1. Multimodal imaging in Alzheimer's disease: the relationship between MRI, SPECT, cognitive and pathological changes
- Author
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Besson, J.A.O., Crawford, J.R., Parker, D.M., Ebmeier, K.P., Best, P.V., Gemmell, H.G., Sharp, P.F., and Smith, F.W.
- Subjects
Alzheimer's disease -- Physiological aspects ,Magnetic resonance imaging ,SPECT imaging ,Alzheimer's disease -- Diagnosis ,Health - Abstract
In magnetic resonance imaging (MRI), protons (part of the nucleus of an atom) are exposed to rotating magnetic fields in the radio frequency range. When the frequency is stopped, the protons emit energy as they return to their former state. Computer analysis of this emitted energy portrays a spatial image of the distribution of specific elements (e.g., hydrogen). An important measure obtained during MRI is the time taken for the protons to return to a resting state after excitation (T-1). Using MRI, significant increases have been found in the white-matter T-1 of patients with Alzheimer's disease (AD). Another diagnostic procedure, single-photon emission computerized tomography (SPECT), in which variations in the density of brain tissue are measured from an X-ray source and detectors placed around the head, has demonstrated reduced cerebral blood flow (perfusion) in AD patients. To assess whether localized changes in white matter T-1 were related to cognitive deficits or to perfusion changes in the adjoining gray matter of AD patients, 21 right-handed patients with a clinical diagnosis of probable AD were evaluated with MRI. Thirteen of these patients were also evaluated with SPECT. All the patients were given a battery of cognitive tests. Significant relationships were found between localized perfusion reductions, T-1, and localized cognitive deficits. In general, the greater the T-1, the greater the perfusion reduction in adjoining gray matter. Significant relationships were also found between the T-1 of particular brain regions and performance on psychometric tests which tapped into those same regions. For instance, vocabulary test scores were significantly related to the T-1 of left hemisphere structures, which is in keeping with findings of vocabulary impairment in left-hemisphere disorder (of right-handed people). Relationships found between T-1 and pathological change may lead to a way of definitively diagnosing AD in living patients. To date, definitive diagnosis can only be accomplished by the post-mortem examination of white matter. (Consumer Summary produced by Reliance Medical Information, Inc.)
- Published
- 1990