Volumetric Brain Changes in Thalamus, Corpus Callosum and Medial Temporal Structures: Mild Alzheimer’s Disease Compared with Amnestic Mild Cognitive Impairment

Background: It is widely known that atrophy of medial temporal structures is present in the mild stage of Alzheimer’s disease (AD) and amnestic mild cognitive impairment (aMCI). However, structures such as the thalamus and corpus callosum are much less studied. Methods: We compared the volumes of the entorhinal cortex, hippocampus, thalamus and the corpus callosum in 14 controls, 14 patients with mild AD and 15 with aMCI and correlated these volumes with neuropsychological data. MRI was obtained at 2 T followed by manual segmentation. Results: We found atrophy in hippocampi and thalami of MCI patients compared to controls, and in the bilateral entorhinal cortex of aMCI compared to AD patients. All the structures showed atrophy in AD patients compared to controls, including the corpus callosum. Conclusions: Our study confirms that thalamic areas are atrophied in aMCI, and the corpus callosum might represent a good structural marker for mild AD. Those areas were associated with cognitive functions already described in the literature.

[1]  G. Alexopoulos,et al.  Cornell scale for depression in dementia , 1988, Biological Psychiatry.

[2]  Gene E. Alexander,et al.  Volumes of Medial Temporal Lobe Structures in Patients with Alzheimer’s Disease and Mild Cognitive Impairment (and in Healthy Controls) , 1998, Biological Psychiatry.

[3]  Alan C. Evans,et al.  A nonparametric method for automatic correction of intensity nonuniformity in MRI data , 1998, IEEE Transactions on Medical Imaging.

[4]  Maximilian Reiser,et al.  Multivariate deformation-based analysis of brain atrophy to predict Alzheimer's disease in mild cognitive impairment , 2007, NeuroImage.

[5]  Paul M. Thompson,et al.  Callosal atrophy in mild cognitive impairment and Alzheimer's disease: Different effects in different stages , 2010, NeuroImage.

[6]  Jean-Claude Baron,et al.  Early diagnosis of alzheimer’s disease: contribution of structural neuroimaging , 2003, NeuroImage.

[7]  Bertram Opitz,et al.  Interactions of the hippocampal system and the prefrontal cortex in learning language-like rules , 2003, NeuroImage.

[8]  Angela D. Friederici,et al.  Role of the Corpus Callosum in Speech Comprehension: Interfacing Syntax and Prosody , 2007, Neuron.

[9]  C. Jack,et al.  Usefulness of MRI measures of entorhinal cortex versus hippocampus in AD , 2000, Neurology.

[10]  Nick C. Fox,et al.  Global and local gray matter loss in mild cognitive impairment and Alzheimer's disease , 2004, NeuroImage.

[11]  J. Galen Buckwalter,et al.  Regional atrophy of the corpus callosum in dementia , 2008, Journal of the International Neuropsychological Society.

[12]  Norbert Schuff,et al.  3D characterization of brain atrophy in Alzheimer's disease and mild cognitive impairment using tensor-based morphometry , 2008, NeuroImage.

[13]  Brigitte Landeau,et al.  Using voxel-based morphometry to map the structural changes associated with rapid conversion in MCI: A longitudinal MRI study , 2005, NeuroImage.

[14]  G. Ratcliff Spatial thought, mental rotation and the right cerebral hemisphere , 1979, Neuropsychologia.

[15]  F Kruggel,et al.  Morphometry of the corpus callosum in patients with questionable and mild dementia , 2002, Journal of neurology, neurosurgery, and psychiatry.

[16]  C. Jack,et al.  Mild cognitive impairment – beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment , 2004, Journal of internal medicine.

[17]  Sandra E. Black,et al.  Callosal Atrophy Correlates with Temporal Lobe Volume and Mental Status in Alzheimer's Disease , 2000, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[18]  Emma J. Burton,et al.  A comprehensive study of gray matter loss in patients with Alzheimer’s disease using optimized voxel-based morphometry , 2003, NeuroImage.

[19]  Menno P. Witter,et al.  Place Cells and Place Recognition Maintained by Direct Entorhinal-Hippocampal Circuitry , 2002, Science.

[20]  G. Alexander,et al.  Regional pattern of hippocampus and corpus callosum atrophy in Alzheimer’s disease in relation to dementia severity: evidence for early neocortical degeneration , 2003, Neurobiology of Aging.

[21]  J. Talairach,et al.  Co-Planar Stereotaxic Atlas of the Human Brain: 3-Dimensional Proportional System: An Approach to Cerebral Imaging , 1988 .

[22]  et al.,et al.  Spatial patterns of brain atrophy in MCI patients, identified via high-dimensional pattern classification, predict subsequent cognitive decline , 2008, NeuroImage.

[23]  G. Frisoni,et al.  A voxel based morphometry study on mild cognitive impairment , 2004, Journal of Neurology, Neurosurgery & Psychiatry.

[24]  Stefan J. Teipel,et al.  Novel MRI techniques in the assessment of dementia , 2008, European Journal of Nuclear Medicine and Molecular Imaging.

[25]  D. N. Brooks,et al.  The Cambridge mental disorders of the elderly examination (CAMDEX) , 1992, Neurobiology of Aging.

[26]  J. Baron,et al.  In Vivo Mapping of Gray Matter Loss with Voxel-Based Morphometry in Mild Alzheimer's Disease , 2001, NeuroImage.

[27]  Carlo Caltagirone,et al.  Combined volumetry and DTI in subcortical structures of mild cognitive impairment and Alzheimer's disease patients. , 2010, Journal of Alzheimer's disease : JAD.

[28]  M. Salek Cornell Scale for Depression in Dementia , 1997, International Psychogeriatrics.

[29]  A. Hofman,et al.  Silent brain infarcts and the risk of dementia and cognitive decline. , 2003, The New England journal of medicine.

[30]  A. Rey L'examen clinique in psychologie , 1964 .

[31]  M. D. O'Brien,et al.  Cerebral blood flow in dementia , 1986, Neurology.

[32]  J. Baron,et al.  Relationships between Hippocampal Atrophy, White Matter Disruption, and Gray Matter Hypometabolism in Alzheimer's Disease , 2008, The Journal of Neuroscience.

[33]  E. Tangalos,et al.  Comparative Diagnostic Utility of Different MR Modalities in Mild Cognitive Impairment and Alzheimer’s Disease , 2002, Dementia and Geriatric Cognitive Disorders.

[34]  Johannes Pantel,et al.  Structural Changes of the Corpus Callosum in Mild Cognitive Impairment and Alzheimer’s Disease , 2006, Dementia and Geriatric Cognitive Disorders.

[35]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[36]  D. Collins,et al.  Gross Anatomy of the Corpus Callosum in Alzheimer’s Disease: Regions of Degeneration and Their Neuropsychological Correlates , 2006, Dementia and Geriatric Cognitive Disorders.

[37]  G. Castellano,et al.  MR Imaging Texture Analysis of the Corpus Callosum and Thalamus in Amnestic Mild Cognitive Impairment and Mild Alzheimer Disease , 2010, American Journal of Neuroradiology.

[38]  I. Veer,et al.  Strongly reduced volumes of putamen and thalamus in Alzheimer's disease: an MRI study , 2008, Brain : a journal of neurology.

[39]  C. Yasuda,et al.  Differences in grey and white matter atrophy in amnestic mild cognitive impairment and mild Alzheimer’s disease , 2009, European journal of neurology.

[40]  Robert A. Bornstein,et al.  The Wechsler Memory Scale—Revised , 1990 .

[41]  A. Dale,et al.  Alzheimer disease: quantitative structural neuroimaging for detection and prediction of clinical and structural changes in mild cognitive impairment. , 2009, Radiology.

[42]  H. Soininen,et al.  Hippocampus and entorhinal cortex in mild cognitive impairment and early AD , 2004, Neurobiology of Aging.

[43]  R. Swartz,et al.  Anterior-medial thalamic lesions in dementia: frequent, and volume dependently associated with sudden cognitive decline , 2006, Journal of Neurology, Neurosurgery & Psychiatry.