Functional and structural brain networks in posterior cortical atrophy: A two-centre multiparametric MRI study

Autor: Tanja Stojkovic, Federica Agosta, Gorana Mandic-Stojmenovic, Massimiliano Copetti, Massimo Filippi, Elka Stefanova, Vladimir S. Kostic, Francesca Imperiale, Elisa Canu, Francesca Caso
Přispěvatelé: Agosta, Federica, Mandic-Stojmenovic, Gorana, Canu, Elisa, Stojkovic, Tanja, Imperiale, Francesca, Caso, Francesca, Stefanova, Elka, Copetti, Massimiliano, Kostic, Vladimir S., Filippi, Massimo
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Radiology
Nuclear Medicine and Imaging

Precuneus
Neuropsychological Tests
Corpus callosum
Diffusion tensor MRI
lcsh:RC346-429
Cognition
0302 clinical medicine
Image Processing
Computer-Assisted

Default mode network
Brain Mapping
White matter
05 social sciences
Brain
Regular Article
Visual network
Neurodegenerative Diseases
Middle Aged
Magnetic Resonance Imaging
Diffusion Tensor Imaging
medicine.anatomical_structure
Neurology
lcsh:R858-859.7
Female
Cognitive Neuroscience
Grey matter
lcsh:Computer applications to medicine. Medical informatics
050105 experimental psychology
03 medical and health sciences
medicine
Humans
0501 psychology and cognitive sciences
Radiology
Nuclear Medicine and imaging

lcsh:Neurology. Diseases of the nervous system
Aged
Resting state fMRI
business.industry
Posterior cortical atrophy
Resting state functional connectivity
Neurology (clinical)
Atrophy
Nerve Net
business
Neuroscience
030217 neurology & neurosurgery
Diffusion MRI
Zdroj: NeuroImage: Clinical, Vol 19, Iss, Pp 901-910 (2018)
NeuroImage : Clinical
ISSN: 2213-1582
Popis: This study identified structural and functional brain connectivity alterations in two independent samples of patients along the posterior cortical atrophy (PCA) disease course. Twenty-one PCA patients and 44 controls were recruited from two expert centres. Microstructural damage of white matter (WM) tracts was assessed using probabilistic tractography; resting state (RS) functional connectivity of brain networks was explored using a model free approach; grey matter (GM) atrophy was investigated using voxel-based morphometry. Compared with controls, common patterns of damage across PCA patients included: GM atrophy in the occipital-temporal-parietal regions; diffusion tensor (DT) MRI alterations of the corpus callosum and superior (SLF) and inferior longitudinal fasciculi (ILF) bilaterally; and decreased functional connectivity of the occipital gyri within the visual network and the precuneus and posterior cingulum within the default mode network (DMN). In PCA patients with longer disease duration and greater disease severity, WM damage extended to the cingulum and RS functional connectivity alterations spread within the frontal, dorsal attentive and salience networks. In PCA, reduced DMN functional connectivity was associated with SLF and ILF structural alterations. PCA patients showed distributed WM damage. Altered RS functional connectivity extends with disease worsening from occipital to temporo-parietal and frontostriatal regions, and this is likely to occur through WM connections. Future longitudinal studies are needed to establish trajectories of damage spreading in PCA and whether a combined DT MRI/RS functional MRI approach is promising in monitoring the disease progression.
Highlights • PCA patients showed distributed WM damage. • In PCA, WM damage is associated with longer disease duration ad greater severity. • In PCA, altered RS functional connectivity extends with disease worsening.
Databáze: OpenAIRE