimodal brain imaging and the investigation of social behavior using eye-tracking, would make it possible not only to better describe abnormalities, but also to identify individual patterns at brain and behavioral level. This could help to better characterize ASDs with and without genetic abnormalities, an area which to date has received very little investigation. In addition, the objective measurements obtained with this approach would also enable the proposal of biomarkers, which would contribute not only to better monitoring of the disorder's evolution, but also to the evaluation of the effectiveness of new therapeutic interventions
Вмешательства
- Диагностический тест MRI
Anatomical and functional images will be acquired and review by an experienced neuro-radiologist - Устройство Eye-tracking
Eye movements and follow a person's gaze will be recorded during visualization of stimuli presented in the screen by analyzing images of the eye captured by an infrared camera - Другое Clinical Scales
CGI, E-CAR and ABC will be used for behavior and clinical evaluation - Генная терапия Research of genetic anomalies
For the diagnosis of autism, patients benefit from a a genetic assessment. This is carried out as part of their care
Первичные конечные точки
- Rest cerebral blood flow (CBF) [Срок оценки: at inclusion]
Вторичные конечные точки (12)
- Measurements of white matter microstructure - fractional anisotropy [Срок оценки: at inclusion]
- Measurements of white matter microstructure - mean diffusivity [Срок оценки: at inclusion]
- Measurements of white matter microstructure - radial diffusivity [Срок оценки: at inclusion]
- Measurements of white matter microstructure - axial diffusivity [Срок оценки: at inclusion]
- Measurements of resting state functional connectivity [Срок оценки: at inclusion]
- Correlation between social perception and multimodal brain imaging [Срок оценки: at inclusion]
- Correlation between clinical severity and multimodal brain imaging [Срок оценки: at inclusion]
- Imaging abnormalities associated with known genetic mutations [Срок оценки: at inclusion]
- Social perception abnormalities associated with known genetic mutations [Срок оценки: at inclusion]
- Anatomic changes over time - study of developmental trajectory [Срок оценки: 2 years]
- Social perception changes over time - study of developmental trajectory [Срок оценки: 2 years]
- Brain imaging in young children associated with ASD [Срок оценки: at inclusion]
Критерии участия
Критерии включения
For subjects diagnosed with ASD or suspected of ASD :
- 3 months ≤ age < 25 years ;
- an MRI required as part of the clinical procedures
- written consent obtained from parents or legal guardians.
- Affiliated to social security
For Healthy control subjects over 3 years of age:
- between 3 and 28 years of age
- no known neurological or psychiatric pathology
- written consent obtained from parents or legal guardian.
- Affiliated to social security
For Healthy control subjects under 5 years of age:
- age between 3 months and 5 years
- who have had an MRI scan in the pediatric radiology department at Necker Hospital, which was found to be normal.
- with no known neurological or psychiatric pathology
- no opposition from legal representative
Критерии исключения
- Contraindication to MRI (pacemaker, intracorporeal metallic body, claustrophobia).
- Impossibility for healthy volunteers to remain still during MRI
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Нерандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Диагностика
Центры проведения
Франция · 1 центр
- Hôpital Necker Enfants Malades — Paris
Идентификаторы
NCT: NCT06334588 · APHP240105 · 2023-A02668-37