Brainstem atrophy in the early stage of Alzheimer's disease: a voxel-based morphometry study.

Postmortem studies on patients with Alzheimer's disease (AD) have confirmed that the dorsal raphe nucleus (DRN) in the brainstem is the first brain structure affected in the earliest stage of AD. The present study examined the brainstem in the early stage of AD using magnetic resonance (MR) imaging....

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Publicado en:Brain Imaging & Behavior Vol. 15; no. 1; pp. 49 - 60
Autores principales: Ji, Xiaoxi, Wang, Hui, Zhu, Minwei, He, Yingjie, Zhang, Hong, Chen, Xiaoguang, Gao, Wenpeng, Fu, Yili
Formato: research Journal Article
Publicado: Springer Nature 2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Brainstem atrophy in the early stage of Alzheimer's disease: a voxel-based morphometry study.
      aug:
        au:
          Ji, Xiaoxi
          Wang, Hui
          Zhu, Minwei
          He, Yingjie
          Zhang, Hong
          Chen, Xiaoguang
          Gao, Wenpeng
          Fu, Yili
        affil: School of Life Science and Technology, Harbin Institute of Technology, Building 2E-417, 2 Yikuang Street, Nangang District, Harbin, Heilongjiang Province, China
      sug:
        subj:
          Alzheimer's Disease
          Alzheimer's Disease Pathology
          Brain Pathology
          Atrophy Pathology
          Human
          Magnetic Resonance Imaging
          Brain
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Scales
      ab: Postmortem studies on patients with Alzheimer's disease (AD) have confirmed that the dorsal raphe nucleus (DRN) in the brainstem is the first brain structure affected in the earliest stage of AD. The present study examined the brainstem in the early stage of AD using magnetic resonance (MR) imaging. T1-weighted MR images of the brains of 81 subjects were obtained from the publicly available Open Access Series of Imaging Studies (OASIS) database, including 27 normal control (NC) subjects, 27 patients with very mild AD (AD-VM) and 27 patients with mild AD (AD-M). The brainstem was interactively segmented from the MR images using ITK-SNAP. The present voxel-based morphometry (VBM) study was designed to investigate the brainstem differences between the AD-VM/AD-M groups and the NC group. The results showed bilateral loss in the pons and the left part of the midbrain in the AD-M group compared to the NC group. The AD-M group showed greater loss in the left midbrain than the AD-VM group (PFWEcorrected < 0.05). The results revealed that brainstem atrophy occurs in the early stages of AD (Clinical Dementia Rating = 0.5 and 1.0). Most of these findings were also investigated in a multicenter dataset. This is the first VBM study that provides evidence of brainstem alterations in the early stage of AD.
      pubtype: Academic Journal
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        Journal Article
      ougenre: Article
    language: English
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