Identification of Superficial White Matter Abnormalities in Alzheimer's Disease and Mild Cognitive Impairment Using

Bahare Bigham1, Seyed Amir Zamanpour1, Fariba Zemorshidi2

  • 1Department of Medical Physics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Insights

Diffusion tensor imaging (DTI) reveals microstructural changes in the superficial white matter (SWM) of patients with Alzheimer's disease (AD) and mild cognitive impairment (MCI). These DTI findings may aid in the clinical diagnosis of AD and MCI.

Area of Science:

  • Neuroimaging
  • Neurology
  • Biomedical Engineering

Background:

  • Diffusion tensor imaging (DTI) is a magnetic resonance imaging (MRI)-based technique for assessing brain microstructural alterations.
  • Previous DTI studies have indicated reduced structural integrity in the superficial white matter (SWM) in various brain diseases.

Purpose of the Study:

  • To investigate the diffusion characteristics of SWM in Alzheimer's disease (AD) and mild cognitive impairment (MCI).
  • To utilize tractography and region of interest (ROI) approaches for SWM analysis in AD and MCI.

Main Methods:

  • Diffusion MRI data from 24 AD, 24 MCI, and 24 normal control (NC) subjects were obtained from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database.
  • DTI processing was conducted using DSI Studio software, with SWM segmented into specific regions (frontal, parietal, temporal, insula, limbic, occipital) using the Talairach Atlas for ROI analysis.
  • Tractography analysis involved generating 100,000 seeds per region to extract average diffusion values from SWM voxels.

Main Results:

  • Significant differences in radial, axial, and mean diffusivity were observed across most SWM regions among the AD, MCI, and NC groups (p < 0.05).
  • The Mini-Mental State Examination scores showed a significant correlation with radial, axial, and mean diffusivity values in the parietal and temporal SWM of the AD group (p < 0.05).

Conclusions:

  • DTI analysis successfully identified microstructural changes in the SWM of individuals with AD and MCI.
  • The assessment of SWM using DTI shows potential as a valuable tool for the clinical diagnosis of AD and MCI.

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