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Abnormal whole-brain functional connection in amnestic mild cognitive impairment patients

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机构: [a]School of Clinical Medicine, Southeast University, Nanjing 210009, China [b]Department of Neurology, Affiliated ZhongDa Hospital of Southeast University, The Institute of Neuropsychiatry of Southeast University, Nanjing 210009, China [c]Key Laboratory for NeuroInformation of Ministry of Education, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054, China [d]Computational Neuroscience, University of Ulster, Magee Campus, Derry BT487JL, Northern Ireland, UK [e]Department of Neurology, XuanWu Hospital, The Capital University of Medical Sciences, Beijing 100053, China
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关键词: Amnestic mild cognitive impairment Alzheimer's disease Functional connection Longitudinal

摘要:
Amnestic mild cognitive impairment (aMCI) patients are thought to be particularly vulnerable to convert to clinical AD where functional disconnection is a major feature of the cortical neuropathology. However, the presence and extent of whole-brain connectivity disturbances is largely unknown in aMCI patients. Twenty-six aMCI patients and eighteen matched healthy subjects were evaluated at baseline and at mean 20 months follow up. Temporal correlations between spatially distinct regions were evaluated by using longitudinal resting-state fMRI. Compared to normal aging controls, patterns of abnormal interregional correlations in widely dispersed brain areas were identified in the patients, which also changed with disease progression. These disturbances were found particularly in subcortical regions and frontal cortex. Importantly, significantly decreased negative functional connection may be specifically associated with the development of aMCI patients. This suggests a compensatory mechanism is underway where local processing deficits are offset by recruitment of more dispersed cortical regions. In addition, the presence of this increased connectivity is seen to eventually weaken with disease progression. The results suggest that patterns of whole-brain functional connection may be a useful risk marker for conversion to AD in aMCI patients. (C) 2010 Elsevier B.V. All rights reserved.

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出版当年[2010]版:
大类 | 3 区 医学
小类 | 3 区 行为科学 3 区 神经科学
最新[2025]版:
大类 | 3 区 心理学
小类 | 3 区 行为科学 4 区 神经科学
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出版当年[2009]版:
Q2 NEUROSCIENCES Q2 BEHAVIORAL SCIENCES
最新[2023]版:
Q2 BEHAVIORAL SCIENCES Q3 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2009版] 出版当年五年平均 出版前一年[2008版] 出版后一年[2010版]

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第一作者机构: [a]School of Clinical Medicine, Southeast University, Nanjing 210009, China [b]Department of Neurology, Affiliated ZhongDa Hospital of Southeast University, The Institute of Neuropsychiatry of Southeast University, Nanjing 210009, China
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通讯机构: [b]Department of Neurology, Affiliated ZhongDa Hospital of Southeast University, The Institute of Neuropsychiatry of Southeast University, Nanjing 210009, China
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