The Effect of Brain Atrophy on Cerebral Hypometabolism in the Visual Variant of Alzheimer Disease

作者: Arun L. W. Bokde , Pietro Pietrini , Vicente Ibáñez , Maura L. Furey , Gene E. Alexander

DOI: 10.1001/ARCHNEUR.58.3.480

关键词:

摘要: Background Brain glucose metabolic rates measured by positron emission tomography can be more affected partial volume effects in Alzheimer disease (AD) than healthy aging because of disease-associated brain atrophy. Objective To determine whether the distinct distribution cerebral lesions patients with visual variant AD (AD + VS) represents a true index neuronal/synaptic dysfunction or is consequence Setting Government research hospital. Design Resting rate for was cross-sectional study and VS groups control subjects. Segmented magnetic resonance images were used to correct Patients had prominent visuospatial symptoms. There 15 AD, 10 VS, 37 age-matched Main Outcome Measure Measurement metabolism. Results Before atrophy correction, group, compared subjects, showed hypometabolism primary extrastriate areas parietal superior temporal cortical areas. Compared group association After remained significantly different between controls 2 groups. Conclusions The reductions represent loss functional activity are not simply an artifact caused patterns indicate differential development

参考文章(30)
Olivier G. Rousset, Yilong Ma, Alan C. Evans, Correction for Partial Volume Effects in PET: Principle and Validation The Journal of Nuclear Medicine. ,vol. 39, pp. 904- 911 ,(1998)
D. N. Levine, J. M. Lee, C. M. Fisher, The visual variant of Alzheimer's disease: A clinicopathologic case study Neurology. ,vol. 43, pp. 305- 305 ,(1993) , 10.1212/WNL.43.2.305
V. Ibanez, P. Pietrini, G. E. Alexander, M. L. Furey, D. Teichberg, J. C. Rajapakse, S. I. Rapoport, M. B. Schapiro, B. Horwitz, Regional glucose metabolic abnormalities are not the result of atrophy in Alzheimer's disease Neurology. ,vol. 50, pp. 1585- 1593 ,(1998) , 10.1212/WNL.50.6.1585
Roger P. Woods, Simon R. Cherry, John C. Mazziotta, Rapid automated algorithm for aligning and reslicing PET images. Journal of Computer Assisted Tomography. ,vol. 16, pp. 620- 633 ,(1992) , 10.1097/00004728-199207000-00024
D. F. Benson, R. J. Davis, B. D. Snyder, Posterior Cortical Atrophy JAMA Neurology. ,vol. 45, pp. 789- 793 ,(1988) , 10.1001/ARCHNEUR.1988.00520310107024
J. V. Haxby, C. L. Grady, E. Koss, B. Horwitz, M. Schapiro, R. P. Friedland, S. I. Rapoport, Heterogeneous anterior‐posterior metabolic patterns in dementia of the Alzheimer type Neurology. ,vol. 38, pp. 1853- 1853 ,(1988) , 10.1212/WNL.38.12.1853
Pietro Pietrini, Maura L Furey, Mario Guazzelli, In vivo biochemistry of the brain in understanding human cognition and emotions: towards a molecular psychology Brain Research Bulletin. ,vol. 50, pp. 417- 418 ,(1999) , 10.1016/S0361-9230(99)00172-0
N K Tanna, M I Kohn, D N Horwich, P R Jolles, R A Zimmerman, W M Alves, A Alavi, Analysis of brain and cerebrospinal fluid volumes with MR imaging: impact on PET data correction for atrophy. Part II. Aging and Alzheimer dementia. Radiology. ,vol. 178, pp. 123- 130 ,(1991) , 10.1148/RADIOLOGY.178.1.1984290
Roger P. Woods, John C. Mazziotta, and Simon R. Cherry, MRI-PET Registration with Automated Algorithm Journal of Computer Assisted Tomography. ,vol. 17, pp. 536- 546 ,(1993) , 10.1097/00004728-199307000-00004