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Research ArticleBrain

Diffusion Tensor Imaging of Normal-Appearing White Matter in Mild Cognitive Impairment and Early Alzheimer Disease: Preliminary Evidence of Axonal Degeneration in the Temporal Lobe

J. Huang, R.P. Friedland and A.P. Auchus
American Journal of Neuroradiology November 2007, 28 (10) 1943-1948; DOI: https://doi.org/10.3174/ajnr.A0700
J. Huang
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R.P. Friedland
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A.P. Auchus
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    Fig 1.

    Illustration of representative regions of interests positioned on T2-weighted echo-planar images (b = 0 s/mm2) in the NAWM of the frontal (A), temporal (B), parietal (C), and occipital lobes (D).

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    Fig 2.

    Correlation of diffusion measurements with cognitive tests in all subjects. Poorer cognitive function is reflected by lower WLDR scores, higher TMT-B scores, and lower CP scores.

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    Table 1:

    Descriptive demographics and neuropsychological test resultsab

    AD (n = 6)MCI (n = 11)NC (n = 8)
    Age (years)78 (65–88)76 (61–87)73.5 (62–78)
    Sex (female/male)4/25/65/3
    Education (years)13 (10–18)16 (11–18)15.5 (11–18)
    Mini-Mental State Exam23 (20–26)c27 (24–30)c30 (28–30)
    Verbal Fluency9.5 (8–12)cd17 (11–20)21.5 (14–32)
    Boston Naming13 (7–13)13 (8–15)14.5 (13–15)
    CP7.5 (6–11)11 (4–11)11 (10–11)
    Word List Memory Total11 (8–21)c18 (9–21)23.5 (15–28)
    WLDR2.5 (0–3)c4 (0–8)c8 (7–10)
    Word List Recognition18 (16–19)19 (17–20)20 (19–20)
    Constructional Praxis Recall1 (0–8)6 (2–11)11 (9–14)
    TMT-A69.5 (41–254)c40 (22–66)26.5 (16–54)
    TMT-B184.5 (138–300)c111 (53–203)60.5 (38–95)
    • Note:—NC indicates control subjects; WLDR, Word List Delayed Recall; CP, Constructional Praxis; TMT, Trail-Making Test.

    • a TMT-A and TMT-B are in units of seconds. All other neuropsychological units are the number of correct responses.

    • b Median (ranges) except sex.

    • c Statistically significant versus NC.

    • d Statistically significant versus MCI.

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    Table 2:

    Diffusion tensor measurements (median [ranges]) of selected NAWM regions among AD, MCI, and NC subjectsa

    AD (n = 6)MCI (n = 11)NC (n = 8)
    Frontal FA0.25 (0.22–0.29)b0.29 (0.25–0.38)0.33 (0.27–0.39)
    Frontal DA1.13 (0.97–1.18)1.06 (0.95–1.13)1.07 (1.03–1.13)
    Frontal DR0.78 (0.67–0.85)bc0.69 (0.60–0.75)0.64 (0.59–0.74)
    Temporal FA0.38 (0.34–0.43)bc0.43 (0.40–0.48)b0.50 (0.45–0.58)
    Temporal DA1.18 (1.16–1.24)b1.20 (1.15–1.36)b1.29 (1.27–1.36)
    Temporal DR0.66 (0.61–0.71)b0.61 (0.55–0.70)0.57 (0.48–0.62)
    Parietal FA0.38 (0.35–0.43)b0.40 (0.33–0.43)b0.46 (0.44–0.48)
    Parietal DA1.14 (1.07–1.25)1.12 (1.05–1.18)1.15 (1.12–1.23)
    Parietal DR0.63 (0.61–0.66)b0.60 (0.57–0.64)b0.57 (0.54–0.59)
    Occipital FA0.42 (0.36–0.43)0.45 (0.39–0.56)0.45 (0.33–0.50)
    Occipital DA1.19 (1.15–1.24)1.21 (1.06–1.42)1.19 (1.09–1.38)
    Occipital DR0.62 (0.60–0.66)0.60 (0.52–0.68)0.59 (0.50–0.72)
    • Note:—NC indicates control subjects.

    • a DA and DR are in units of 10−3 mm2/s.

    • b Statistically significant versus NC.

    • c Statistically significant versus MCI.

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American Journal of Neuroradiology: 28 (10)
American Journal of Neuroradiology
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November 2007
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J. Huang, R.P. Friedland, A.P. Auchus
Diffusion Tensor Imaging of Normal-Appearing White Matter in Mild Cognitive Impairment and Early Alzheimer Disease: Preliminary Evidence of Axonal Degeneration in the Temporal Lobe
American Journal of Neuroradiology Nov 2007, 28 (10) 1943-1948; DOI: 10.3174/ajnr.A0700

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Diffusion Tensor Imaging of Normal-Appearing White Matter in Mild Cognitive Impairment and Early Alzheimer Disease: Preliminary Evidence of Axonal Degeneration in the Temporal Lobe
J. Huang, R.P. Friedland, A.P. Auchus
American Journal of Neuroradiology Nov 2007, 28 (10) 1943-1948; DOI: 10.3174/ajnr.A0700
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