|Title:||Cingulum correlates of cognitive functions in patients with mild cognitive impairment and early Alzheimer's disease: A diffusion spectrum imaging study||Authors:||Lin Y.-C.
|Issue Date:||2014||Publisher:||Springer New York LLC||Journal Volume:||27||Journal Issue:||3||Start page/Pages:||393-402||Source:||Brain Topography||Abstract:||
Diffusion spectrum imaging (DSI) of MRI can detect neural fiber tract changes. We investigated integrity of cingulum bundle (CB) in patients with mild cognitive impairment (MCI) and early Alzheimer's disease (EAD) using DSI tractography and explored its relationship with cognitive functions. We recruited 8 patients with MCI, 9 with EAD and 15 healthy controls (HC). All subjects received a battery of neuropsychological tests to access their executive, memory and language functions. We used a 3.0-tesla MRI scanner to obtain T1- and T2-weighted images for anatomy and used a pulsed gradient twice-refocused spin-echo diffusion echo-planar imaging sequence to acquire DSI. Patients with EAD performed significantly poorer than the HC on most tests in executive and memory functions. Significantly smaller general fractional anisotropy (GFA) values were found in the posterior and inferior segments of left CB and of the anterior segment of right CB of the EAD compared with those of the HC. Spearman's correlation on the patient groups showed that GFA values of the posterior segment of the left CB were significantly negatively associated with the time used to complete Color Trails Test Part II and positively correlated with performance of the logical memory and visual reproduction. GFA values of inferior segment of bilateral CB were positively associated with the performance of visual recognition. DSI tractography demonstrates significant preferential degeneration of the CB on the left side in patients with EAD. The location-specific degeneration is associated with corresponding declines in both executive and memory functions. ? Springer Science+Business Media 2014.
|ISSN:||0896-0267||DOI:||10.1007/s10548-013-0346-2||metadata.dc.subject.other:||aged; Alzheimer disease; article; clinical article; cognition; diffusion spectrum imaging; female; fractional anisotropy; human; language delay; male; memory; mild cognitive impairment; neuropsychological test; nuclear magnetic resonance imaging; nuclear magnetic resonance scanner; priority journal; tractography; visual memory; Alzheimer disease; anisotropy; cingulate gyrus; diffusion weighted imaging; executive function; image processing; middle aged; mild cognitive impairment; pathology; pattern recognition; psychology; statistical model; very elderly; Aged; Aged, 80 and over; Alzheimer Disease; Anisotropy; Cognition; Diffusion Magnetic Resonance Imaging; Executive Function; Female; Gyrus Cinguli; Humans; Image Processing, Computer-Assisted; Linear Models; Male; Memory; Middle Aged; Mild Cognitive Impairment; Neuropsychological Tests; Pattern Recognition, Visual
|Appears in Collections:||醫學系|
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