Uncovering atrophy progression pattern and mechanisms in individuals at risk of Alzheimer's disease
Brain Communications,
Journal Year:
2025,
Volume and Issue:
7(2)
Published: Jan. 1, 2025
Abstract
Alzheimer's
disease
is
associated
with
pre-symptomatic
changes
in
brain
morphometry
and
accumulation
of
abnormal
tau
amyloid-beta
pathology.
Studying
the
development
prior
to
symptoms
onset
may
lead
early
diagnostic
biomarkers
a
better
understanding
pathophysiology.
pathology
thought
arise
from
combination
protein
spreading
via
neural
connections,
but
how
these
processes
influence
atrophy
progression
phases
remains
unclear.
Individuals
family
history
(FHAD)
have
an
elevated
risk
disease,
providing
opportunity
study
phase.
Here,
we
used
structural
MRI
three
databases
(Alzheimer's
Disease
Neuroimaging
Initiative,
Pre-symptomatic
Evaluation
Experimental
or
Novel
Treatments
for
Alzheimer
Montreal
Adult
Lifespan
Study)
map
FHAD
assess
constraining
effects
connectivity
on
progression.
Cross-sectional
longitudinal
data
up
4
years
were
perform
analysis
compared
controls.
PET
radiotracers
also
quantify
distribution
isoforms
at
baseline.
We
first
derived
cortical
maps
using
deformation-based
153
FHAD,
156
116
controls
similar
age,
education
sex
next
examined
spatial
relationship
between
patterns
aggregates
plaques
deposition,
neurotransmitter
receptor
transporter
distributions.
Our
results
show
that
there
notably
cingulate,
temporal
parietal
cortices,
more
widespread
severe
disease.
Both
tended
accumulate
regions
structurally
connected
The
pattern
its
aligned
existing
FHAD.
In
our
findings
suggest
propagation
occurred
earlier,
previously
intact
connectome.
Moreover,
was
found
serotonin
current
demonstrates
showing
present
specific
cellular
characteristics,
uncovering
some
mechanisms
involved
pre-clinical
clinical
neurodegeneration.
Language: Английский
Subregional Biomarkers in FDG PET for Alzheimer’s Diagnosis and Staging: An Interpretable and Explainable model
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 27, 2024
Abstract
Objective
To
investigate
the
radiomics
features
of
hippocampus
and
amygdala
subregions
in
FDG-PET
images
that
can
best
differentiate
Mild
Cognitive
Impairment
(MCI),
Alzheimer’s
Disease
(AD),
healthy
patients.
Methods
Baseline
data
from
555
participants
ADNI
dataset
were
analyzed,
comprising
189
cognitively
normal
(CN)
individuals,
201
with
MCI,
165
AD.
The
segmented
based
on
DKT-Atlas,
additional
subdivisions
guided
by
probabilistic
atlases
Freesurfer.
Then
radiomic
(n=120)
extracted
38
hippocampal
18
nuclei
using
PyRadiomics.
Various
feature
selection
techniques,
including
ANOVA,
PCA,
Chi-square,
LASSO,
applied
alongside
nine
machine
learning
classifiers.
Results
Multi-Layer
Perceptron
(MLP)
model
combined
LASSO
demonstrated
excellent
classification
performance:
ROC
AUC
0.957
for
CN
vs.
AD,
0.867
MCI
0.782
MCI.
Key
regions,
accessory
basal
nucleus,
presubiculum
head,
CA4
identified
as
critical
biomarkers.
Features
GLRLM
(Long
Run
Emphasis)
Small
Dependence
Emphasis
(GLDM)
showed
strong
diagnostic
potential,
reflecting
subtle
metabolic
microstructural
changes
often
preceding
anatomical
alterations.
Conclusion
Specific
their
four
found
to
have
a
significant
role
early
diagnosis
its
staging,
severity
assessment
capturing
shifts
patterns.
Furthermore,
these
offer
potential
insights
into
disease’s
underlying
mechanisms
interpretability.
Language: Английский