Department of Radiology and Nuclear Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
J Alzheimers Dis. 2019;71(1):141-152. doi: 10.3233/JAD-181297.
It is increasingly recognized that the complex functions of human cognition are not accurately represented by arbitrarily-defined anatomical brain regions. Given the considerable functional specialization within such regions, more fine-grained studies of brain structure could capture such localized associations. However, such analyses/studies in a large community-dwelling population are lacking.
To perform a fine-mapping of cognitive ability to cortical and subcortical grey matter on magnetic resonance imaging (MRI).
In 3,813 stroke-free and non-demented persons from the Rotterdam Study (mean age 69.1 (±8.8) years; 55.8% women) with cognitive assessments and brain MRI, we performed voxel-based morphometry and subcortical shape analysis on global cognition and separate tests that tapped into memory, information processing speed, fine motor speed, and executive function domains.
We found that the different cognitive tests significantly associated with grey matter density in differential but also overlapping brain regions, primarily in the left hemisphere. Clusters of significantly associated voxels with global cognition were located within multiple anatomic regions: left amygdala, hippocampus, parietal lobule, superior temporal gyrus, insula and posterior temporal lobe. Subcortical shape analysis revealed associations primarily within the head and tail of the caudate nucleus, putamen, ventral part of the thalamus, and nucleus accumbens, more equally distributed among the left and right hemisphere. Within the caudate nucleus both positive (head) as well as negative (tail) associations were observed with global cognition.
In a large population-based sample, we mapped cognitive performance to cortical and subcortical grey matter density using a hypothesis-free approach with high-dimensional neuroimaging. Leveraging the power of our large sample size, we confirmed well-known associations as well as identified novel brain regions related to cognition.
人们越来越认识到,人为定义的大脑解剖区域并不能准确地反映人类认知的复杂功能。鉴于这些区域具有相当大的功能专门化,更精细的大脑结构研究可以捕捉到这种局部关联。然而,在一个大型的社区人群中,缺乏这样的分析/研究。
对磁共振成像(MRI)中的皮质和皮质下灰质的认知能力进行精细映射。
在来自鹿特丹研究(无中风和无痴呆的 3813 名参与者,平均年龄 69.1(±8.8)岁;55.8%为女性)的认知评估和大脑 MRI 中,我们对整体认知以及分别测试记忆、信息处理速度、精细运动速度和执行功能领域的测试进行了基于体素的形态测量和皮质下形状分析。
我们发现,不同的认知测试与大脑中不同但也有重叠的灰质密度显著相关,主要位于左半球。与整体认知显著相关的体素簇位于多个解剖区域:左杏仁核、海马体、顶叶叶、颞上回、脑岛和颞叶后部。皮质下形状分析显示,主要与尾状核头部和尾部、壳核、丘脑腹侧部分和伏隔核相关,左右半球分布更为均衡。在尾状核中,与整体认知相关的既有正(头部)也有负(尾部)关联。
在一个基于人群的大型样本中,我们使用高维神经影像学的无假设方法将认知表现映射到皮质和皮质下灰质密度上。利用我们的大样本量的优势,我们不仅证实了广为人知的关联,还确定了与认知相关的新的大脑区域。