Billaud Charly Hugo Alexandre, Yu Junhong
School of Social Sciences, Nanyang Technological University, 48 Nanyang Avenue, PsychologySingapore, 639798, Singapore.
Geroscience. 2024 Sep 13. doi: 10.1007/s11357-024-01340-8.
Aging-related neurocognitive disorders, including Alzheimer's disease (AD) and mild cognitive impairment (MCI), have been characterised by altered brain white matter (WM), relying widely on diffusion tensor imaging (DTI). DTI's limited accuracy in assessing crossing fibres prompted novel methods that distinguish fibres crossing through same voxel-spaces, such as fixel-based analysis (FBA), highlighting subtle macrostructural and microstructural alterations in AD and MCI. We examined the FBA and DTI's specificity in determining WM features relevant to memory in the neurocognitive aging spectrum. Diffusion-weighted images were analysed in 560 participants with various neurocognitive diagnoses from the Alzheimer's Disease Neuroimaging Initiative (F:297; mean age: 73.2 ± 8). Verbal memory was measured in 488 participants using the Rey Auditory Verbal Learning Test. FBA-derived measures of fibre density (FD), fibre-bundle cross-section (FC), and their combination (FDC), DTI fractional anisotropy (FA) and mean diffusivity (MD) were examined in relation to diagnoses and memory scores, controlling for age, sex, and intracranial volume. MCI and AD groups significantly differed from controls, with lower FD and FDC in the fornix and bilateral fibres extending to the medial temporal lobes (MTL). Memory was positively associated with FD and FDC in the fornix and MTL fibres, and FC in the anterior commissure (AC). Widespread FA reductions and MD increases were observed in AD and MCI and widely associated with memory. Fixel-wise measures highlight fibre tracts that are altered distinctly at the macroscopic and microscopic level in neurocognitive aging, and reveals structures associated with memory performance that are more specifically located than tensor-derived measures.
与衰老相关的神经认知障碍,包括阿尔茨海默病(AD)和轻度认知障碍(MCI),其特征是脑白质(WM)改变,这在很大程度上依赖于扩散张量成像(DTI)。DTI在评估交叉纤维方面的准确性有限,促使人们采用新的方法来区分穿过相同体素空间的纤维,如基于固定点的分析(FBA),该方法突出了AD和MCI中细微的宏观结构和微观结构改变。我们研究了FBA和DTI在确定神经认知衰老谱中与记忆相关的WM特征方面的特异性。对来自阿尔茨海默病神经影像倡议组织的560名患有各种神经认知诊断的参与者(女性:297名;平均年龄:73.2±8岁)的扩散加权图像进行了分析。使用雷伊听觉词语学习测验对488名参与者的言语记忆进行了测量。研究了FBA得出的纤维密度(FD)、纤维束横截面积(FC)及其组合(FDC)、DTI分数各向异性(FA)和平均扩散率(MD)与诊断和记忆分数的关系,并对年龄、性别和颅内体积进行了控制。MCI组和AD组与对照组有显著差异,穹窿以及延伸至内侧颞叶(MTL)的双侧纤维中的FD和FDC较低。记忆与穹窿和MTL纤维中的FD和FDC以及前连合(AC)中的FC呈正相关。在AD和MCI中观察到广泛的FA降低和MD增加,且与记忆广泛相关。基于固定点的测量突出了在神经认知衰老中宏观和微观水平上明显改变的纤维束,并揭示了与记忆表现相关的结构,这些结构比张量衍生测量更具特异性定位。
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