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Published on: March 11, 2021
Functional magnetic resonance imaging with encoding task in patients with mild cognitive impairment and different
Alberto Chiti1, Paolo Cecchi2, Ilaria Pesaresi2
1Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa 56126, Italy; Unit of Neurology, Ospedale Apuane, Via Mattei 21, Massa 54100, Italy.
Abstract:
Leukoaraiosis is one of the main contributors to mild cognitive impairment due to vascular damage (vascular MCI, VMCI), whose pathophysiology has not been fully elucidated yet. We aimed to shed light on such issue using functional MRI (fMRI). Sixteen patients with VMCI were enrolled and compared with twenty-five patients with MCI but without significant vascular damage (non-vascular MCI, NVMCI) and with fifteen healthy controls (HC). They all underwent fMRI with incidental verbal learning paradigm, using a 3T scanner. Differently from cases with NVMCI (versus HC), VMCI patients presented a higher BOLD activation in the right parieto-occipital cortex and a lower activation in the left superior and middle frontal gyri, anterior cingulum and in left fronto-opercular area when compared to HC. Cortical activation evaluated by fMRI may reflect specific patterns of damage and attempt of compensation in patients with MCI and different severity of leukoaraiosis.
Insights
Functional MRI reveals distinct brain activation patterns in vascular mild cognitive impairment (VMCI). VMCI patients show altered activity in specific cortical regions compared to non-vascular MCI and healthy controls.
Area of Science:
- Neuroimaging
- Neurology
- Cognitive Science
Background:
- Leukoaraiosis is a key factor in vascular mild cognitive impairment (VMCI).
- The exact pathophysiology of VMCI remains unclear.
- Functional MRI (fMRI) offers insights into brain function.
Purpose of the Study:
- To investigate the brain's functional changes in VMCI using fMRI.
- To differentiate VMCI from non-vascular MCI (NVMCI) and healthy controls (HC).
Main Methods:
- fMRI scans were performed on 16 VMCI patients, 25 NVMCI patients, and 15 HC.
- An incidental verbal learning paradigm was used during fMRI acquisition.
- A 3T MRI scanner was utilized for all participants.
Main Results:
- VMCI patients exhibited increased BOLD activation in the right parieto-occipital cortex compared to HC.
- VMCI patients showed decreased activation in left frontal and fronto-opercular areas versus HC.
- NVMCI patients did not show the same activation patterns as VMCI when compared to HC.
Conclusions:
- fMRI-assessed cortical activation patterns may indicate specific brain damage in VMCI.
- Altered brain activity in VMCI could reflect compensatory mechanisms.
- These findings contribute to understanding VMCI pathophysiology related to leukoaraiosis severity.
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