Cortical microstructure in primary progressive aphasia

Background: Cortical mean diffusivity is a novel imaging metric sensitive to early changes in neurodegenerative syndromes. Higher cortical mean diffusivity values reflect microstructural disorganization and have been proposed as a sensitive biomarker that might antedate macroscopic cortical changes....

Descripción completa

Detalles Bibliográficos
Autores: Illán-Gala, Ignacio|||0000-0002-5418-2052; Montal, Victor|||0000-0002-5714-9282; Borrego-Écija, Sergi|||0000-0003-2557-0010; Mandelli, Maria Luisa|||0000-0002-2518-2520; Falgàs, Neus|||0000-0002-3404-2765; Welch, Ariane E.; Pegueroles, Jordi|||0000-0002-3554-2446; Santos Santos, Miguel Ángel|||0000-0003-1567-617X; Bejanin, Alexandre|||0000-0002-9958-0951; Alcolea, Daniel|||0000-0002-3819-3245; Dols Icardo, Oriol|||0000-0003-2656-8748; Belbin, Olivia|||0000-0002-6109-6371; Sánchez-Saudinós, María Belén|||0000-0003-1795-1833; Bargalló, Núria|||0000-0001-6284-5402; González-Ortiz, Sofía|||0000-0003-2578-6671; Llado Plarrumani, Albert|||0000-0002-5066-4150; Blesa, Rafael|||0000-0003-4026-2884; Dickerson, Bradford C.; Rosen, Howard J.|||0000-0001-9281-7402; Miller, Bruce L.|||0000-0002-2152-4220; Lleó, Alberto|||0000-0002-2568-5478; Gorno-Tempini, Maria Luisa; Sanchez-Valle, Raquel|||0000-0001-7750-896X; Fortea, Juan|||0000-0002-1340-638X
Tipo de documento: Artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Lenguaje:Inglés
OAI Identifier:oai:ddd.uab.cat:282270
Acceso en línea:https://ddd.uab.cat/record/282270
https://dx.doi.org/urn:doi:10.1186/s13195-022-00974-0
Nivel de acceso:Acceso abierto
Palabra clave:Difusion
Magnetic resonance
Primary progressive aphasia
Alzheimer's disease
Frontotemporal lobar degeneration
_version_ 1878732210817728512
author Illán-Gala, Ignacio|||0000-0002-5418-2052
author2 Montal, Victor|||0000-0002-5714-9282
Borrego-Écija, Sergi|||0000-0003-2557-0010
Mandelli, Maria Luisa|||0000-0002-2518-2520
Falgàs, Neus|||0000-0002-3404-2765
Welch, Ariane E.
Pegueroles, Jordi|||0000-0002-3554-2446
Santos Santos, Miguel Ángel|||0000-0003-1567-617X
Bejanin, Alexandre|||0000-0002-9958-0951
Alcolea, Daniel|||0000-0002-3819-3245
Dols Icardo, Oriol|||0000-0003-2656-8748
Belbin, Olivia|||0000-0002-6109-6371
Sánchez-Saudinós, María Belén|||0000-0003-1795-1833
Bargalló, Núria|||0000-0001-6284-5402
González-Ortiz, Sofía|||0000-0003-2578-6671
Llado Plarrumani, Albert|||0000-0002-5066-4150
Blesa, Rafael|||0000-0003-4026-2884
Dickerson, Bradford C.
Rosen, Howard J.|||0000-0001-9281-7402
Miller, Bruce L.|||0000-0002-2152-4220
Lleó, Alberto|||0000-0002-2568-5478
Gorno-Tempini, Maria Luisa
Sanchez-Valle, Raquel|||0000-0001-7750-896X
Fortea, Juan|||0000-0002-1340-638X
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_browse Alcolea, Daniel|||0000-0002-3819-3245
Bargalló, Núria|||0000-0001-6284-5402
Bejanin, Alexandre|||0000-0002-9958-0951
Belbin, Olivia|||0000-0002-6109-6371
Blesa, Rafael|||0000-0003-4026-2884
Borrego-Écija, Sergi|||0000-0003-2557-0010
Dickerson, Bradford C.
Dols Icardo, Oriol|||0000-0003-2656-8748
Falgàs, Neus|||0000-0002-3404-2765
Fortea, Juan|||0000-0002-1340-638X
González-Ortiz, Sofía|||0000-0003-2578-6671
Gorno-Tempini, Maria Luisa
Illán-Gala, Ignacio|||0000-0002-5418-2052
Llado Plarrumani, Albert|||0000-0002-5066-4150
Lleó, Alberto|||0000-0002-2568-5478
Mandelli, Maria Luisa|||0000-0002-2518-2520
Miller, Bruce L.|||0000-0002-2152-4220
Montal, Victor|||0000-0002-5714-9282
Pegueroles, Jordi|||0000-0002-3554-2446
Rosen, Howard J.|||0000-0001-9281-7402
Sanchez-Valle, Raquel|||0000-0001-7750-896X
Santos Santos, Miguel Ángel|||0000-0003-1567-617X
Sánchez-Saudinós, María Belén|||0000-0003-1795-1833
Welch, Ariane E.
author_facet Illán-Gala, Ignacio|||0000-0002-5418-2052
Montal, Victor|||0000-0002-5714-9282
Borrego-Écija, Sergi|||0000-0003-2557-0010
Mandelli, Maria Luisa|||0000-0002-2518-2520
Falgàs, Neus|||0000-0002-3404-2765
Welch, Ariane E.
Pegueroles, Jordi|||0000-0002-3554-2446
Santos Santos, Miguel Ángel|||0000-0003-1567-617X
Bejanin, Alexandre|||0000-0002-9958-0951
Alcolea, Daniel|||0000-0002-3819-3245
Dols Icardo, Oriol|||0000-0003-2656-8748
Belbin, Olivia|||0000-0002-6109-6371
Sánchez-Saudinós, María Belén|||0000-0003-1795-1833
Bargalló, Núria|||0000-0001-6284-5402
González-Ortiz, Sofía|||0000-0003-2578-6671
Llado Plarrumani, Albert|||0000-0002-5066-4150
Blesa, Rafael|||0000-0003-4026-2884
Dickerson, Bradford C.
Rosen, Howard J.|||0000-0001-9281-7402
Miller, Bruce L.|||0000-0002-2152-4220
Lleó, Alberto|||0000-0002-2568-5478
Gorno-Tempini, Maria Luisa
Sanchez-Valle, Raquel|||0000-0001-7750-896X
Fortea, Juan|||0000-0002-1340-638X
author_role author
collection Dipòsit Digital de Documents de la UAB
description Background: Cortical mean diffusivity is a novel imaging metric sensitive to early changes in neurodegenerative syndromes. Higher cortical mean diffusivity values reflect microstructural disorganization and have been proposed as a sensitive biomarker that might antedate macroscopic cortical changes. We aimed to test the hypothesis that cortical mean diffusivity is more sensitive than cortical thickness to detect cortical changes in primary progressive aphasia (PPA). Methods: In this multicenter, case-control study, we recruited 120 patients with PPA (52 non-fluent, 31 semantic, and 32 logopenic variants; and 5 GRN-related PPA) as well as 89 controls from three centers. The 3-Tesla MRI protocol included structural and diffusion-weighted sequences. Disease severity was assessed with the Clinical Dementia Rating scale. Cortical thickness and cortical mean diffusivity were computed using a surface-based approach. Results: The comparison between each PPA variant and controls revealed cortical mean diffusivity increases and cortical thinning in overlapping regions, reflecting the canonical loci of neurodegeneration of each variant. Importantly, cortical mean diffusivity increases also expanded to other PPA-related areas and correlated with disease severity in all PPA groups. Cortical mean diffusivity was also increased in patients with very mild PPA when only minimal cortical thinning was observed and showed a good correlation with measures of disease severity. Conclusions: Cortical mean diffusivity shows promise as a sensitive biomarker for the study of the neurodegeneration-related microstructural changes in PPA.
eu_rights_str_mv openAccess
format article
id ES_3ea837d6dbdf9c7b0ff1bb75e07fd9fa
institution Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
language eng
network_acronym_str ES
network_name_str España
oai_identifier_str oai:ddd.uab.cat:282270
publishDate 2022
publishDateSort 2022
reponame_str Dipòsit Digital de Documents de la UAB
spelling Cortical microstructure in primary progressive aphasia a multicenter study Illán-Gala, Ignacio|||0000-0002-5418-2052 Montal, Victor|||0000-0002-5714-9282 Borrego-Écija, Sergi|||0000-0003-2557-0010 Mandelli, Maria Luisa|||0000-0002-2518-2520 Falgàs, Neus|||0000-0002-3404-2765 Welch, Ariane E. Pegueroles, Jordi|||0000-0002-3554-2446 Santos Santos, Miguel Ángel|||0000-0003-1567-617X Bejanin, Alexandre|||0000-0002-9958-0951 Alcolea, Daniel|||0000-0002-3819-3245 Dols Icardo, Oriol|||0000-0003-2656-8748 Belbin, Olivia|||0000-0002-6109-6371 Sánchez-Saudinós, María Belén|||0000-0003-1795-1833 Bargalló, Núria|||0000-0001-6284-5402 González-Ortiz, Sofía|||0000-0003-2578-6671 Llado Plarrumani, Albert|||0000-0002-5066-4150 Blesa, Rafael|||0000-0003-4026-2884 Dickerson, Bradford C. Rosen, Howard J.|||0000-0001-9281-7402 Miller, Bruce L.|||0000-0002-2152-4220 Lleó, Alberto|||0000-0002-2568-5478 Gorno-Tempini, Maria Luisa Sanchez-Valle, Raquel|||0000-0001-7750-896X Fortea, Juan|||0000-0002-1340-638X Difusion Magnetic resonance Primary progressive aphasia Alzheimer's disease Frontotemporal lobar degeneration Background: Cortical mean diffusivity is a novel imaging metric sensitive to early changes in neurodegenerative syndromes. Higher cortical mean diffusivity values reflect microstructural disorganization and have been proposed as a sensitive biomarker that might antedate macroscopic cortical changes. We aimed to test the hypothesis that cortical mean diffusivity is more sensitive than cortical thickness to detect cortical changes in primary progressive aphasia (PPA). Methods: In this multicenter, case-control study, we recruited 120 patients with PPA (52 non-fluent, 31 semantic, and 32 logopenic variants; and 5 GRN-related PPA) as well as 89 controls from three centers. The 3-Tesla MRI protocol included structural and diffusion-weighted sequences. Disease severity was assessed with the Clinical Dementia Rating scale. Cortical thickness and cortical mean diffusivity were computed using a surface-based approach. Results: The comparison between each PPA variant and controls revealed cortical mean diffusivity increases and cortical thinning in overlapping regions, reflecting the canonical loci of neurodegeneration of each variant. Importantly, cortical mean diffusivity increases also expanded to other PPA-related areas and correlated with disease severity in all PPA groups. Cortical mean diffusivity was also increased in patients with very mild PPA when only minimal cortical thinning was observed and showed a good correlation with measures of disease severity. Conclusions: Cortical mean diffusivity shows promise as a sensitive biomarker for the study of the neurodegeneration-related microstructural changes in PPA. https://ddd.uab.cat/record/282270 https://dx.doi.org/urn:doi:10.1186/s13195-022-00974-0
spellingShingle Cortical microstructure in primary progressive aphasia
Illán-Gala, Ignacio|||0000-0002-5418-2052
Difusion
Magnetic resonance
Primary progressive aphasia
Alzheimer's disease
Frontotemporal lobar degeneration
title Cortical microstructure in primary progressive aphasia
title_full Cortical microstructure in primary progressive aphasia
title_fullStr Cortical microstructure in primary progressive aphasia
title_full_unstemmed Cortical microstructure in primary progressive aphasia
title_short Cortical microstructure in primary progressive aphasia
title_sort Cortical microstructure in primary progressive aphasia
topic Difusion
Magnetic resonance
Primary progressive aphasia
Alzheimer's disease
Frontotemporal lobar degeneration
topic_facet Difusion
Magnetic resonance
Primary progressive aphasia
Alzheimer's disease
Frontotemporal lobar degeneration
url https://ddd.uab.cat/record/282270
https://dx.doi.org/urn:doi:10.1186/s13195-022-00974-0