Exploration of working memory retrieval stage for mild cognitive impairment: time-varying causality analysis of

Yi Jiang1,2,3, Zhiwei Guo1,2,3, Xiaobo Zhou4,5

  • 1The National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.

Abstract

Insights

Mild Cognitive Impairment (MCI) patients exhibit distinct working memory (WM) deficits compared to normal controls. Abnormal brain network patterns in MCI during memory retrieval, particularly in the left prefrontal and right occipital lobes, can aid in diagnosis.

Area of Science:

  • Neuroscience
  • Cognitive Science
  • Biomedical Engineering

Background:

  • Mild Cognitive Impairment (MCI) represents a transitional stage between normal aging and Alzheimer's disease (AD).
  • Understanding MCI mechanisms is crucial for early intervention to slow cognitive decline.
  • Working memory (WM) deficits are a common symptom of MCI, necessitating research into its underlying neural processes.

Purpose of the Study:

  • To investigate information processing and causality relationships among brain regions during the memory retrieval stage of WM in MCI patients.
  • To analyze dynamic brain network patterns using electroencephalogram (EEG) signals under varying cognitive loads.
  • To identify potential biomarkers for MCI diagnosis based on EEG and behavioral data.

Main Methods:

  • Recruited 21 MCI patients and 20 normal cognitive controls (NC).
  • Utilized a delayed matching sample paradigm with low (4 items) and high (6 items) memory loads.
  • Constructed time-varying brain networks using Adaptive Transfer Function (ADTF) on EEG data during memory retrieval.

Main Results:

  • Significant differences in accuracy and reaction time were observed between MCI and NC groups, especially at low memory load.
  • MCI patients showed irregular dynamic brain network patterns during memory retrieval compared to the regular patterns in NC.
  • Abnormal brain network activity in MCI was localized to the left prefrontal (FC1) and right occipital (PO8) lobes, particularly under low load conditions.

Conclusions:

  • Behavioral performance and abnormal electrophysiological signals in specific brain regions (left prefrontal, right occipital) show potential for MCI diagnosis.
  • This study provides novel insights into the neural mechanisms of WM deficits in MCI using large-scale dynamic network analysis.
  • Findings offer a reference for clinical interventions targeting WM memory disorders in MCI patients.