Title
Diffusion tensor imaging measures of brain connectivity for the early diagnosis of Alzheimer's disease.
Abstract
The prognostic capacity of the diffusion tensor imaging measures fractional anisotropy (FA) and mean diffusivity (MD) to detect mild cognitive impairment (MCI) progression to Alzheimer's disease (AD) was assessed in 135 MCI patients and 72 healthy subjects over a median follow-up of 40 months. Forty-nine MCI patients (36.3%) developed AD. The factors MD left hippocampus, FA left cingulate, and FA left hippocampus emerged as predictors of progression. Age (hazard ratio [HR] 1.21), delayed text recall (HR 0.89), FA left uncinate (HR 1.90), FA left hippocampus (HR 2.21), and carrying at least one ApoE4 allele (HR 2.86) were associated with a high conversion rate. FA measures revealed the greatest discriminative capacity (Harrell's C = 0.73 versus 0.65 without FA; p = 0.034). The inclusion of FA structural connectivity data in our model improved discrimination between subjects with MCI progressing or not to dementia.
Year
DOI
Venue
2019
10.1089/brain.2018.0635
BRAIN CONNECTIVITY
Keywords
DocType
Volume
Alzheimer's disease,brain connectivity,diffusion tensor imaging,early biomarker,fractional anisotropy,mild cognitive impairment
Journal
9
Issue
ISSN
Citations 
8
2158-0014
0
PageRank 
References 
Authors
0.34
0
12