Corneal Nerve and Brain Imaging in Mild Cognitive Impairment and Dementia

Autor: Essa Al-Sulaiti, Ioannis N. Petropoulos, Shafi Khan, Pravija Manikoth, Ahmed Own, Marwan Ramadan, Surjith Vattoth, Maryam Alobaidi, Ahmed Elsotouhy, Adnan Khan, Anoop Sankaranarayanan, Yasmin Hamdi, Masharig Gadelseed, Georgios Ponirakis, Navas Nadukkandiyil, Anjum Arasn, Mani Chandran, Marwa Elorrabi, Ziyad Mahfoud, Ashfaq Shuaib, Susan Osman, Hamad Almuhannadi, Hoda Gad, Hanadi Al Hamad, Noushad Thodi, Rayaz A. Malik, Priya V Gawhale, Eiman Al-Janahi, Rhia Tosino
Rok vydání: 2020
Předmět:
Zdroj: Journal of Alzheimer's Disease
ISSN: 1875-8908
1387-2877
DOI: 10.3233/jad-200678
Popis: Background: Visual rating of medial temporal lobe atrophy (MTA) is an accepted structural neuroimaging marker of Alzheimer’s disease. Corneal confocal microscopy (CCM) is a non-invasive ophthalmic technique that detects neuronal loss in peripheral and central neurodegenerative disorders. Objective: To determine the diagnostic accuracy of CCM for mild cognitive impairment (MCI) and dementia compared to medial temporal lobe atrophy (MTA) rating on MRI. Methods: Subjects aged 60–85 with no cognitive impairment (NCI), MCI, and dementia based on the ICD-10 criteria were recruited. Subjects underwent cognitive screening, CCM, and MTA rating on MRI. Results: 182 subjects with NCI (n = 36), MCI (n = 80), and dementia (n = 66), including AD (n = 19, 28.8%), VaD (n = 13, 19.7%), and mixed AD (n = 34, 51.5%) were studied. CCM showed a progressive reduction in corneal nerve fiber density (CNFD, fibers/mm2) (32.0±7.5 versus 24.5±9.6 and 20.8±9.3, p
Databáze: OpenAIRE