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Impairment and compensation coexist in amnestic MCI default mode network
Zhigang Qi1, Xia Wu, Zhiqun Wang
1Department of Radiology, Xuanwu Hospital of Capital University of Medical Sciences, Beijing 100053, PR China.
Abstract:
Mild cognitive impairment (MCI) is the transitional, heterogeneous continuum from healthy elderly to Alzheimer's disease (AD). Previous studies have shown that brain functional activity in the default mode network (DMN) is impaired in AD patients. However, altering DMN activity patterns in MCI patients remains largely unclear. The present study utilized resting-state functional magnetic resonance imaging (fMRI) and an independent component analysis (ICA) approach to investigate DMN activity in 14 amnestic MCI (aMCI) patients and 14 healthy elderly. Compared to the aMCI patients, the healthy elderly exhibited increased functional activity in the DMN regions, including the bilateral precuneus/posterior cingulate cortex, right inferior parietal lobule, and left fusiform gyrus, as well as a trend towards increased right medial temporal lobe activity. The aMCI patients exhibited increased activity in the left prefrontal cortex, inferior parietal lobule, and middle temporal gyrus compared to the healthy elderly. Increased frontal-parietal activity may indicate compensatory processes in the aMCI patients. These findings suggest that abnormal DMN activity could be useful as an imaging-based biomarker for the diagnosis and monitoring of aMCI patients.
Insights
Mild cognitive impairment (MCI) shows altered default mode network (DMN) activity. Abnormal DMN patterns in MCI patients may serve as a key biomarker for early diagnosis and disease monitoring.
Area of Science:
- Neuroscience
- Medical Imaging
- Cognitive Science
Background:
- Mild cognitive impairment (MCI) represents a transitional stage between healthy aging and Alzheimer's disease (AD).
- Previous research indicates impaired default mode network (DMN) activity in AD patients, but DMN alterations in MCI are less understood.
Purpose of the Study:
- To investigate default mode network (DMN) activity patterns in amnestic MCI (aMCI) patients compared to healthy elderly individuals.
- To explore the potential of DMN activity as an imaging biomarker for aMCI.
Main Methods:
- Utilized resting-state functional magnetic resonance imaging (fMRI).
- Employed independent component analysis (ICA) to analyze DMN activity.
- Studied 14 aMCI patients and 14 age-matched healthy controls.
Main Results:
- Healthy elderly showed increased DMN activity in regions like the precuneus/posterior cingulate cortex and right inferior parietal lobule.
- aMCI patients exhibited increased activity in the left prefrontal cortex, inferior parietal lobule, and middle temporal gyrus.
- Elevated frontal-parietal activity in aMCI patients may suggest compensatory mechanisms.
Conclusions:
- Abnormal DMN activity is present in amnestic MCI patients.
- DMN functional activity patterns could serve as valuable imaging biomarkers for diagnosing and monitoring aMCI.
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