Quantitative Study of the Changes in Cerebral Blood Flow and Iron Deposition During Progression of Alzheimer's Disease.

Background: Advanced Alzheimer's disease (AD) has no effective treatment, and identifying early diagnosis markers can provide a time window for treatment.Objective: To quantify the changes in cerebral blood flow (CBF) and iron deposition during progression of AD.Methods: 94 subjects underwent brain...

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Publicado en:Journal of Alzheimer's Disease Vol. 78; no. 1; pp. 439 - 453
Autores principales: Li, Dongxue, Liu, Yuancheng, Zeng, Xianchun, Xiong, Zhenliang, Yao, Yuanrong, Liang, Daiyi, Qu, Hao, Xiang, Hui, Yang, Zhenggui, Nie, Lisha, Wu, Pu-Yeh, Wang, Rongpin
Formato: research Journal Article
Publicado: Sage Publications Inc. 2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2020
      vid: 78
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/JAD-200843
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        152550865
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        atl: Quantitative Study of the Changes in Cerebral Blood Flow and Iron Deposition During Progression of Alzheimer's Disease.
      aug:
        au:
          Li, Dongxue
          Liu, Yuancheng
          Zeng, Xianchun
          Xiong, Zhenliang
          Yao, Yuanrong
          Liang, Daiyi
          Qu, Hao
          Xiang, Hui
          Yang, Zhenggui
          Nie, Lisha
          Wu, Pu-Yeh
          Wang, Rongpin
        affil: Department of Radiology, Guizhou Provincial People's Hospital, Key Laboratory of Intelligent Medical Imaging Analysis and Accurate Diagnosis of Guizhou Province, International Exemplary Cooperation Base of Precision Imaging for Diagnosis and Treatment, Guiyang, China
      sug:
        subj:
          Cerebrovascular Circulation
          Alzheimer's Disease Physiopathology
          Iron Metabolism
          Aged
          Magnetic Resonance Imaging
          Male
          Disease Progression
          Human
          Brain Physiopathology
          Brain Mapping
          Female
          Free Radicals
          Aged, 80 and Over
          Middle Age
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Advanced Alzheimer's disease (AD) has no effective treatment, and identifying early diagnosis markers can provide a time window for treatment.Objective: To quantify the changes in cerebral blood flow (CBF) and iron deposition during progression of AD.Methods: 94 subjects underwent brain imaging on a 3.0-T MRI scanner with techniques of three-dimensional arterial spin labeling (3D-ASL) and quantitative susceptibility mapping (QSM). The subjects included 22 patients with probable AD, 22 patients with mild cognitive impairment (MCI), 25 patients with subjective cognitive decline (SCD), and 25 normal controls (NC). The CBF and QSM values were obtained using a standardized brain region method based on the Brainnetome Atlas. The differences in CBF and QSM values were analyzed between and within groups using variance analysis and correlation analysis.Results: CBF and QSM identified several abnormal brain regions of interest (ROIs) at different stages of AD (p < 0.05). Regionally, the CBF values in several ROIs of the AD and MCI subjects were lower than for NC subjects (p < 0.001). Higher QSM values were observed in the globus pallidus. The CBF and QSM values in multiple ROI were negatively correlated, while the putamen was the common ROI of the three study groups (p < 0.05). The CBF and QSM values in hippocampus were cross-correlated with scale scores during the progression of AD (p < 0.05).Conclusion: Iron deposition in the basal ganglia and reduction in blood perfusion in multiple regions existed during the progression of AD. The QSM values in putamen can be used as an imaging biomarker for early diagnosis of AD.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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