生物标志物 生物标志物
1Yale School of Medicine, New Haven, CT, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
大脑中的功能连接可以预测临床前阿尔茨海默病 (AD) 中的区域沉积. 这些预测确定了具有不同认知衰退率的不同患者群体,有助于早期AD分期.
科学领域:
- 神经成像是一种神经成像.
- 阿尔茨海默氏症疾病研究研究
- 在Connectomics上,我们提供了连接.
背景情况:
- 临床前阿尔茨海默氏症 (AD) 涉及粉样蛋白积累而没有认知症状.
- 在临床前阿尔茨海默病中观察到功能连接性改变,但它们对病理学的预测价值尚不清楚.
研究的目的:
- 使用基于连接组的预测建模 (CPM) 来利用功能连接来预测tau沉积.
- 在基于预测模型的临床前临床AD队列中确定临床上有意义的子组.
主要方法:
- 在A4研究队列中,CPM被用于从静止状态功能连接体预测基线tau PET.
- 模型在阿尔茨海默病神经成像计划 (ADNI) 队列中得到验证.
- 在预测网络边缘进行了分层分类,以识别子组,并比较了它们的纵向认知轨迹.
主要成果:
- 全大脑功能连接稳定地预测了区域性tau PET,表现优于粉样PET.
- 预测模型对ADNI队列进行了概括,特别是在具有高 tau的参与者中.
- 聚类揭示了两个不同的子组,一个表现出明显更快的认知衰退.
结论:
- 功能连接组适度预测AD频谱中的区域TAU PET.
- 预测性功能连接模式与认知轨迹相关,突出了它们在AD早期阶段化中的作用.
- 功能性连接性表明,在与其他生物标志物相结合时,有望增强早期阿尔茨海默氏症病期.
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