Rehabilitation R&D Center of Excellence, Atlanta VAMC, Decatur, GA, USA.
Rehabilitation R&D Center of Excellence, Atlanta VAMC, Decatur, GA, USA Department of Rehabilitation Medicine, Emory University, Atlanta, GA, USA
Arch Clin Neuropsychol. 2014 Jun;29(4):322-8. doi: 10.1093/arclin/acu012. Epub 2014 Apr 6.
The current study (i) determined whether NeuroQuant(®) volumetrics are reflective of differences in medial temporal lobe (MTL) volumes between healthy older adults and those with mild cognitive impairment (MCI) and (ii) examined the relationship between RBANS indices and MTL volumes. Forty-three healthy older adults and 57 MCI patients completed the RBANS and underwent structural MRI. Hippocampal and inferior lateral ventricle (ILV) volumes were obtained using NeuroQuant(®). Results revealed significantly smaller hippocampal and larger ILV volumes in MCI patients. MTL volumes were significantly related to the RBANS Immediate and Delayed Memory and Language indices but not the Attention or Visuoconstruction indices; findings that demonstrate anatomical specificity. Following discriminant function analysis, we calculated a cutpoint that may prove clinically useful for integrating MTL volumes into the diagnosis of MCI. These findings demonstrate the potential clinical utility of NeuroQuant(®) and are the first to document the relationship between RBANS indices and MTL volumes.
本研究(i)旨在确定神经定量(®)容积是否反映了健康老年人和轻度认知障碍(MCI)患者之间内侧颞叶(MTL)容积的差异,(ii)研究 RBANS 指数与 MTL 容积之间的关系。43 名健康老年人和 57 名 MCI 患者完成了 RBANS 并接受了结构 MRI 检查。使用神经定量(®)获得海马体和下外侧脑室(ILV)体积。结果显示 MCI 患者的海马体体积较小,ILV 体积较大。MTL 体积与 RBANS 即时记忆和延迟记忆以及语言指数显著相关,但与注意力或视空间构建指数不相关;这些发现表明存在解剖特异性。在判别函数分析后,我们计算了一个可能有助于将 MTL 体积整合到 MCI 诊断中的切点。这些发现表明神经定量(®)具有潜在的临床应用价值,也是首次记录 RBANS 指数与 MTL 容积之间的关系。