151. The Cortical Signature of Alzheimer's Disease: Regionally Specific Cortical Thinning Relates to Symptom Severity in Very Mild to Mild AD Dementia and is Detectable in Asymptomatic Amyloid-Positive Individuals
- Author
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Bradford C. Dickerson, Bradley T. Hyman, Randy L. Buckner, Jenni Pacheco, Deborah Blacker, H. Diana Rosas, Akram Bakkour, Alireza Atri, Douglas N. Greve, Eric Feczko, John H. Growdon, Fran Grodstein, Christopher I. Wright, Bruce Fischl, Reisa A. Sperling, David H. Salat, John C. Morris, Massachusetts Institute of Technology. Computer Science and Artificial Intelligence Laboratory, and Fischl, Bruce
- Subjects
Male ,Amyloid ,Pathology ,medicine.medical_specialty ,Imaging biomarker ,Cognitive Neuroscience ,Plaque, Amyloid ,Neuropathology ,Severity of Illness Index ,Asymptomatic ,Brain mapping ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,0302 clinical medicine ,Alzheimer Disease ,medicine ,Humans ,magnetic resonance imaging ,Dementia ,Aged ,030304 developmental biology ,Aged, 80 and over ,Cerebral Cortex ,Brain Mapping ,0303 health sciences ,Feature Article ,Neurodegeneration ,Middle Aged ,Alzheimer's disease ,medicine.disease ,medial temporal lobe ,3. Good health ,medicine.anatomical_structure ,parietal cortex ,Cerebral cortex ,Female ,medicine.symptom ,Psychology ,Neuroscience ,030217 neurology & neurosurgery - Abstract
Alzheimer's disease (AD) is associated with neurodegeneration in vulnerable limbic and heteromodal regions of the cerebral cortex, detectable in vivo using magnetic resonance imaging. It is not clear whether abnormalities of cortical anatomy in AD can be reliably measured across different subject samples, how closely they track symptoms, and whether they are detectable prior to symptoms. An exploratory map of cortical thinning in mild AD was used to define regions of interest that were applied in a hypothesis-driven fashion to other subject samples. Results demonstrate a reliably quantifiable in vivo signature of abnormal cortical anatomy in AD, which parallels known regional vulnerability to AD neuropathology. Thinning in vulnerable cortical regions relates to symptom severity even in the earliest stages of clinical symptoms. Furthermore, subtle thinning is present in asymptomatic older controls with brain amyloid binding as detected with amyloid imaging. The reliability and clinical validity of AD-related cortical thinning suggests potential utility as an imaging biomarker. This “disease signature” approach to cortical morphometry, in which disease effects are mapped across the cortical mantle and then used to define ROIs for hypothesis-driven analyses, may provide a powerful methodological framework for studies of neuropsychiatric diseases., National Institute on Aging (K23-AG22509), National Institute on Aging (P50-AG05134), National Institute on Aging (P50-AG05681), National Institute on Aging (P01-AG03991), National Institute on Aging (R01-AG29411), National Institute on Aging (R21-AG29840), National Institute of Neurological Disorders and Stroke (U.S.) (grant R01-NS042861), National Center for Research Resources (U.S.) (P41RR14075), National Center for Research Resources (U.S.) (U24-RR021382), Alzheimer's Association, Howard Hughes Medical Institute, Mental Illness and Neuroscience Discovery (MIND) Institute
- Published
- 2008
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