XU Wei, TANG Yufeng, ZHAO Yanhua, YANG Fuge. Value of imaging tools in the diagnosis of mental and behavioral disorders caused by alcohol[J]. Journal of Clinical Medicine in Practice, 2023, 27(8): 13-17. DOI: 10.7619/jcmp.20223863
Citation: XU Wei, TANG Yufeng, ZHAO Yanhua, YANG Fuge. Value of imaging tools in the diagnosis of mental and behavioral disorders caused by alcohol[J]. Journal of Clinical Medicine in Practice, 2023, 27(8): 13-17. DOI: 10.7619/jcmp.20223863

Value of imaging tools in the diagnosis of mental and behavioral disorders caused by alcohol

  • Objective  To analyze the value of amplitude dynamic electroencephalography (AEEG) combined with magnetic resonance imaging (MRI) in the diagnosis of alcohol induced mental and behavioral disorders.
    Methods  A total of 162 patients with mental and behavioral disorders caused by alcohol from July 2020 to May 2022 were randomly selected as observation group. A total of 55 healthy patients who came to the hospital for physical examinations at the same time matched with gender and age in the observation group were selected as control group. Both groups received AEEG and MRI examinations. The demographic data, AEEG and MRI examination results of the two groups were compared. The influencing factors of mental and behavioral disorders caused by alcohol were analyzed by binary Logistic regression. The receiver operating characteristic (ROC) curve was drawn to analyze the value of AEEG and MRI alone and their combination in diagnosing mental and behavioral disorders caused by alcohol.
    Results  The abnormal rate of AEEG in the observation group was 93.83%, which was significantly higher than 9.09% in the control group (P < 0.05). In the observation group, the mild abnormality rate of AEEG was 80.86%, the moderate abnormality rate of AEEG was 9.88%, and the severe abnormality rate of AEEG was 3.09%. There were 151 abnormal cases and 11 normal cases in the observation group, 2 abnormal cases and 53 normal cases in the control group. The abnormal rate in the observation group was significantly higher than that in the control group (P < 0.05). Logisticregression analysis showed that AEEG, MRI, living alone, Hamilton Depression Scale (HAMD-17) score, Hamilton Anxiety Scale (HAMA) score were the influencing factors of mental and behavioral disorders induced by alcohol (P < 0.05). ROC curve results showed that the area under the curve (AUC) of AEEG or MRI alone and their joint diagnosis for alcohol induced mental and behavioral disorders was 0.930, 0.948 and 0.994, respectively.
    Conclusion  The patients with mental and behavioral disorders caused by alcohol have obvious AEEG and MRI abnormalities. The results of AEEG and MRI have certain clinical reference value for the diagnosis of mental and behavioral disorders, and their combined diagnosis has higher accuracy.
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