Teipel S J, Willoch F, Ishii K, Bürger K, Drzezga A, Engel R, Bartenstein P, Möller H-J, Schwaiger M, Hampel H
Dementia and Neuroimaging Section, Alzheimer Memorial Center, Geriatric Psychiatry Branch, Department of Psychiatry, Ludwig-Maximilian University, Nussbaumstr.7, 80336 Munich, Germany.
Neurobiol Aging. 2006 May;27(5):681-90. doi: 10.1016/j.neurobiolaging.2005.03.015.
The present study examined the cortical functional representation of neuropsychological domains in Alzheimer's disease (AD) using positron emission tomography (PET) and the neuropsychological assessment battery of the Consortium to Establish a Registry of Alzheimer's Disease (CERAD). Thirty patients with clinical probable AD and 10 elderly healthy controls underwent (18)FDG brain PET imaging during a resting state. Correlations between metabolic values and cognitive measures were determined using a region of interest analysis with NEUROSTAT (University of Michigan, USA) and a voxel-based analysis with SPM96 (Wellcome Department, London, UK). Specific correlations were seen between measures of episodic memory, verbal fluency and naming and left hemispheric temporal and prefrontal metabolism. Drawing was correlated with metabolism in left prefrontal and left inferior parietal regions. The presented data support the use of metabolic-cognitive correlations to demonstrate the neuronal substrates of cognitive impairment in AD. Subtests of the CERAD battery give a good representation of left, but not of right hemisphere function in AD.
本研究使用正电子发射断层扫描(PET)以及阿尔茨海默病注册协会(CERAD)的神经心理学评估量表,检测了阿尔茨海默病(AD)患者神经心理学领域的皮质功能表征。30例临床确诊为可能患有AD的患者和10名老年健康对照者在静息状态下接受了(18)FDG脑PET成像。使用美国密歇根大学的NEUROSTAT软件进行感兴趣区分析以及英国伦敦惠康部的SPM96软件进行基于体素的分析,确定代谢值与认知测量之间的相关性。情景记忆、语言流畅性和命名测量与左侧颞叶和前额叶代谢之间存在特定相关性。绘图与左侧前额叶和左侧顶下叶区域的代谢相关。所呈现的数据支持利用代谢-认知相关性来证明AD认知障碍的神经元基质。CERAD量表的子测试能够很好地反映AD患者左侧半球功能,但不能反映右侧半球功能。