Longitudinal changes in microstructural white matter metrics in Alzheimer's disease

Autor: Jodie R. Gawryluk, Erin L. Mazerolle, Chantel D Mayo, John D. Fisk, Lesley Ritchie
Rok vydání: 2017
Předmět:
Male
0301 basic medicine
Aging
MMSE
Mini Mental Status Exam

Databases
Factual

ROI
region of interest

Corpus callosum
lcsh:RC346-429
FSL
Functional MRI of the Brain Software Library

0302 clinical medicine
Cingulum (brain)
Longitudinal Studies
FA
fractional anisotropy

HC
healthy controls

Aged
80 and over

TBSS
Tract-Based Spatial Statistics

White matter
Regular Article
Alzheimer's disease
Diffusion Tensor Imaging
medicine.anatomical_structure
Neurology
MCI
mild cognitive impairment

Disease Progression
lcsh:R858-859.7
Female
AD
Alzheimer's disease

Psychology
Cognitive Neuroscience
Uncinate fasciculus
Grey matter
lcsh:Computer applications to medicine. Medical informatics
03 medical and health sciences
Magnetic resonance imaging
Alzheimer Disease
Fractional anisotropy
medicine
Humans
Radiology
Nuclear Medicine and imaging

Inferior longitudinal fasciculus
lcsh:Neurology. Diseases of the nervous system
Aged
MD
mean diffusivity

ADNI
Alzheimer's Disease Neuroimaging Initiative

030104 developmental biology
WMS
Wechsler Memory Scale

DTI
diffusion tensor imaging

Neurology (clinical)
MRI
magnetic resonance imaging

Neuroscience
Biomarkers
030217 neurology & neurosurgery
Diffusion MRI
Zdroj: NeuroImage : Clinical
NeuroImage: Clinical, Vol 13, Iss C, Pp 330-338 (2017)
ISSN: 2213-1582
Popis: Background Alzheimer's disease (AD) is a progressive neurodegenerative disorder. Current avenues of AD research focus on pre-symptomatic biomarkers that will assist with early diagnosis of AD. The majority of magnetic resonance imaging (MRI) based biomarker research to date has focused on neuronal loss in grey matter and there is a paucity of research on white matter. Methods Longitudinal DTI data from the Alzheimer's Disease Neuroimaging Initiative 2 database were used to examine 1) the within-group microstructural white matter changes in individuals with AD and healthy controls at baseline and year one; and 2) the between-group microstructural differences in individuals with AD and healthy controls at both time points. Results 1) Within-group: longitudinal Tract-Based Spatial Statistics revealed that individuals with AD and healthy controls both had widespread reduced fractional anisotropy (FA) and increased mean diffusivity (MD) with changes in the hippocampal cingulum exclusive to the AD group. 2) Between-group: relative to healthy controls, individuals with AD had lower FA and higher MD in the hippocampal cingulum, as well as the corpus callosum, internal and external capsule; corona radiata; posterior thalamic radiation; superior and inferior longitudinal fasciculus; fronto-occipital fasciculus; cingulate gyri; fornix; uncinate fasciculus; and tapetum. Conclusion The current results indicate that sensitivity to white matter microstructure is a promising avenue for AD biomarker research. Additional longitudinal studies on both white and grey matter are warranted to further evaluate potential clinical utility.
Highlights • Longitudinal white matter research in Alzheimer's disease. • Diffusion tensor imaging used to assess microstructural white matter changes. • Decreased fractional anisotropy and increased mean diffusivity over one year. • Widespread changes in Alzheimer's disease include the hippocampal cingulum. • DTI holds potential as Alzheimer's disease biomarker.
Databáze: OpenAIRE