1. Correlation between cerebral blood flow and olfactory function in mild cognitive impairment and Alzheimer's disease
- Author
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Naoto Kamimura, Tetsuo Kashibayashi, Ryuichi Takahashi, Hiroaki Kazui, Ryoko Fujito, Jun Fujita, and Fumino Okutani
- Subjects
Olfactory system ,medicine.medical_specialty ,business.industry ,Neuropsychology ,Brain ,Disease ,Neuropsychological Tests ,Correlation ,Psychiatry and Mental health ,Odor ,Cerebral blood flow ,Alzheimer Disease ,Cerebrovascular Circulation ,Internal medicine ,Cardiology ,medicine ,Humans ,Cognitive Dysfunction ,Geriatrics and Gerontology ,business ,Cognitive impairment ,Frontal Pole - Abstract
OBJECTIVE Olfactory dysfunction is common in patients with mild cognitive impairment (MCI) or Alzheimer's disease (AD). We sought to elucidate brain regions associated with olfactory dysfunction in patients with MCI and early AD by using 123I-IMP-SPECT to detect regional cerebral blood flow (CBF). METHODS We included 218 patients diagnosed with AD or MCI, who underwent a comprehensive battery of neuropsychiatric and neuropsychological tests, Alzheimer's Disease Assessment Scale-Cognitive Part (ADAS-Cog), and forward- and backward-digit span. Olfactory function was assessed using TT patients stated whether they experienced any smell (detection test) and identified the odor (identification test). The association between single-photon emission computerized tomography based regional CBF and olfactory function was examined by voxel-by-voxel multiple regression analysis, considering sex, age, and education as covariate parameters. RESULTS Of the 218 patients, 78 had mildly impaired olfactory detection and 15 had olfactory detection loss; additionally, 213 had mild olfactory identification impairment. The odor detection score correlated significantly with the ADAS-Cog word recall score (r = 0.193, p = 0.004). The odor identification score correlated significantly with the ADAS memory (r = 0.408, p
- Published
- 2021
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