Diffusion indices on magnetic resonance imaging and neuropsychological performance in amnestic mild cognitive impairment.

Background: Magnetic resonance diffusion tensor imaging (DTI) shows promise in the early detection of microstructural pathophysiological changes in the brain.Objectives: To measure microstructural differences in the brains of participants with amnestic mild cognitive impairment (MCI) compared with a...

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Publicado en:Journal of Neurology, Neurosurgery & Psychiatry Vol. 77; no. 10; pp. 1122 - 1129
Autores principales: Rose SE, McMahon KL, Janke AL, O'Dowd B, de Zubicaray G, Strudwick MW, Chalk JB, Rose, S E, McMahon, K L, Janke, A L, O'Dowd, B, de Zubicaray, G, Strudwick, M W, Chalk, J B
Formato: clinical trial diagnostic images research tables/charts Journal Article
Publicado: BMJ Publishing Group Oct2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2006
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      pub: BMJ Publishing Group
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        10.1136/jnnp.2005.074336
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        atl: Diffusion indices on magnetic resonance imaging and neuropsychological performance in amnestic mild cognitive impairment.
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          Rose SE
          McMahon KL
          Janke AL
          O'Dowd B
          de Zubicaray G
          Strudwick MW
          Chalk JB
          Rose, S E
          McMahon, K L
          Janke, A L
          O'Dowd, B
          de Zubicaray, G
          Strudwick, M W
          Chalk, J B
        affil: Centre for Magnetic Resonance, University of Queensland, Brisbane 4072, Australia
      sug:
        subj:
          Amnesia Pathology
          Brain Pathology
          Cognition Disorders
          Magnetic Resonance Imaging
          Aged
          Aged, 80 and Over
          Alzheimer's Disease Diagnosis
          Alzheimer's Disease Pathology
          Amnesia Psychosocial Factors
          Clinical Trials
          Cognition Disorders Psychosocial Factors
          Comparative Studies
          Descriptive Statistics
          Female
          Funding Source
          Male
          Neuropsychological Tests
          Optics
          P-Value
          Scales
          Human
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Background: Magnetic resonance diffusion tensor imaging (DTI) shows promise in the early detection of microstructural pathophysiological changes in the brain.Objectives: To measure microstructural differences in the brains of participants with amnestic mild cognitive impairment (MCI) compared with an age-matched control group using an optimised DTI technique with fully automated image analysis tools and to investigate the correlation between diffusivity measurements and neuropsychological performance scores across groups.Methods: 34 participants (17 participants with MCI, 17 healthy elderly adults) underwent magnetic resonance imaging (MRI)-based DTI. To control for the effects of anatomical variation, diffusion images of all participants were registered to standard anatomical space. Significant statistical differences in diffusivity measurements between the two groups were determined on a pixel-by-pixel basis using gaussian random field theory.Results: Significantly raised mean diffusivity measurements (p<0.001) were observed in the left and right entorhinal cortices (BA28), posterior occipital-parietal cortex (BA18 and BA19), right parietal supramarginal gyrus (BA40) and right frontal precentral gyri (BA4 and BA6) in participants with MCI. With respect to fractional anisotropy, participants with MCI had significantly reduced measurements (p<0.001) in the limbic parahippocampal subgyral white matter, right thalamus and left posterior cingulate. Pearson's correlation coefficients calculated across all participants showed significant correlations between neuropsychological assessment scores and regional measurements of mean diffusivity and fractional anisotropy.Conclusions: DTI-based diffusivity measures may offer a sensitive method of detecting subtle microstructural brain changes associated with preclinical Alzheimer's disease.
      pubtype: Academic Journal
      doctype:
        clinical trial
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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