White matter abnormalities associated with Alzheimer's disease and mild cognitive impairment: a critical review of MRI studies

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Citações na Scopus
67
Tipo de produção
article
Data de publicação
2013
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
EXPERT REVIEWS
Autores
PEREIRA, Fabricio Ramos Silvestre
STELLA, Florindo
Citação
EXPERT REVIEW OF NEUROTHERAPEUTICS, v.13, n.5, p.483-493, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
In this article, the authors aim to present a critical review of recent MRI studies addressing white matter (WM) abnormalities in Alzheimer's disease (AD) and mild cognitive impairment (MCI), by searching PubMed and reviewing MRI studies evaluating subjects with AD or MCI using WM volumetric methods, diffusion tensor imaging and assessment of WM hyperintensities. Studies have found that, compared with healthy controls, AD and MCI samples display WM volumetric reductions and diffusion tensor imaging findings suggestive of reduced WM integrity. These changes affect complex networks relevant to episodic memory and other cognitive processes, including fiber connections that directly link medial temporal structures and the corpus callosum. Abnormalities in cortico-cortical and cortico-subcortical WM interconnections are associated with an increased risk of progression from MCI to dementia. It can be concluded that WM abnormalities are detectable in early stages of AD and MCI. Degeneration of WM networks causes disconnection among neural cells and the degree of such changes is related to cognitive decline.
Palavras-chave
Alzheimer's disease, brain connections, diffusion tensor imaging, mild cognitive impairment, white matter
URI
https://observatorio.fm.usp.br/handle/OPI/2124
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPS
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - LIM/21
Artigos e Materiais de Revistas Científicas - LIM/27