Evaluation of Early Cerebral Atrophy in Mild Cognitive Impairment with Positive Amyloid PET using MRIVolumetric Measurement

2021 ◽  
Vol 104 (6) ◽  
pp. 969-974

Objective: To identify early cerebral atrophy by using magnetic resonance imaging (MRI) volumetric measurement to distinguish mild cognitive impairment (MCI) from normal aging. Materials and Methods: A retrospective study in 29 Alzheimer’s disease (AD) patients (mean 75.6±7.3 years), 11 MCI patients (mean 68.8±3.9 years), and 27 healthy control (HC) subjects (mean 69.3±4.7 years) was performed with analysis of neurological and neuropsychiatric test, and underwent 3T MRI with high-resolution 3D-T1W. Quantitative volumetric analysis of brain including surface area, cortical gray matter volume, cortical thickness, and hippocampal subfields was performed by using FreeSurfer software. Results: The diminishment of cortical gray matter volume and cortical thickness were involved in most of brain regions, predominantly in temporal lobe with statistical significance in AD compared with MCI and HC. Comparison between amyloid positron emission tomography (PET) positive MCI subjects and HC has statistically significant difference in most regions of hippocampal subfield. The highest accuracy of 90.01% with sensitivity of 50% and specificity of 100% were found at subiculum. A comparison between amyloid PET positive MCI subjects and amyloid PET negative MCI subjects revealed significant differences at right molecular layer, right/average GC-ML-DG, right CA2/3, right CA4, and average CA4 with good accuracy, sensitivity, and specificity. Conclusion: The present study confirmed improved sensitivity of MRI volumetric measurement with hippocampal subfield analysis to identify early stage of AD in MCI patients, at least compared with positive amyloid PET MCI. Study with higher number of subjects using this method to discriminate MCI and normal aging control would provide benefits as the screening tool in older population. Keywords: Hippocampal subfield; Volumetric analysis; Alzheimer’s disease; Mild cognitive impairment

2016 ◽  
Vol 108 ◽  
pp. 100
Author(s):  
Derya Durusu Emek-Sava ◽  
Berrin Çavuşoğlu ◽  
Duygu Hünerli ◽  
Deniz Yerlikaya ◽  
Arife Gökçeoğlu ◽  
...  

PLoS ONE ◽  
2013 ◽  
Vol 8 (6) ◽  
pp. e66367 ◽  
Author(s):  
Yu Zhang ◽  
Norbert Schuff ◽  
Monica Camacho ◽  
Linda L. Chao ◽  
Thomas P. Fletcher ◽  
...  

2021 ◽  
Vol 15 ◽  
Author(s):  
Madhukar Dwivedi ◽  
Neha Dubey ◽  
Aditya Jain Pansari ◽  
Raju Surampudi Bapi ◽  
Meghoranjani Das ◽  
...  

Previous cross-sectional studies reported positive effects of meditation on the brain areas related to attention and executive function in the healthy elderly population. Effects of long-term regular meditation in persons with mild cognitive impairment (MCI) and Alzheimer’s disease dementia (AD) have rarely been studied. In this study, we explored changes in cortical thickness and gray matter volume in meditation-naïve persons with MCI or mild AD after long-term meditation intervention. MCI or mild AD patients underwent detailed clinical and neuropsychological assessment and were assigned into meditation or non-meditation groups. High resolution T1-weighted magnetic resonance images (MRI) were acquired at baseline and after 6 months. Longitudinal symmetrized percentage changes (SPC) in cortical thickness and gray matter volume were estimated. Left caudal middle frontal, left rostral middle frontal, left superior parietal, right lateral orbitofrontal, and right superior frontal cortices showed changes in both cortical thickness and gray matter volume; the left paracentral cortex showed changes in cortical thickness; the left lateral occipital, left superior frontal, left banks of the superior temporal sulcus (bankssts), and left medial orbitofrontal cortices showed changes in gray matter volume. All these areas exhibited significantly higher SPC values in meditators as compared to non-meditators. Conversely, the left lateral occipital, and right posterior cingulate cortices showed significantly lower SPC values for cortical thickness in the meditators. In hippocampal subfields analysis, we observed significantly higher SPC in gray matter volume of the left CA1, molecular layer HP, and CA3 with a trend for increased gray matter volume in most other areas. No significant changes were found for the hippocampal subfields in the right hemisphere. Analysis of the subcortical structures revealed significantly increased volume in the right thalamus in the meditation group. The results of the study point out that long-term meditation practice in persons with MCI or mild AD leads to salutary changes in cortical thickness and gray matter volumes. Most of these changes were observed in the brain areas related to executive control and memory that are prominently at risk in neurodegenerative diseases.


2020 ◽  
Vol 78 (2) ◽  
pp. 673-681
Author(s):  
Jianjun Wang ◽  
Hanqing Lyu ◽  
Jianxiang Chen ◽  
Songjun Lin ◽  
Haotao Zheng ◽  
...  

Background: Late-life depression often coexists with vascular cognitive impairment and affects the quality of life for elders. However, little is known about cortical morphometric interactions between subcortical vascular mild cognitive impairment (svMCI) and concomitant mild depressive symptoms at the early stage. Objective: We aimed to investigate cortical alterations of svMCI with and without depressive symptoms and determine whether these parameters are associated with depression symptoms and/or cognitive impairments. Methods: Surface based morphometry was performed on 18 svMCI patients with depressive symptoms (svMCI + D), 16 svMCI patients without depressive symptoms (svMCI–D), and 23 normal controls (NC). Results: Compared to NC, both svMCI + D and svMCI–D patients exhibited significantly decreased surface area (SA) in many cortical areas. Interestingly, svMCI + D patients showed significantly increased rather than decreased SA in right lateral occipital gyrus (LOG.R), and a consistent trend of increased SA in these areas compared to svMCI–D. In addition, the svMCI + D showed increased gray matter volume of left pericalcarine (periCAL.L) than svMCI–D, whereas svMCI–D showed decreased gray matter volume of periCAL.L than NC. Further correlation analyses revealed that the SA of left superior temporal gyrus (STG.L) and right lateral orbital part of frontal gyrus (lorbFG.R) were significantly correlated with Hamilton depression rating scale of svMCI + D. Conclusion: In conclusion, these results extend our insight into svMCI and add weight to reevaluation of concomitant early stage depressive symptoms. Moreover, we suggest that LOG.R∖periCAL.L∖STG.L∖lorbFG.R might serve as sensitive and trait-dependent biomarkers to detect concomitant depressive symptoms in svMCI patients.


BMC Neurology ◽  
2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Hyuma Makizako ◽  
Hiroyuki Shimada ◽  
Takehiko Doi ◽  
Hyuntae Park ◽  
Daisuke Yoshida ◽  
...  

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