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The diffeomorphometry of temporal lobe structures in preclinical Alzheimers disease

机译:临床前阿尔茨海默氏病颞叶结构的形态计量学

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摘要

This paper examines morphometry of MRI biomarkers derived from the network of temporal lobe structures including the amygdala, entorhinal cortex and hippocampus in subjects with preclinical Alzheimer's disease (AD). Based on template-centered population analysis, it is demonstrated that the structural markers of the amygdala, hippocampus and entorhinal cortex are statistically significantly different between controls and those with preclinical AD. Entorhinal cortex is the most strongly significant based on the linear effects model (p < .0001) for the high-dimensional vertex- and Laplacian-based markers corresponding to localized atrophy. The hippocampus also shows significant localized high-dimensional change (p < .0025) and the amygdala demonstrates more global change signaled by the strength of the low-dimensional volume markers. The analysis of the three structures also demonstrates that the volume measures are only weakly discriminating between preclinical and control groups, with the average atrophy rates of the volume of the entorhinal cortex higher than amygdala and hippocampus. The entorhinal cortex thickness also exhibits an atrophy rate nearly a factor of two higher in the ApoE4 positive group relative to the ApoE4 negative group providing weak discrimination between the two groups.
机译:本文研究了临床前阿尔茨海默氏病(AD)患者的颞叶结构网络(包括杏仁核,内嗅皮层和海马体)的MRI生物标记物的形态。基于以模板为中心的人群分析,结果表明,对照组和临床前AD患者之间杏仁核,海马和内嗅皮层的结构标记在统计学上显着不同。根据线性效应模型(p <.0001),对于与局部萎缩相对应的基于高维顶点和拉普拉斯算子的标记,内嗅皮层最显着。海马还显示出明显的局部高维变化(p <.0025),而杏仁核则显示出了更多的由低维体积标记物强度指示的全局变化。对这三个结构的分析还表明,在临床前和对照组之间,对体积的测量仅有微弱的区别,内嗅皮质的平均萎缩率高于杏仁核和海马体。内嗅皮层厚度也显示出萎缩率,相对于ApoE4阴性组,ApoE4阳性组的萎缩率比ApoE4阳性组高出近两倍。

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