Complexity analysis of spontaneous brain activity in Alzheimer disease and mild cognitive impairment: an MEG study

Alberto Fernández1, Roberto Hornero, Carlos Gómez

  • 1Centro de Magnetoencefalografía Dr. Pérez-Modrego, Facultad de Medicina, Pabellón, Universidad Complutense de Madrid, Madrid, Spain. aferlucas@med.ucm.es

Insights

Mild cognitive impairment (MCI) patients show distinct brain complexity patterns compared to Alzheimer's disease (AD) patients and healthy controls. This difference may indicate a compensatory mechanism before dementia fully develops.

Area of Science:

  • Neuroscience
  • Biomedical Engineering
  • Cognitive Science

Background:

  • Alzheimer's disease (AD) is associated with reduced brain activity complexity and connectivity.
  • Understanding brain activity patterns in mild cognitive impairment (MCI) is crucial for early detection and intervention.
  • Nonlinear analyses offer insights into complex brain dynamics.

Purpose of the Study:

  • To define the complexity patterns of brain activity in patients with mild cognitive impairment (MCI).
  • To differentiate MCI patients from Alzheimer's disease (AD) patients and healthy controls using brain complexity measures.
  • To explore the relationship between aging, brain complexity, and cognitive status.

Main Methods:

  • Magnetoencephalography (MEG) recordings were obtained from 18 AD patients, 18 MCI patients, and 18 healthy controls.
  • Resting-state brain activity was analyzed using Lempel-Ziv complexity (LZC) to quantify signal complexity.
  • Statistical analyses were performed to compare LZC values between groups and explore correlations with age.

Main Results:

  • MCI patients displayed Lempel-Ziv complexity (LZC) scores intermediate between AD patients and healthy controls.
  • A combination of age and posterior LZC scores achieved 94.4% accuracy in discriminating AD from MCI.
  • Anterior LZC scores differentiated MCI from controls in individuals under 75, with older MCI patients showing higher complexity than controls, suggesting a compensatory mechanism.

Conclusions:

  • MCI patients exhibit unique brain complexity patterns that differ from both AD patients and healthy controls.
  • Age-related complexity reduction in MCI deviates from the typical pattern observed in healthy aging and AD.
  • The distinct complexity-aging relationship in MCI may represent a compensatory mechanism preceding the onset of full dementia.

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