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Diffusion Tensor Magnetic Resonance Imaging in the Analysis of Neurodegenerative Diseases
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Accelerated changes in white matter microstructure during aging: a longitudinal diffusion tensor imaging study.

Claire E Sexton1, Kristine B Walhovd2, Andreas B Storsve2

  • 1FMRIB Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, OX3 9DU, United Kingdom, claire.sexton@ndcn.ox.ac.uk.

The Journal of Neuroscience : the Official Journal of the Society for Neuroscience
|November 14, 2014
PubMed
Summary
This summary is machine-generated.

Human brain white matter shows significant age-related changes, with decline accelerating in the fifth decade. This longitudinal study maps these microstructural changes across the adult lifespan.

Keywords:
DTIaginglifespanlongitudinalwhite matter

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Area of Science:

  • Neuroscience
  • Neuroimaging
  • Aging Research

Background:

  • Human brain white matter structure changes with aging, but the precise timescale and spatial distribution are unclear.
  • Cross-sectional studies suggest accelerated decline in anisotropy and increased diffusivity during senescence, but longitudinal data are lacking.

Purpose of the Study:

  • To longitudinally characterize the annual changes in white matter microstructure across the adult lifespan.
  • To determine the spatial distribution and age-acceleration of these white matter changes.

Main Methods:

  • Longitudinal diffusion tensor imaging (DTI) study of 203 healthy adults (20-84 years).
  • Tract-based spatial statistics used to analyze annual changes in fractional anisotropy, axial diffusivity, radial diffusivity, and mean diffusivity.

Main Results:

  • Significant annual decreases in fractional anisotropy and increases in axial, radial, and mean diffusivity were observed.
  • Spatial analysis revealed inferior-to-superior gradients of vulnerability.
  • Annual changes accelerated with age, particularly in superior regions, with decline beginning around the fifth decade.

Conclusions:

  • White matter microstructural changes occur throughout healthy adult aging, with an accelerated decline starting in midlife.
  • These findings provide essential context for clinical studies and highlight the need to compare aging trajectories in healthy versus at-risk populations.