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Updated: Jul 19, 2026

Diffusion Tensor Magnetic Resonance Imaging in the Analysis of Neurodegenerative Diseases
Published on: July 28, 2013
Cerebral white matter degeneration in frontotemporal dementia detected by diffusion-weighted magnetic resonance
Takashi Yoshiura1, Futoshi Mihara, Hiroshi Koga
1Department of Clinical Radiology, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. tyoshiura@syd.odn.ne.jp
Rationale And Objective:
Brain tissue damage in frontotemporal dementia (FTD) has never been systematically studied using diffusion-weighted imaging (DWI). We studied FTD patients using DWI to determine whether microstructural changes in white matter can be detected in vivo.
Materials And Methods:
Thirteen FTD patients and 15 aged healthy subjects were studied. Mean diffusivity (MD) abnormalities in 28 white matter regions were visually evaluated. In addition, MD values in 10 white matter regions relative to that in the ipsilateral postcentral gyrus were measured. The results were compared between healthy subjects and FTD patients.
Results:
The visual rating resulted in a significant MD elevation in FTD patients in the bilateral high superior frontal gyri, right orbitofrontal gyrus, bilateral anterior temporal lobes, and left middle temporal lobe (P < .01, respectively). Relative MD comparison revealed a significant MD elevation in FTD patients in the bilateral high superior frontal gyri, bilateral orbitofrontal gyri, and bilateral anterior temporal lobes (P < .05 after Bonferroni correction, respectively).
Conclusion:
Our results demonstrated white matter MD abnormalities in FTD patients. It was suggested that the observed white matter MD abnormalities are secondary to damage in the overlying cortex.
Insights
Diffusion-weighted imaging (DWI) revealed white matter microstructural damage in frontotemporal dementia (FTD) patients. These changes in mean diffusivity (MD) suggest FTD impacts brain connectivity.
Area of Science:
- Neuroimaging
- Neurology
- Biomedical Engineering
Background:
- Frontotemporal dementia (FTD) is a neurodegenerative disorder characterized by progressive brain tissue damage.
- Systematic investigation of white matter microstructural changes in FTD using diffusion-weighted imaging (DWI) is lacking.
Purpose of the Study:
- To investigate in vivo white matter microstructural integrity in FTD patients using DWI.
- To determine if mean diffusivity (MD) abnormalities can be detected in the white matter of FTD patients.
Main Methods:
- A cohort of 13 FTD patients and 15 age-matched healthy controls were recruited.
- Diffusion-weighted imaging (DWI) was employed to assess white matter integrity.
- Mean diffusivity (MD) in 28 white matter regions was evaluated visually and quantitatively relative to the postcentral gyrus.
Main Results:
- Visual assessment showed significant MD elevation in FTD patients in superior frontal, orbitofrontal, and anterior temporal white matter regions (P < .01).
- Quantitative analysis confirmed significant MD elevation in bilateral superior frontal, orbitofrontal, and anterior temporal white matter (P < .05 Bonferroni corrected).
Conclusions:
- The study demonstrates significant white matter mean diffusivity (MD) abnormalities in FTD patients.
- These findings suggest that white matter changes in FTD may be secondary to cortical damage.
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