Amnestic mild cognitive impairment: topological reorganization of the default-mode network

Liang Wang1, He Li, Ying Liang

  • 1State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, 19 Xinjiekouwai St, Beijing 100875, P.R. China.

Radiology
|March 14, 2013
PubMed
Abstract

Insights

Mild cognitive impairment (MCI) patients show altered default-mode network (DMN) connectivity during memory tasks. These changes in functional connectivity and network efficiency may serve as early markers for Alzheimer's disease risk.

Area of Science:

  • Neuroscience
  • Cognitive Science
  • Medical Imaging

Background:

  • Mild cognitive impairment (MCI) represents a transitional stage between normal aging and Alzheimer's disease dementia.
  • The default-mode network (DMN) is crucial for cognitive functions, including memory, and its disruption is implicated in neurodegenerative diseases.

Purpose of the Study:

  • To investigate topological reorganization of the DMN in patients with MCI compared to healthy controls.
  • To determine if DMN functional connectivity and topology are altered during a memory task versus resting state in MCI patients.

Main Methods:

  • Functional magnetic resonance imaging (fMRI) was used to scan 25 patients with amnestic MCI (aMCI) and 26 healthy controls.
  • Participants underwent fMRI during both an episodic memory task and a resting state.
  • Graph theoretical approaches were applied to analyze DMN functional connectivity and topological properties.

Main Results:

  • MCI patients exhibited significantly decreased anterior-to-posterior DMN functional connectivity during the memory task.
  • Increased local efficiency within the DMN was observed in aMCI patients exclusively during the task.
  • Decreased functional connectivity correlated with increased local efficiency and cognitive performance, suggesting potential as early AD risk markers.

Conclusions:

  • The study indicates early-onset functional reorganization of the DMN in aMCI, shifting towards a less optimized configuration.
  • Findings enhance understanding of dynamic brain network changes across the aging to dementia continuum.
  • Altered DMN topology in MCI may serve as an early indicator for Alzheimer's disease progression.

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