Demyelination of superficial white matter in early Alzheimer's disease: a magnetization transfer imaging study.
Details
Serval ID
serval:BIB_9F01C2E8D7E4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Demyelination of superficial white matter in early Alzheimer's disease: a magnetization transfer imaging study.
Journal
Neurobiology of Aging
ISSN
0197-4580
ISSN-L
0197-4580
Publication state
Published
Issued date
2012
Volume
33
Number
2
Pages
428.e7-428.e19
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
Assuming selective vulnerability of short association U-fibers in early Alzheimer's disease (AD), we quantified demyelination of the surface white matter (dSWM) with magnetization transfer ratio (MTR) in 15 patients (Clinical Dementia Rating Scale [CDR] 0.5-1; Functional Assessment Staging [FAST]: 3-4) compared with 15 controls. MTRs were computed for 39 areas in each hemisphere. We found a bilateral MTR decrease in the temporal, cingulate, parietal, and prefrontal areas. With linear discriminant analysis, we successfully classified all the participants with 3 variates including the cuneus, parahippocampal, and superior temporal regions of the left hemisphere. The pattern of dSWM changed with the age of AD onset. In early onset patients, we found bilateral posterior demyelination spreading to the temporal areas in the left hemisphere. The late onset patients showed a distributed bilateral pattern with the temporal and cingulate areas strongly affected. A correlation with Mini Mental State Examination (MMSE), Lexis, and memory tests revealed the dSWM impact on cognition. A specific landscape of dSWM in early AD shows the potential of MTR imaging as an in vivo biomarker superior to currently used techniques.
Pubmed
Web of science
Create date
05/01/2011 14:42
Last modification date
20/08/2019 15:05