Occipital atrophy signature in prodromal Lewy bodies disease

© 2023 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals LLC on behalf of Alzheimer's Association..

INTRODUCTION: Dementia with Lewy bodies (DLB) is typically characterized by parietal, temporal, and occipital atrophy, but less is known about the newly defined prodromal phases. The objective of this study was to evaluate structural brain alterations in prodromal DLB (p-DLB) as compared to healthy controls (HC) and full-blown dementia (DLB-DEM).

METHODS: The study included 42 DLB patients (n = 20 p-DLB; n = 22 DLB-DEM) and 27 HC with a standardized neurological assessment and 3-tesla magnetic resonance imaging. Voxel-wise analyses on gray-matter and cortical thickness were implemented to evaluate differences between p-DLB, DLB-DEM, and HC.

RESULTS: p-DLB and DLB-DEM exhibited reduced occipital and posterior parieto-temporal volume and thickness, extending from prodromal to dementia stages. Occipital atrophy was more sensitive than insular atrophy in differentiating p-DLB and HC. Occipital atrophy correlated to frontotemporal structural damage increasing from p-DLB to DLB-DEM.

DISCUSSION: Occipital and posterior-temporal structural alterations are an early signature of the DLB continuum and correlate with a long-distance pattern of atrophy.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Alzheimer's & dementia (Amsterdam, Netherlands) - 15(2023), 4 vom: 27. Okt., Seite e12462

Sprache:

Englisch

Beteiligte Personen:

Galli, Alice [VerfasserIn]
Pilotto, Andrea [VerfasserIn]
Chiarini, Benedetta [VerfasserIn]
Giunta, Marcello [VerfasserIn]
Corbo, Daniele [VerfasserIn]
Tirloni, Clara [VerfasserIn]
Ferreira, Daniel [VerfasserIn]
Premi, Enrico [VerfasserIn]
Lupini, Alessandro [VerfasserIn]
Zatti, Cinzia [VerfasserIn]
Bonanni, Laura [VerfasserIn]
Tiraboschi, Pietro [VerfasserIn]
Gasparotti, Roberto [VerfasserIn]
Padovani, Alessandro [VerfasserIn]

Links:

Volltext

Themen:

Cortical thickness
Journal Article
MRI
Occipital atrophy
Prodromal DLB
Voxel‐based morphometry

Anmerkungen:

Date Revised 01.12.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1002/dad2.12462

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365178993