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Different regional patterns of cortical thinning in Alzheimer's disease and frontotemporal dementia.

Different regional patterns of cortical thinning in Alzheimer's disease and frontotemporal dementia. Research Abstract Details 

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  • Different regional patterns of cortical thinning in Alzheimer's disease and frontotemporal dementia. Abstract Text:

    an-tao duAn-Tao Du,norbert schuffNorbert Schuff,joel h kramerJoel H Kramer,howard j rosenHoward J Rosen,maria luisa gorno-tempiniMaria Luisa Gorno-Tempini,katherine rankinKatherine Rankin,bruce l millerBruce L Miller,michael w weinerMichael W Weiner,

    Alzheimer's disease and frontotemporal dementia (FTD) can be difficult to differentiate clinically because of overlapping symptoms. Distinguishing the two dementias based on volumetric measurements of brain atrophy with MRI has been only partially successful. Whether MRI measurements of cortical thinning improve the differentiation between Alzheimer's disease and FTD is unclear. In this study, we measured cortical thickness using a set of automated tools (Freesurfer) to reconstruct the brain's cortical surface from T1-weighted structural MRI data in 22 patients with Alzheimer's disease, 19 patients with FTD and 23 cognitively normal subjects. The goals were to detect the characteristic patterns of cortical thinning in these two types of dementia, to test the relationship between cortical thickness and cognitive impairment, to determine if measurement of cortical thickness is better than that of cortical volume for differentiating between these dementias and normal ageing and improving the classification of Alzheimer's disease and FTD based on neuropsychological scores alone. Compared to cognitively normal subjects, Alzheimer's disease patients had a thinner cortex primarily in bilateral, frontal, parietal, temporal and occipital lobes (P < 0.001), while FTD patients had a thinner cortex in bilateral, frontal and temporal regions and some thinning in inferior parietal regions and the posterior cingulate (P < 0.001). Compared to FTD patients, Alzheimer's disease patients had a thinner cortex (P < 0.001) in parts of bilateral parietal and precuneus regions. Cognitive impairment was negatively correlated with cortical thickness of frontal, parietal and temporal lobes in Alzheimer's disease, while similar correlations were not significant in FTD. Measurement of cortical thickness was similar to that of cortical volume in differentiating between normal ageing, Alzheimer's disease and FTD. Furthermore, cortical thickness measurements significantly improved the classification between Alzheimer's disease and FTD based on neuropsychological scores alone, including the Mini-Mental State Examination and a modified version of the Trail-Making Test. In conclusion, the characteristic patterns of cortical thinning in Alzheimer's disease and FTD suggest that cortical thickness may be a useful surrogate marker for these types of dementia.

    Different regional patterns of cortical thinning in Alzheimer's disease and frontotemporal dementia. Publishing Authors By Initials

    at duAT Du,n schuffN Schuff,jh kramerJH Kramer,hj rosenHJ Rosen,ml gorno-tempiniML Gorno-Tempini,k rankinK Rankin,bl millerBL Miller,mw weinerMW Weiner,

    For similar nervous system: central nervous system: brain: prosencephalon: telencephalon: cerebrum: cerebral cortex: temporal lobe research abstracts see: nervous system: central nervous system: brain: prosencephalon: telencephalon: cerebrum: cerebral cortex: temporal lobe research

    PUBMED ID PMID:

    MEDLINE DATE:

    Different regional patterns of cortical thinning in Alzheimer's disease and frontotemporal dementia. Journal Published:

    PUBLICATION TYPE: Research Support, U.S. Gov't,

    Journal: Brain : a journal of neurology

    VOLUME: 130

    Page Numbers: 1159-66

    Journal Abbreviation:

    ISSN: 1460-2156

    DAY: 12

    MONTH: 03

    YEAR: 2007

    Different regional patterns of cortical thinning in Alzheimer's disease and frontotemporal dementia. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 372537

    Different regional patterns of cortical thinning in Alzheimer's disease and frontotemporal dementia. Keywords Mesh Terms:

    KEYWORDS: Temporal Lobe

    MESH TERMS: pathology

    Chemical & Substance for Abstract: Different regional patterns of cortical thinning in Alzheimer's disease and frontotemporal dementia. Information

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    Grant and Affiliation Information for Different regional patterns of cortical thinning in Alzheimer's disease and frontotemporal dementia.

    AFFILIATION: Center for Imaging of Neurodegenerative Diseases, Department of Veterans Affairs Medical Center, San Francisco, CA 94121, USA. antao.du@ucsf.edu

    Country: England

    England Research PublicationEngland Research Publication

    AGENCY: United States NIA

    GRANT: R01 AG010897-21

    ACRONYM: AG

    MEDLINETA: Brain

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