Multiple diffusion indices reveals white matter degeneration in Alzheimer's disease and mild cognitive impairment: a

Ni Shu1, Zhiqun Wang, Zhigang Qi

  • 1State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.

Insights

Alzheimer's disease (AD) and mild cognitive impairment (MCI) show distinct white matter degeneration patterns. Diffusion tensor imaging reveals widespread white matter changes in AD, with less extensive alterations in MCI patients.

Area of Science:

  • Neuroimaging
  • Neurodegenerative Diseases
  • White Matter Integrity

Background:

  • Alzheimer's disease (AD) is a progressive neurodegenerative condition.
  • Mild cognitive impairment (MCI) signifies a transitional stage between normal aging and AD.
  • White matter degeneration patterns in AD and MCI are not fully understood.

Purpose of the Study:

  • To investigate white matter changes in AD and MCI using diffusion tensor imaging.
  • To compare degeneration patterns between AD, MCI, and healthy controls.
  • To elucidate distinct white matter degeneration behaviors in AD and MCI.

Main Methods:

  • Diffusion tensor imaging (DTI) was employed.
  • Tract-based spatial statistics (TBSS) analyzed white matter.
  • Multiple diffusion indices (fractional anisotropy, axial, radial, and mean diffusivities) were assessed.

Main Results:

  • AD patients exhibited reduced fractional anisotropy and increased diffusivities in widespread white matter regions (corpus callosum, lateral temporal cortex, posterior cingulate cortex/precuneus, fronto-parietal regions).
  • MCI patients showed similar, but less extensive, white matter anisotropy reductions compared to AD.
  • Significant differences in axial and mean diffusivities were observed between AD and MCI groups in tracts near the posterior cingulate cortex/precuneus.

Conclusions:

  • Findings suggest distinct white matter degeneration patterns in AD and MCI.
  • Multiple diffusion indices provide insights into the progression of neurodegeneration.
  • DTI analysis highlights specific white matter vulnerabilities in early and advanced stages of AD.