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Research ArticleAdult Brain
Open Access

Brain β-Amyloid and Atrophy in Individuals at Increased Risk of Cognitive Decline

I.K. Martikainen, N. Kemppainen, J. Johansson, J. Teuho, S. Helin, Y. Liu, S. Helisalmi, H. Soininen, R. Parkkola, T. Ngandu, M. Kivipelto and J.O. Rinne
American Journal of Neuroradiology December 2018, DOI: https://doi.org/10.3174/ajnr.A5891
I.K. Martikainen
aFrom the Department of Radiology (I.K.M.), Medical Imaging Center, Tampere University Hospital, Tampere, Finland
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N. Kemppainen
bDivision of Clinical Neurosciences (N.K., J.O.R.), Turku University Hospital, Turku, Finland
cTurku PET Centre (N.K., J.J., J.T., S. Helin, J.O.R.), University of Turku, Turku, Finland
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J. Johansson
cTurku PET Centre (N.K., J.J., J.T., S. Helin, J.O.R.), University of Turku, Turku, Finland
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J. Teuho
cTurku PET Centre (N.K., J.J., J.T., S. Helin, J.O.R.), University of Turku, Turku, Finland
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S. Helin
cTurku PET Centre (N.K., J.J., J.T., S. Helin, J.O.R.), University of Turku, Turku, Finland
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Y. Liu
dDepartment of Neurology (Y.L., S. Helisalmi, H.S., M.K.), University of Eastern Finland, Kuopio, Finland
eNeurocenter (Y.L., H.S., M.K.), Neurology, Kuopio University Hospital, Kuopio, Finland
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S. Helisalmi
dDepartment of Neurology (Y.L., S. Helisalmi, H.S., M.K.), University of Eastern Finland, Kuopio, Finland
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H. Soininen
dDepartment of Neurology (Y.L., S. Helisalmi, H.S., M.K.), University of Eastern Finland, Kuopio, Finland
eNeurocenter (Y.L., H.S., M.K.), Neurology, Kuopio University Hospital, Kuopio, Finland
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R. Parkkola
fDepartment of Radiology (R.P.), University of Turku and Turku University Hospital, Turku, Finland
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T. Ngandu
gDepartment of Public Health Solutions (T.N., M.K.), Public Health Promotion Unit, National Institute for Health and Welfare, Helsinki, Finland
hDivision of Clinical Geriatrics (T.N., M.K.), Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
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M. Kivipelto
dDepartment of Neurology (Y.L., S. Helisalmi, H.S., M.K.), University of Eastern Finland, Kuopio, Finland
eNeurocenter (Y.L., H.S., M.K.), Neurology, Kuopio University Hospital, Kuopio, Finland
gDepartment of Public Health Solutions (T.N., M.K.), Public Health Promotion Unit, National Institute for Health and Welfare, Helsinki, Finland
hDivision of Clinical Geriatrics (T.N., M.K.), Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
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J.O. Rinne
bDivision of Clinical Neurosciences (N.K., J.O.R.), Turku University Hospital, Turku, Finland
cTurku PET Centre (N.K., J.J., J.T., S. Helin, J.O.R.), University of Turku, Turku, Finland
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    FIGURE.

    Associations between increases in 11C PIB uptake and reductions in GM volume in subjects with PIB+ findings at increased risk of cognitive decline. In subjects classified as positive for 11C PIB uptake, significant associations are found between increases in composite 11C PIB uptake and reductions in GM volume in the right temporal lobe (A and B) and increases in 11C PIB uptake in the precuneus and reductions in GM volume in the left prefrontal lobe (C). D, The significant negative correlation between composite 11C PIB uptake and GM volume in the right temporal lobe in the PIB+ sample (closed circles). No correlation is found in the PIB− sample (open circles). The R and P values were calculated using the average GM volumes extracted at P < .001.

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    Table 1:

    Sample demographics and clinical characteristicsa

    CharacteristicsAllPIB−PIB+PIB− vs PIB+
    No. (% women)40 (48%)24 (50%)16 (44%)χ21 = 0.15, P = .70
    Age (yr)71 ± 570 ± 672 ± 4t38 = −1.19, P = .24
    APOE ϵ4 carriers (%)12 (31)4 (17)8 (53)χ21 = 5.83, P = .02
    Body mass index (kg/m2)27 ± 328 ± 326 ± 2t38 = 2.14, P = .04
    Systolic blood pressure (mm Hg)137 ± 15138 ± 15136 ± 15t38 = 0.31, P = .76
    Diastolic blood pressure (mm Hg)81 ± 880 ± 882 ± 9t38 = −0.65, P = .52
    Total serum cholesterol level (mmol/L)5.2 ± 14.9 ± 15.5 ± 1t38 = 1.69, P = .10
    Education (yr)9 (2)9 (2.75)8 (2)U = 158, P= .36
    Physical activity ≥ twice per week (%)635280χ21 = 3.02, P = .08
    Mini-Mental State Examination27 (2)27 (2)27 (3)U = 158, P = .35
    Total composite z score0.03 ± 0.50.06 ± 0.6−0.01 ± 0.5F1,37 = 0.018, P = .90
    Memory z score−0.05 ± 0.6−0.10 ± 0.50.06 ± 0.7F1,37 = 2.42, P = .13
    Executive function z score0.04 ± 0.60.20 ± 0.6−0.10 ± 0.4F1,37 = 1.94, P = .17
    Processing speed z score0.2 (0.9)0.4 (1)0.2 (1)F1,37 = 0.03, P = .86
    Dementia risk score7.5 (3.75)8 (3.75)7 (2)U = 161, P = .39
    Fazekas score1 (2)1 (2)2 (1.75)U = 144, P = .18
    • ↵a Data are given as mean ± SD or median (interquartile range).

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    Table 2:

    Summary of associations between 11C PIB uptake and brain regional GM volume

    11C PIB Uptake MeasureCorrelation with GM Volume; Region; Peak X, Y, Z Coordinates; Cluster Size; z Score; P Value
    CompositeNegative correlation, right temporal lobe (29, 14, −30), 1170 mm3, z = 4.0, P = .04
    PrecuneusNegative correlation, left prefrontal lobe (−38, 32, 4), 262 mm3, z = 3.8, P = .02
    Prefrontal cortexNegative correlation, right temporal lobe (29, 12, −30), 1390 mm3, z = 3.7, P = .06
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Cite this article
I.K. Martikainen, N. Kemppainen, J. Johansson, J. Teuho, S. Helin, Y. Liu, S. Helisalmi, H. Soininen, R. Parkkola, T. Ngandu, M. Kivipelto, J.O. Rinne
Brain β-Amyloid and Atrophy in Individuals at Increased Risk of Cognitive Decline
American Journal of Neuroradiology Dec 2018, DOI: 10.3174/ajnr.A5891

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Brain β-Amyloid and Atrophy in Individuals at Increased Risk of Cognitive Decline
I.K. Martikainen, N. Kemppainen, J. Johansson, J. Teuho, S. Helin, Y. Liu, S. Helisalmi, H. Soininen, R. Parkkola, T. Ngandu, M. Kivipelto, J.O. Rinne
American Journal of Neuroradiology Dec 2018, DOI: 10.3174/ajnr.A5891
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