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Published on: March 11, 2021
Olfactory Impairment and Hippocampal Volume in a Chinese MCI Clinical Sample
Hong-Li Yu1, Zhi-Juan Chen, Ji-Wei Zhao
1Department of Neurology, the First Affiliated Hospital of Harbin Medical University, Harbin, China.
Purpose:
The aim of this study was to evaluate the relationship between olfactory function and hippocampal volume in patients with mild cognitive impairment (MCI).
Methods:
We enrolled a total of 31 MCI patients and 9 normal control subjects. All participants underwent 3.0 T-magnetic resonance imaging scanning. The scan results were processed using GE ADW4.6 processing software and V0xar 3D workstation to acquire the hippocampal volume. The University of Pennsylvania Smell Identification Test (UPSIT) was used to evaluate the olfactory function of MCI patients. The correlations of UPSIT score with hippocampal volume and hippocampal head volume were evaluated by Pearson correlation coefficient analysis.
Results:
MCI patients had significantly smaller left (2.78±0.50 vs. 3.19±0.31 cm(3)) and right (2.97±0.42 vs. 3.31±0.25 cm(3)) hippocampal volumes compared with normal controls (P<0.05). In addition, patients with olfactory dysfunction had smaller volumes of the hippocampus (left hippocampal volume, 2.57±0.39 vs. 3.23±0.40 cm(3); right hippocampal volume, 2.86±0.43 vs. 3.22±0.30 cm(3)) and hippocampal head (left hippocampal head volume, 1.18±0.16 vs. 1.53±0.25 cm(3); right hippocampal head volume, 1.25±0.22 vs. 1.54±0.22 cm(3)) compared with those with normal olfactory function (P<0.05). No significant difference in the hippocampal body volume and hippocampal tail volume was found between MCI patients with olfactory loss and those with normal olfactory function. The UPSIT score was significantly positively correlated with left hippocampal volume (r=0.55, P<0.05), right hippocampal volume (r=0.42, P<0.05), left hippocampal head volume (r=0.53, P<0.05), and right hippocampal head volume (r=0.45, P<0.05).
Conclusions:
Olfactory function correlates well with hippocampal volume among patients with MCI.
Insights
Olfactory function is closely linked to hippocampal volume in individuals with mild cognitive impairment (MCI). This study found that impaired smell is associated with reduced hippocampal size, particularly in the head region.
Area of Science:
- Neuroscience
- Medical Imaging
- Olfactory Research
Background:
- Mild cognitive impairment (MCI) is a transitional stage between normal aging and dementia, often characterized by memory deficits.
- The hippocampus plays a crucial role in memory formation and is known to be affected in neurodegenerative diseases.
- Olfactory dysfunction is an early, non-motor symptom observed in various neurological conditions, including Alzheimer's disease.
Purpose of the Study:
- To investigate the association between olfactory function and hippocampal volume in patients diagnosed with MCI.
- To determine if olfactory test scores correlate with specific hippocampal subfield volumes in the MCI population.
Main Methods:
- A cohort of 31 MCI patients and 9 healthy controls underwent 3.0T MRI to measure hippocampal volume.
- Olfactory function was assessed using the University of Pennsylvania Smell Identification Test (UPSIT).
- Pearson correlation analysis was employed to examine the relationship between UPSIT scores and hippocampal volumes.
Main Results:
- MCI patients exhibited significantly reduced left and right hippocampal volumes compared to controls.
- Individuals with olfactory dysfunction showed smaller hippocampal and hippocampal head volumes than those with normal olfactory function.
- A significant positive correlation was observed between UPSIT scores and volumes of the left and right hippocampus, as well as the hippocampal head.
Conclusions:
- Olfactory function demonstrates a strong correlation with hippocampal volume in patients with mild cognitive impairment.
- These findings suggest that olfactory assessment may serve as a potential indicator for hippocampal changes in MCI.
- Further research is warranted to explore the clinical utility of olfactory function in predicting or monitoring MCI progression.
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