Lateralization of the Aberrant Amplitude of Low-Frequency Fluctuation within the Default Mode Network in Patients

Yongjia Shao1, Yan Li2, Zijian Wang3

  • 1Department of Radiology, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, Pudong New Area, Shanghai 200120, China (Y.S., Y.Y., Y.W., G.Z.).

Academic Radiology
|January 16, 2025
PubMed
Abstract

Insights

Early detection of mild cognitive impairment (MCI) is crucial for Alzheimer's disease (AD) intervention. This study found aberrant spontaneous brain activity in the default mode network (DMN) in MCI patients, suggesting it as a potential imaging biomarker.

Area of Science:

  • Neuroscience
  • Medical Imaging
  • Cognitive Science

Background:

  • Alzheimer's disease (AD) is a leading cause of dementia, with mild cognitive impairment (MCI) as its precursor.
  • Early identification of MCI is vital for timely AD intervention and slowing disease progression.

Purpose of the Study:

  • To investigate low-frequency amplitude spectrum activities within the default mode network (DMN) in individuals with MCI.
  • To explore the potential of DMN activity as an imaging biomarker for MCI detection.

Main Methods:

  • Resting-state functional magnetic resonance imaging (fMRI) was employed.
  • Amplitude of Low-Frequency Fluctuation (ALFF) analysis was performed to assess brain activity.
  • Cognitive function was evaluated using the Mini-Mental State Examination and Montreal Cognitive Assessment.

Main Results:

  • The default mode network (DMN) exhibited the most significant changes in local brain activity in MCI patients.
  • The MCI group demonstrated significant aberrant lateralization of ALFF values within the DMN.

Conclusions:

  • Findings support the hypothesis of cerebral functional impairment and compensation in MCI.
  • Aberrant spontaneous brain activity in the DMN may serve as a specific imaging marker for enhancing MCI diagnoses.
  • Functional brain changes with reduced ALFF values appear earlier than those with increased values in MCI.