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Updated: Jul 19, 2026

Diffusion Tensor Magnetic Resonance Imaging in the Analysis of Neurodegenerative Diseases
Published on: July 28, 2013
Mild cognitive impairment: apparent diffusion coefficient in regional gray matter and white matter structures
Kimberly M Ray1, Huali Wang, Yong Chu
1Department of Radiological Sciences, Tu and Yuen Center for Functional Onco-Imaging, University of California, Irvine, 164 Irvine Hall, Irvine, CA 92697-5020, USA.
Purpose:
To prospectively evaluate regional alterations in the apparent diffusion coefficient (ADC) of cortical gray and white matter and subcortical structures that are known to be involved in mild cognitive impairment (MCI).
Materials And Methods:
Magnetic resonance (MR) imaging was performed in 13 patients with MCI (nine men, four women; mean age, 74 years +/- 6 [standard deviation]) and 13 healthy elderly control subjects (seven men, six women; mean age, 75 years +/- 4). This study was approved by the institutional review board and was HIPAA compliant. Each subject gave informed consent. ADC was measured from manually drawn regions of interest (ROIs) of the hippocampus, parahippocampal gyrus, amygdala, corpus callosum, and anterior and posterior cingulate gyrus and from automatically defined frontal, parietal, occipital, and temporal lobes by using template masking. ROIs were outlined on anatomic images then mapped onto ADC maps by using coregistration transformation matrix. A skeleton-based region competition segmentation algorithm was used for segmentation of gray and white matter. The group difference in ADC values was assessed with independent-sample t tests. Pearson correlation analysis was used to examine the correlation of ADC values with age and memory test scores.
Results:
Higher ADCs were found in hippocampus, temporal lobe gray matter, and corpus callosum of patients with MCI compared with that of control subjects (P < .05). By pooling all subjects together, an elevated hippocampal ADC was significantly correlated with worse memory performance scores in 5-minute and 30-minute delayed word-list recall tasks (P < .05).
Conclusion:
ADCs from gray and white matter of different brain regions can be analyzed by applying an automated template-masking method in conjunction with a skeleton-based region competition segmentation algorithm.
Insights
This study found higher apparent diffusion coefficients (ADC) in the hippocampus and temporal lobe gray matter of individuals with mild cognitive impairment (MCI). Elevated hippocampal ADC correlated with poorer memory recall in MCI patients.
Area of Science:
- Neuroimaging
- Radiology
- Cognitive Neuroscience
Background:
- Mild cognitive impairment (MCI) is characterized by cognitive deficits.
- Identifying early biomarkers for MCI is crucial for timely intervention.
- Diffusion MRI offers insights into brain tissue microstructure.
Purpose of the Study:
- To prospectively evaluate regional alterations in apparent diffusion coefficient (ADC) in gray and white matter.
- To investigate brain regions implicated in mild cognitive impairment (MCI).
- To assess ADC changes in cortical and subcortical structures in MCI.
Main Methods:
- 13 patients with MCI and 13 healthy controls underwent MRI.
- Apparent diffusion coefficient (ADC) was measured in specific brain regions (hippocampus, corpus callosum, etc.).
- Automated template masking and skeleton-based segmentation were employed for analysis.
Main Results:
- Patients with MCI showed higher ADCs in the hippocampus, temporal lobe gray matter, and corpus callosum compared to controls.
- Higher hippocampal ADC values significantly correlated with worse performance on memory recall tasks.
- The findings suggest microstructural changes in specific brain regions in MCI.
Conclusions:
- Automated template masking and skeleton-based segmentation effectively analyze regional ADC values.
- Diffusion MRI can detect microstructural alterations in gray and white matter in MCI.
- These findings contribute to understanding the neurobiology of MCI.
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