Cortical thickness in single- versus multiple-domain amnestic mild cognitive impairment.

Abstract:

:Amnestic mild cognitive impairment (aMCI) can be classified into single domain (S-aMCI) and multiple domain (M-aMCI) subtypes. However, there have been no studies that specifically investigate the structural differences that support this classification. In an attempt to compare regional cortical thickness in two subtypes of aMCI, we aimed to map the distribution of cortical thinning using a surface based cortical analysis of magnetic resonance imaging. The cortical thickness across the entire brain was measured in 9 patients with S-aMCI, 22 patients with M-aMCI, and 61 normal healthy subjects. Differences in the patterns of cortical thinning between S-aMCI and M-aMCI were assessed using ANCOVA on a vertex-by-vertex basis, and statistical maps of differences in cortical thickness between the groups were constructed using a surface model. Relative to controls, S-aMCI patients showed cortical thinning in the left medial temporal lobe, and M-aMCI patients showed cortical thinning in the left medial temporal lobe, precuneus, and anterior and inferior basal temporal, insular, and temporal association cortices. When the two MCI groups were directly compared, M-aMCI patients showed cortical thinning in left precuneus. Our studies suggest that M-aMCI is a transitional state between S-aMCI and Alzheimer's disease, and that the cortical thinning is evidence that the precuneus is responsible for the multiple cognitive impairments in M-aMCI.

journal_name

Neuroimage

journal_title

NeuroImage

authors

Seo SW,Im K,Lee JM,Kim YH,Kim ST,Kim SY,Yang DW,Kim SI,Cho YS,Na DL

doi

10.1016/j.neuroimage.2007.02.042

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

289-97

issue

2

eissn

1053-8119

issn

1095-9572

pii

S1053-8119(07)00160-7

journal_volume

36

pub_type

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