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Related Experiment Video

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Developing Neuroimaging Phenotypes of the Default Mode Network in PTSD: Integrating the Resting State, Working Memory, and Structural Connectivity
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Imaging the default mode network in aging and dementia.

Anne Hafkemeijer1, Jeroen van der Grond, Serge A R B Rombouts

  • 1Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands. A.Hafkemeijer@lumc.nl

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Summary

Brain imaging reveals that normal aging and Alzheimer's disease (AD) impair the default mode network (DMN). Both functional connectivity and task-induced deactivations within the DMN are reduced, even in those at high risk for AD.

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Area of Science:

  • Neuroscience
  • Medical Imaging
  • Gerontology

Background:

  • Task-activation fMRI traditionally focused on brain activation.
  • Growing interest exists in task-induced brain activity decreases (deactivations) within the default mode network (DMN).
  • Resting-state fMRI studies explore spontaneous activity and functional connectivity in the DMN.

Purpose of the Study:

  • To review the impact of normal aging and dementia on DMN task-induced deactivations and functional connectivity.
  • To assess changes in the DMN across a continuum from healthy aging to Alzheimer's disease (AD).

Main Methods:

  • Review of existing task-activation and resting-state fMRI studies.
  • Analysis of DMN functional connectivity and task-induced deactivations.
  • Inclusion of studies on individuals at risk for AD (amyloid plaques, APOE4 allele).

Main Results:

  • Most studies indicate decreased DMN functional connectivity and task-induced deactivations in normal aging, mild cognitive impairment, and AD.
  • Disruptions in the DMN are evident even in individuals at high risk for AD.
  • fMRI shows potential for detecting DMN changes but requires further validation for clinical AD diagnosis.

Conclusions:

  • Aging and dementia, including AD, are associated with reduced DMN functional connectivity and deactivations.
  • These DMN alterations are observable even in preclinical stages and in individuals with genetic risk factors for AD.
  • While fMRI is a valuable research tool for DMN changes, its utility as a standalone clinical diagnostic tool for AD needs further investigation.