Strongly reduced volumes of putamen and thalamus in Alzheimer's disease: an MRI study.

Atrophy is regarded a sensitive marker of neurodegenerative pathology. In addition to confirming the well-known presence of decreased global grey matter and hippocampal volumes in Alzheimer's disease, this study investigated whether deep grey matter structure also suffer degeneration in Alzheimer's...

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Published in:Brain: A Journal of Neurology Vol. 131; no. 12; pp. 3277 - 3286
Main Authors: de Jong LW, van der Hiele K, Veer IM, Houwing JJ, Westendorp RG, Bollen EL, de Bruin PW, Middelkoop HA, van Buchem MA, van der Grond J, de Jong, L W, van der Hiele, K, Veer, I M, Houwing, J J, Westendorp, R G J, Bollen, E L E M, de Bruin, P W, Middelkoop, H A M, van Buchem, M A, van der Grond, J
Format: research Journal Article
Published: Oxford University Press / USA Dec2008
Online Access:View this record in EBSCOhost
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      dt: Dec2008
      vid: 131
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      pub: Oxford University Press / USA
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        NLM19022861
        2010251394
        10.1093/brain/awn278
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        105505149
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        atl: Strongly reduced volumes of putamen and thalamus in Alzheimer's disease: an MRI study.
      aug:
        au:
          de Jong LW
          van der Hiele K
          Veer IM
          Houwing JJ
          Westendorp RG
          Bollen EL
          de Bruin PW
          Middelkoop HA
          van Buchem MA
          van der Grond J
          de Jong, L W
          van der Hiele, K
          Veer, I M
          Houwing, J J
          Westendorp, R G J
          Bollen, E L E M
          de Bruin, P W
          Middelkoop, H A M
          van Buchem, M A
          van der Grond, J
        affil: Department of Radiology, University Medical Center, Leiden, The Netherlands
      sug:
        subj:
          Alzheimer's Disease Pathology
          Basal Ganglia Pathology
          Thalamus Pathology
          Aged
          Aged, 80 and Over
          Alzheimer's Disease Psychosocial Factors
          Atrophy Pathology
          Atrophy Psychosocial Factors
          Cognition Disorders Etiology
          Cognition Disorders
          Cross Sectional Studies
          Female
          Hippocampus Pathology
          Magnetic Resonance Imaging Methods
          Male
          Middle Age
          Neuropsychological Tests
          Human
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Atrophy is regarded a sensitive marker of neurodegenerative pathology. In addition to confirming the well-known presence of decreased global grey matter and hippocampal volumes in Alzheimer's disease, this study investigated whether deep grey matter structure also suffer degeneration in Alzheimer's disease, and whether such degeneration is associated with cognitive deterioration. In this cross-sectional correlation study, two groups were compared on volumes of seven subcortical regions: 70 memory complainers (MCs) and 69 subjects diagnosed with probable Alzheimer's disease. Using 3T 3D T1 MR images, volumes of nucleus accumbens, amygdala, caudate nucleus, hippocampus, pallidum, putamen and thalamus were automatically calculated by the FMRIB's Integrated Registration and Segmentation Tool (FIRST)--algorithm FMRIB's Software Library (FSL). Subsequently, the volumes of the different regions were correlated with cognitive test results. In addition to finding the expected association between hippocampal atrophy and cognitive decline in Alzheimer's disease, volumes of putamen and thalamus were significantly reduced in patients diagnosed with probable Alzheimer's disease. We also found that the decrease in volume correlated linearly with impaired global cognitive performance. These findings strongly suggest that, beside neo-cortical atrophy, deep grey matter structures in Alzheimer's disease suffer atrophy as well and that degenerative processes in the putamen and thalamus, like the hippocampus, may contribute to cognitive decline in Alzheimer's disease.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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