Protein-based amide proton transfer-weighted MR imaging of amnestic mild cognitive impairment

Autor: Jian Yao, Fei Gao, Caiqing Zhang, Weibo Chen, Guangbin Wang, Xin Chen, Zewen Zhang, Shanshan Jiang, Jinyuan Zhou
Rok vydání: 2019
Předmět:
Male
Imaging biomarker
MTR
magnetization transfer ratio

aMCI
amnestic mild cognitive impairment

ROI
region of interest

Amide proton
ROC
receiver-operator-characteristic

lcsh:RC346-429
0302 clinical medicine
Nuclear magnetic resonance
Aged
80 and over

Cerebral Cortex
medicine.diagnostic_test
05 social sciences
Age Factors
Regular Article
Middle Aged
Alzheimer's disease
APTw
amide proton transfer-weighted

White Matter
medicine.anatomical_structure
Neurology
lcsh:R858-859.7
Female
AD
Alzheimer's disease

Adult
Cognitive Neuroscience
Molecular imaging
Neuroimaging
lcsh:Computer applications to medicine. Medical informatics
behavioral disciplines and activities
050105 experimental psychology
Temporal lobe
White matter
03 medical and health sciences
Magnetic resonance imaging
mental disorders
medicine
Humans
CEST
chemical exchange saturation transfer

0501 psychology and cognitive sciences
Radiology
Nuclear Medicine and imaging

Cognitive Dysfunction
Magnetization transfer
lcsh:Neurology. Diseases of the nervous system
Aged
business.industry
Proteins
Mild cognitive impairment
Amides
MMSE
mini mental state examination

Intensity (physics)
Cross-Sectional Studies
Feasibility Studies
Neurology (clinical)
Amnesia
Occipital lobe
business
MRI
magnetic resonance imaging

030217 neurology & neurosurgery
Biomarkers
Zdroj: NeuroImage : Clinical
NeuroImage: Clinical, Vol 25, Iss, Pp-(2020)
ISSN: 2213-1582
Popis: Amide proton transfer-weighted (APTw) MRI is a novel molecular imaging technique that can noninvasively detect endogenous cellular proteins and peptides in tissue. Here, we demonstrate the feasibility of protein-based APTw MRI in characterizing amnestic mild cognitive impairment (aMCI). Eighteen patients with confirmed aMCI and 18 matched normal controls were scanned at 3 Tesla. The APTw, as well as conventional magnetization transfer ratio (MTR), signal differences between aMCI and normal groups were assessed by the independent samples t-test, and the receiver-operator-characteristic analysis was used to assess the diagnostic performance of APTw. When comparing the normal control group, aMCI brains typically had relatively higher APTw signals. Quantitatively, APTw intensity values were significantly higher in nine of 12 regions of interest in aMCI patients than in normal controls. The largest areas under the receiver-operator-characteristic curves were 0.88 (gray matter in occipital lobe) and 0.82 (gray matter in temporal lobe, white matter in occipital lobe) in diagnosing aMCI patients. On the contrary, MTR intensity values were significantly higher in only three of 12 regions of interest in the aMCI group. Additionally, the age dependency analyses revealed that these cross-sectional APTw/MTR signals had an increasing trend with age in most brain regions for normal controls, but a decreasing trend with age in most brain regions for aMCI patients. Our early results show the potential of the APTw signal as a new imaging biomarker for the noninvasive molecular diagnosis of aMCI. Keywords: Alzheimer's disease, Mild cognitive impairment, Magnetic resonance imaging, Molecular imaging, Biomarkers
Databáze: OpenAIRE