The pattern of cortical thickness associated with executive dysfunction in MCI and SCC: The MEMENTO cohort.

IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Revue neurologique Pub Date : 2024-06-11 DOI:10.1016/j.neurol.2024.02.394
D Andriuta, M Roussel, G Chene, C Fischer, J-F Mangin, B Dubois, B Vellas, F Pasquier, F Tison, F Blanc, O Hanon, C Paquet, A Gabelle, M Ceccaldi, C Annweiler, P Krolak-Salmon, R David, I Rouch-Leroyer, A Benetos, O Moreaud, F Sellal, I Jalenques, P Vandel, V Bouteloup, O Godefroy
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Abstract

Background: The association between the pattern of cortical thickness (CT) and executive dysfunction (ED) in mild cognitive impairment (MCI) and subjective cognitive complaints (SCC) is still poorly understood. We aimed to investigate the association between CT and ED in a large French cohort (MEMENTO) of 2323 participants with MCI or SCC.

Methods: All participants with available CT and executive function data (verbal fluency and Trail Making Test [TMT]) were selected (n=1924). Linear regressions were performed to determine relationships between executive performance and the brain parenchymal fraction (BPF) and CT using FreeSurfer.

Results: The global executive function score was related to the BPF (sß: 0.091, P<0.001) and CT in the right supramarginal (sß: 0.060, P=0.041) and right isthmus cingulate (sß: 0.062, P=0.011) regions. Literal verbal fluency was related to the BPF (sß: 0.125, P<0.001) and CT in the left parsorbitalis region (sß: 0.045, P=0.045). Semantic verbal fluency was related to the BPF (sß: 0.101, P<0.001) and CT in the right supramarginal region (sß: 0.061, P=0.042). The time difference between the TMT parts B and A was related to the BPF (sß: 0.048, P=0.045) and CT in the right precuneus (sß: 0.073, P=0.019) and right isthmus cingulate region (sß: 0.054, P=0.032).

Conclusions: In a large clinically based cohort of participants presenting with either MCI or SCC (a potential early stage of Alzheimer's disease [AD]), ED was related to the BPF and CT in the left pars orbitalis, right precuneus, right supramarginal, and right isthmus cingulate regions. This pattern of lesions adds knowledge to the conventional anatomy of ED and could contribute to the early diagnosis of AD.

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与 MCI 和 SCC 执行功能障碍相关的皮层厚度模式:MEMENTO 队列。
背景:人们对轻度认知障碍(MCI)和主观认知抱怨(SCC)患者皮层厚度(CT)模式与执行功能障碍(ED)之间的关系仍然知之甚少。我们的目的是在一个由 2323 名 MCI 或 SCC 患者组成的大型法国队列(MEMENTO)中调查 CT 与 ED 之间的关系:我们选取了所有具有 CT 和执行功能数据(言语流畅性和寻迹测试 [TMT])的参与者(n=1924)。使用FreeSurfer进行线性回归,以确定执行力表现与脑实质分数(BPF)和CT之间的关系:结果:总体执行功能得分与 BPF 相关(sß:0.091,PC结论:在一个以临床为基础的大型参与者队列中,在出现 MCI 或 SCC(阿尔茨海默病 [AD] 的潜在早期阶段)时,ED 与左侧眶旁区、右侧楔前区、右侧边际上区和右侧扣带回峡区的 BPF 和 CT 有关。这种病变模式增加了对 ED 传统解剖学的了解,有助于早期诊断 AD。
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来源期刊
Revue neurologique
Revue neurologique 医学-临床神经学
CiteScore
4.80
自引率
0.00%
发文量
598
审稿时长
55 days
期刊介绍: The first issue of the Revue Neurologique, featuring an original article by Jean-Martin Charcot, was published on February 28th, 1893. Six years later, the French Society of Neurology (SFN) adopted this journal as its official publication in the year of its foundation, 1899. The Revue Neurologique was published throughout the 20th century without interruption and is indexed in all international databases (including Current Contents, Pubmed, Scopus). Ten annual issues provide original peer-reviewed clinical and research articles, and review articles giving up-to-date insights in all areas of neurology. The Revue Neurologique also publishes guidelines and recommendations. The Revue Neurologique publishes original articles, brief reports, general reviews, editorials, and letters to the editor as well as correspondence concerning articles previously published in the journal in the correspondence column.
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