Single-subject grey matter network trajectories over the disease course of autosomal dominant Alzheimer’s disease

Grey matter Early-onset Alzheimer's disease
DOI: 10.1093/braincomms/fcaa102 Publication Date: 2020-07-15T16:22:47Z
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ABSTRACT
Abstract Structural grey matter covariance networks provide an individual quantification of morphological patterns in the brain. The network integrity is disrupted sporadic Alzheimer’s disease, and properties show associations with level amyloid pathology cognitive decline. Therefore, these might be disease progression markers. However, it remains unclear when how changes progression. We investigated questions autosomal dominant mutation carriers, whose conserved age at dementia onset allows staging based upon their estimated years to symptom onset. From Dominantly Inherited Alzheimer Network observational cohort, we selected T1-weighted MRI scans from 269 carriers 170 non-carriers (mean 38 ± 15 years, mean −9 11), whom 237 had longitudinal a follow-up 3.0 years. Single-subject were extracted, calculated for each which describe topology, including size, clustering, path length small worldness. determined time point diverged global regional metrics, both cross-sectionally rate change over time. Based on cross-sectional data, earliest difference was observed normalized length, decreased precuneus area 13 12 before found between groups 6 onset, greater decline size carriers. further compared worldness established biomarkers (i.e. accumulation, cortical thickness, brain metabolism function). that accumulation baseline associated faster time, measures accompanied by metabolism, thinning In summary, alike prior These data suggest single-subject obtained structural form additional non-invasive tool understanding substrate measuring preclinical severe clinical stages disease.
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