Functional Neural Correlates of Semantic Fluency Task Performance in Mild Cognitive Impairment and Alzheimer's Disease: An FDG-PET Study.

Background: Total score (TS) of semantic verbal fluency test (SVFT) is generally used to interpret results, but it is ambiguous as to specific neural functions it reflects. Different SVFT strategy scores reflecting qualitative aspects are proposed to identify specific cognitive functions to overcome...

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Publicado en:Journal of Alzheimer's Disease Vol. 85; no. 4; pp. 1689 - 1701
Autores principales: Ahn, Hyejin, Yi, Dahyun, Chu, Kyungjin, Joung, Haejung, Lee, Younghwa, Jung, Gijung, Sung, Kiyoung, Han, Dongkyun, Lee, Jun Ho, Byun, Min Soo, Lee, Dong Young
Formato: research Journal Article
Publicado: Sage Publications Inc. 2022
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Alzheimer's Disease
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      dt: 2022
      vid: 85
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/JAD-215292
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        atl: Functional Neural Correlates of Semantic Fluency Task Performance in Mild Cognitive Impairment and Alzheimer's Disease: An FDG-PET Study.
      aug:
        au:
          Ahn, Hyejin
          Yi, Dahyun
          Chu, Kyungjin
          Joung, Haejung
          Lee, Younghwa
          Jung, Gijung
          Sung, Kiyoung
          Han, Dongkyun
          Lee, Jun Ho
          Byun, Min Soo
          Lee, Dong Young
        affil: Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea
      sug:
        subj:
          Alzheimer's Disease Metabolism
          Semantics
          Neuropsychological Tests Statistics and Numerical Data
          Task Performance and Analysis
          Human
          Male
          Brain Metabolism
          Tomography, Emission-Computed
          Fludeoxyglucose F 18 Metabolism
          Aged
          Female
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Clinical Assessment Tools
          Funding Source
          Aged: 65+ years
          Male
          Female
      ab: Background: Total score (TS) of semantic verbal fluency test (SVFT) is generally used to interpret results, but it is ambiguous as to specific neural functions it reflects. Different SVFT strategy scores reflecting qualitative aspects are proposed to identify specific cognitive functions to overcome limitations of using the TS.Objective: Functional neural correlates of the TS as well as the other strategy scores in subjects with mild cognitive impairment (MCI) and Alzheimer's disease (AD) dementia using Fluorine-18-Fluorodeoxyglucose positron emission tomography (FDG-PET).Methods: Correlations between various SVFT scores (i.e., TS, mean cluster size, switching (SW), hard switching, cluster switching (CSW)) and cerebral glucose metabolism were explored using voxelwise whole-brain approach. Subgroup analyses were also performed based on the diagnosis and investigated the effects of disease severity on the associations.Results: Significant positive correlation between TS and cerebral glucose metabolism was found in prefrontal, parietal, cingulate, temporal cortex, and subcortical regions. Significantly increased glucose metabolism associated with the SW were found in similar but smaller regions, mainly in the fronto-parieto-temporal regions. CSW was only correlated with the caudate. In the subgroup analysis conducted to assess different contribution of clinical severity, differential associations between the strategy scores and regional glucose metabolism were found.Conclusion: SW and CSW may reflect specific language and executive functions better than the TS. The SVFT is influenced by brain dysfunction due to the progression of AD, as demonstrated by the SW with larger involvement of temporal lobe for the AD, and CSW with significant association only for the MCI.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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