White matter tract integrity metrics reflect the vulnerability of late-myelinating tracts in Alzheimer's disease

Autor: Els Fieremans, Ali Tabesh, Joseph A. Helpern, Jens H. Jensen, Maria F. Falangola, Steven H. Ferris, Andreana Benitez
Rok vydání: 2014
Předmět:
Male
Internal capsule
DKI
diffusional kurtosis imaging

Daxon
intrinsic axonal diffusivity

aMCI
amnestic mild cognitive impairment

Neuropsychological Tests
De

radial extra-axonal diffusivity

lcsh:RC346-429
Myelin
0302 clinical medicine
SLF
superior longitudinal fasciculus

Image Processing
Computer-Assisted

Verbal fluency test
FA
fractional anisotropy

ILF
inferior longitudinal fasciculus

Cognitive decline
NC
normal control

Myelin Sheath
Aged
80 and over

0303 health sciences
White matter
Cognition
Alzheimer's disease
Magnetic Resonance Imaging
Semantics
Diffusion Tensor Imaging
medicine.anatomical_structure
Neurology
lcsh:R858-859.7
Female
Diffusional kurtosis imaging
AD
Alzheimer's disease

Psychology
Cognitive Neuroscience
CP
cerebral peduncle

lcsh:Computer applications to medicine. Medical informatics
Verbal fluency
AWF
axonal water fraction

Article
Diffusion MRI
03 medical and health sciences
Alzheimer Disease
medicine
Humans
Cognitive Dysfunction
Radiology
Nuclear Medicine and imaging

WM
white matter

lcsh:Neurology. Diseases of the nervous system
Aged
030304 developmental biology
De

axial extra-axonal diffusivity

Psychiatric Status Rating Scales
Analysis of Variance
WMTI
white matter tract integrity

medicine.disease
PLIC
posterior limb of the internal capsule

DTI
diffusion tensor imaging

Neurology (clinical)
Neuroscience
030217 neurology & neurosurgery
Zdroj: NeuroImage : Clinical
NeuroImage: Clinical, Vol 4, Iss C, Pp 64-71 (2014)
ISSN: 2213-1582
Popis: Post-mortem and imaging studies have observed that white matter (WM) degenerates in a pattern inverse to myelin development, suggesting preferential regional vulnerabilities influencing cognitive decline in AD. This study applied novel WM tract integrity (WMTI) metrics derived from diffusional kurtosis imaging (DKI) to examine WM tissue properties in AD within this framework. Using data from amnestic mild cognitive impairment (aMCI, n = 12), AD (n = 14), and normal control (NC; n = 15) subjects, mixed models revealed interaction effects: specific WMTI metrics of axonal density and myelin integrity (i.e. axonal water fraction, radial extra-axonal diffusivity) in late-myelinating tracts (i.e. superior and inferior longitudinal fasciculi) changed in the course of disease, but were stable in the initial stages for early-myelinating tracts (i.e. posterior limb of the internal capsule, cerebral peduncles). WMTI metrics in late-myelinating tracts correlated with semantic verbal fluency, a cognitive function known to decline in AD. These findings corroborate the preferential vulnerability of late-myelinating tracts, and illustrate an application of WMTI metrics to characterizing the regional course of WM changes in AD.
Highlights • We investigated the vulnerability of late-myelinating tracts in AD using WMTI metrics. • WMTI metrics are derived from the biophysical modeling of the DKI signal. • These metrics indicate pathological features like axonal density and myelin integrity. • WMTI metrics were largely stable in early-myelinating tracts through the course of AD. • Axonal density loss & myelin breakdown were observed in late-myelinating tracts.
Databáze: OpenAIRE