Default-mode network activity distinguishes amnestic type mild cognitive impairment from healthy aging: a combined

Feng Bai1, Zhijun Zhang, Hui Yu

  • 1School of Clinical Medicine, Southeast University, Nanjing 210009, China.

Insights

Resting-state brain imaging reveals reduced activity in the posterior cingulate and precuneus in amnestic mild cognitive impairment (aMCI). These changes may serve as key markers distinguishing aMCI from healthy aging.

Area of Science:

  • Neuroimaging
  • Cognitive Neuroscience
  • Neurology

Background:

  • Resting-state functional MRI identifies the brain's default-mode network.
  • Understanding default-mode network alterations in amnestic mild cognitive impairment (aMCI) is crucial.

Purpose of the Study:

  • To investigate regional homogeneity (ReHo) differences in the resting-state brain of aMCI patients compared to healthy controls.
  • To identify potential neuroimaging markers for distinguishing aMCI.

Main Methods:

  • Resting-state functional MRI was used to assess low-frequency BOLD signal fluctuations.
  • Regional homogeneity was analyzed, controlling for regional atrophy and age.
  • Comparisons were made between aMCI patients and healthy aging individuals.

Main Results:

  • Decreased ReHo was observed in the posterior cingulate cortex and precuneus in aMCI patients, even after controlling for atrophy and age.
  • Increased ReHo was found in the right inferior parietal lobule, right fusiform gyrus, and bilateral putamen in aMCI subjects.
  • These findings suggest distinct patterns of brain activity in aMCI.

Conclusions:

  • Impaired posterior cingulate and precuneus activity may be a significant resting-state marker for differentiating aMCI from healthy aging.
  • Increased ReHo in other regions might reflect compensatory mechanisms for medial temporal and limbic damage in aMCI.

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