Patterns of cortical activity and memory performance in Alzheimer’s disease

Background: %Declarative memory changes are the hallmark of Alzheimer’s disease, although their functional neuroanatomy is not restricted to a single structure. Factor analysis provides statistical methods for evaluating patterns of cerebral changes in regional glucose uptake. Methods:Thirty-three A...

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Hauptverfasser: Schröder, Johannes (VerfasserIn) , Buchsbaum, Monte S. (VerfasserIn) , Shihabuddin, Lina (VerfasserIn) , Tang, Cheuk (VerfasserIn) , Wei, Tse-Chung (VerfasserIn) , Spiegel-Cohen, Jacqueline (VerfasserIn) , Hazlett, Erin A (VerfasserIn) , Abel, Lennart (VerfasserIn) , Luu-Hsia, Christina (VerfasserIn) , Ciaravolo, Tina M (VerfasserIn) , Marin, Deborah (VerfasserIn) , Davis, Kenneth L (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 20 March 2001
In: Biological psychiatry
Year: 2001, Jahrgang: 49, Heft: 5, Pages: 426-436
ISSN:1873-2402
DOI:10.1016/S0006-3223(00)00983-5
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/S0006-3223(00)00983-5
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0006322300009835
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Verfasserangaben:Johannes Schröder, Monte S Buchsbaum, Lina Shihabuddin, Cheuk Tang, Tse-Chung Wei, Jacqueline Spiegel-Cohen, Erin A Hazlett, Lennart Abel, Christina Luu-Hsia, Tina M Ciaravolo, Deborah Marin, Kenneth L Davis

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520 |a Background: %Declarative memory changes are the hallmark of Alzheimer’s disease, although their functional neuroanatomy is not restricted to a single structure. Factor analysis provides statistical methods for evaluating patterns of cerebral changes in regional glucose uptake. Methods:Thirty-three Alzheimer’s patients and 33 age- and gender-matched control subjects were studied with magnetic resonance imaging and positron emission tomography with [18F] deoxyglucose. During the tracer-uptake period, subjects performed a serial verbal learning task. Cortical activity was measured in 32 regions of interest, four in each lobe on both hemispheres. Results:Factor analysis with varimax rotation identified seven factors explaining 80% of the variance (“parietal cortex,” “occipital cortex,” “right temporo-prefrontal areas,” “frontal cortex,” “motor strip,” “left temporal cortex,” and “posterior temporal cortex”). Relative to control subjects, Alzheimer’s patients showed significantly reduced values on the factors occipital cortex, right temporo-prefrontal areas, frontal cortex, and left temporal cortex. The factor temporo-prefrontal areas showed large differences between patients with good and poor performance, but little difference when control subjects were similarly divided. Conclusions:Findings suggest that Alzheimer’s disease is characterized by altered patterns of cortical activity, rather than deficits in a single location, and emphasize the importance of right temporo-prefrontal circuitry for understanding memory deficits. 
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