Clinical Study

Effects of Metformin on the Cerebral Metabolic Changes in Type 2 Diabetic Patients

Table 2

SPM results of the difference in FDG metabolism between groups.

Comparison groupsCluster size Voxel level Anatomic locations
value scoreMNI coordinates ( , , )

MET > noMET4214.583.7748, −22, −10Right temporal lobe, subgyral white matter
3.382.9942, −44, −14
4014.703.84−40, −68, 0Left occipital lobe, subgyral white matter
4.513.73−34, −54, −6Left temporal lobe, subgyral white matter
6833.873.3230, 14, 40Right frontal lobe, subgyral white matter
3.843.3118, 10, 38Right limbic lobe, white matter
3.843.3020, −2, 46

MET < noMET2174.353.63−24, −32, −14Left limbic lobe, parahippocampal gyrus
1604.203.54−48, −44, −26Left temporal lobe, fusiform gyrus (BA 37)
6234.943.9810, 56, −22Right frontal lobe, orbital gyrus (BA 11)
4.003.41−8, 34, −26Left frontal lobe, rectal gyrus (BA 11)
3.162.8310, 28, −20Right frontal lobe, medial frontal gyrus (BA 25)

wdMET > noMET2304.993.8250, −26, −12Right temporal lobe, subgyral white matter
2373.893.21−40, −62, −4Left occipital lobe, subgyral white matter
3.053.11−34, −74, −2
3.733.11−38, −54, −2Left temporal lobe, subgyral white matter
2494.223.4120, 2, 46Right frontal lobe, subgyral white matter
3.272.8218, −18, 48

wdMET < noMET1755.263.95−30, −34, −22Left limbic lobe, parahippocampal gyrus

MET > wdMET3404.073.5328, 14, −14Right frontal lobe, subgyral white matter

MET < wdMETNo suprathreshold cluster

Threshold at , uncorrected, voxels. MET: patients taking metformin; wdMET: patients withdrawing from metformin for more than 3 days; noMET: patients not taking metformin; BA: Brodmann area.