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Effects of Age on the Glucose Metabolic Changes in Mild Cognitive Impairment

K. Kantarci, M.L. Senjem, V.J. Lowe, H.J. Wiste, S.D. Weigand, B.J. Kemp, A.R. Frank, M.M. Shiung, B.F. Boeve, D.S. Knopman, R.C. Petersen and C.R. Jack
American Journal of Neuroradiology August 2010, 31 (7) 1247-1253; DOI: https://doi.org/10.3174/ajnr.A2070
K. Kantarci
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M.L. Senjem
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V.J. Lowe
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H.J. Wiste
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S.D. Weigand
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B.J. Kemp
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A.R. Frank
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M.M. Shiung
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B.F. Boeve
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D.S. Knopman
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R.C. Petersen
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C.R. Jack Jr
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    Fig 1.

    Scatterplot of the global-cortical-to-pons FDG ratio versus patient age for CN (A) and aMCI (B) subjects. The lines indicate the estimated mean as a function of age by using a nonparametric Loess scatterplot smoother. The shaded regions represent approximate pointwise 95% confidence intervals.

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    Fig 2.

    Boxplots with individual data points for the global-cortical-to-pons FDG summary measure by age and diagnosis for study subjects from the Mayo community (ADPR and ADRC) samples (A) and an independent population-based validation sample from the Mayo Clinic Study of Aging (B). The global cortical FDG-uptake summary measure was formed by combining the left and right parietal lobe (including the posterior cingulate gyrus and precuneus) and temporal lobe ratio values for each subject.

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    Fig 3.

    Voxel-based analysis of the FDG-PET uptake-to-pons ratio in aMCI-young patients compared with age- and sex-matched CN-young subjects (P < .005 uncorrected).

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    Fig 4.

    Voxel-based analysis of the FDG-PET uptake-to-pons ratio in aMCI-old patients compared with age- and sex-matched CN-old subjects (P < .005 uncorrected).

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    Fig 5.

    Pattern of gray matter reduction in aMCI-young patients compared with age- and sex-matched CN-young subjects demonstrated in red and yellow (P < .005 uncorrected).

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    Fig 6.

    Pattern of gray matter reduction in aMCI-old patients compared with age- and sex-matched CN-old subjects demonstrated in red and yellow (P < .005 uncorrected).

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    Table 1:

    Patient characteristics

    Study SampleValidation Sample
    Age≤73Age > 73Age > 73
    CN (n = 13)aMCI (n = 13)PaCN (n = 12)aMCI (n = 12)PaCN (n = 13)aMCI (n = 10)Pa
    Sex
        Female7 (54)6 (46).696 (50)6 (50)>.995 (38)2 (20).34
        Male6 (46)7 (54)6 (50)6 (50)8 (62)8 (80)
    Age at PET scan
        Median (IQR)68 (66–71)70 (63–70).9080 (78–82)78 (77–82).6677 (76–82)82 (78–84).22
        Range57–7355–7275–8574–8674–9076–87
    Education
        Median (IQR)16 (12–17)14 (12–17).8612 (12–14)14.5 (12–18.5).2014 (13–16)12 (12–16).16
        Range10–2012–208–208–2012–1911–19
    MMSE score
        Median (IQR)30 (29–30)27 (26–28).00229 (27–29)27 (27–28).0828 (26–28)27 (26–27).17
        Range27–3025–3026–3024–2924–3021–28
    CDR sum of boxes
        Median (IQR)0 (0–0)0.5 (0.5–1.5)<.0010 (0–0)1.0 (0.5–2.0)<.0010 (0–0.5)1.3 (1.0–1.9)<.001
        Range0–00.5–2.50–00.5–3.00–0.50–3.0
    • a Wilcoxon rank sum test.

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    Table 2:

    Cerebrovascular lesions by group within the study sample

    Age≤73 yearsAge > 73 yearsPa
    CN (n = 13)MCI (n = 13)CN (n = 12)MCI (n = 12)
    WMH volume, (cm3)a
        Median (IQR)6 (4–8)10 (6–25)14 (8–18)15 (12–25).01
        Range1–144–456 to 254–65
    Subcortical infarctions, no. (%)
        Present1 (8)1 (8)2 (17)2 (17).74
        Absent12 (92)12 (92)10 (83)10 (83)
    Cortical infarctions (<1-cm diameter)
        Present01 (8)02 (17)0.31
        Absent13 (100)12 (92)12 (100)10 (83)
    • a Differences across all 4 groups were tested with the Kruskal-Wallis test. Differences in rates of infarctions across all 4 groups were tested with the Fisher exact test.

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American Journal of Neuroradiology: 31 (7)
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K. Kantarci, M.L. Senjem, V.J. Lowe, H.J. Wiste, S.D. Weigand, B.J. Kemp, A.R. Frank, M.M. Shiung, B.F. Boeve, D.S. Knopman, R.C. Petersen, C.R. Jack
Effects of Age on the Glucose Metabolic Changes in Mild Cognitive Impairment
American Journal of Neuroradiology Aug 2010, 31 (7) 1247-1253; DOI: 10.3174/ajnr.A2070

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Effects of Age on the Glucose Metabolic Changes in Mild Cognitive Impairment
K. Kantarci, M.L. Senjem, V.J. Lowe, H.J. Wiste, S.D. Weigand, B.J. Kemp, A.R. Frank, M.M. Shiung, B.F. Boeve, D.S. Knopman, R.C. Petersen, C.R. Jack
American Journal of Neuroradiology Aug 2010, 31 (7) 1247-1253; DOI: 10.3174/ajnr.A2070
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