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日常认知量表与可能阿尔茨海默病早期的认知功能和 FDG-PET 结果有关。

Everyday cognition scales are related to cognitive function in the early stage of probable Alzheimer's disease and FDG-PET findings.

机构信息

Department of Neurology, Chang Gung Memorial Hospital Linkou Medical Center and College of Medicine, Chang-Gung University, Taoyuan, Taiwan.

Graduate Institute of Humanities in Medicine, Taipei Medical University, Taipei, Taiwan.

出版信息

Sci Rep. 2017 May 11;7(1):1719. doi: 10.1038/s41598-017-01193-6.

Abstract

We applied the Everyday Cognition (ECog) scale in normal aging adults and patients with Alzheimer's disease (AD) to investigate associations between neuropsychological tests and neuroimaging markers. A total of 160 normal aging adults and 40 patients with the early stage of probable AD were included. Neuropsychological performance was assessed using the Consortium to Establish a Registry for Alzheimer's Disease Neuropsychological Assessment Battery (CERAD-NAB). F-fluorodeoxyglucose positron emission tomography (FDG-PET) scans were used to measure AD-related hypometabolism. Nonparametric Spearman correlation analysis was used to study associations between ECog and z-transformed total CERAD-NAB scores in both groups. The results revealed a significant correlation between total ECog and CERAD-NAB scores (rho = -0.28, p < 0.01), and category verbal fluency test with the executive domain of the ECog scale (rho = -0.20, p < 0.01). The CERAD-NAB scores were also significantly correlated with AD-related hypometabolism (rho = -0.49, p < 0.01). The memory domain of the ECog scale was significantly correlated with FDG uptake in the angular gyrus and posterior cingulum gyrus (rho = -0.41 and -0.46, P < 0.01). In conclusion, both total and memory domain ECog scores were correlated with the neuropsychological tests and neuroimaging biomarkers.

摘要

我们应用 Everyday Cognition (ECog) 量表对正常老年人和阿尔茨海默病 (AD) 患者进行研究,以探讨神经心理学测试与神经影像学标志物之间的关系。共有 160 名正常老年人和 40 名早期可能患有 AD 的患者入组。使用 Alzheimer's Disease Neuropsychological Assessment Battery (CERAD-NAB) 进行神经心理学表现评估。使用 F-氟脱氧葡萄糖正电子发射断层扫描 (FDG-PET) 测量 AD 相关的低代谢。非参数 Spearman 相关分析用于研究两组 ECog 与 z 变换后的总 CERAD-NAB 评分之间的关系。结果表明,ECog 总评分与 CERAD-NAB 评分之间存在显著相关性(rho=-0.28,p<0.01),类别语言流畅性测验与 ECog 量表的执行域之间存在显著相关性(rho=-0.20,p<0.01)。CERAD-NAB 评分也与 AD 相关的低代谢显著相关(rho=-0.49,p<0.01)。ECog 量表的记忆域与 FDG 在角回和后扣带回的摄取显著相关(rho=-0.41 和 -0.46,P<0.01)。总之,ECog 总分和记忆域评分与神经心理学测试和神经影像学标志物相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c063/5431919/db68760ac979/41598_2017_1193_Fig1_HTML.jpg

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