Using Magnetoencephalography to Study Patterns of Brain Magnetic Activity in Alzheimer’s Disease

The use of magnetoencephalography to study neurophysiologic abnormalities associated with Alzheimer’s disease is reviewed. The most consistent observation is that Alzheimer’s disease patients exhibit an increase in focal slow-wave activity that covaried with cognitive performance. It is still unclear whether generation of focal slow-wave activity precedes or is a consequence of Alzheimer’s disease-related neuropathology. Also reviewed is the use of magnetoencephalography to identify early functional changes preceding the diagnosis of dementia. Magnetoencephalography detected neurophysiologic abnormalities associated with cognitive deficits before the diagnosis of mild cognitive impairment. This is supported by evidence presented suggesting that some patients with subjective cognitive complaints, without evidence of dementia, show an increase in focal slow-wave generators. Further research is needed to determine whether the outstanding spatial and temporal resolution of the magnetoencephalography technique could complement other neuroimaging techniques in identifying neurophysiologic abnormalities preceding the diagnosis of Alzheimer’s disease and mild cognitive impairment.

[1]  G. Alexander,et al.  Declining brain activity in cognitively normal apolipoprotein E ɛ4 heterozygotes: A foundation for using positron emission tomography to efficiently test treatments to prevent Alzheimer's disease , 2001, Proceedings of the National Academy of Sciences of the United States of America.

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

[3]  M. Matousek,et al.  EEG abnormalities in dementia reflect the parietal lobe syndrome , 2001, Clinical Neurophysiology.

[4]  M. Albert,et al.  Prevalence of Alzheimer's disease in a community population of older persons. Higher than previously reported. , 1989, JAMA.

[5]  Y. Okada,et al.  Genesis of MEG signals in a mammalian CNS structure. , 1997, Electroencephalography and clinical neurophysiology.

[6]  K. Marder,et al.  Association of subjective memory complaints with subsequent cognitive decline in community-dwelling elderly individuals with baseline cognitive impairment. , 1997, The American journal of psychiatry.

[7]  I Kanno,et al.  Regional correlations between the EEG and oxygen metabolism in dementia of Alzheimer's type. , 1997, Electroencephalography and clinical neurophysiology.

[8]  Alberto Fernández,et al.  Correlations of hippocampal atrophy and focal low-frequency magnetic activity in Alzheimer disease: volumetric MR imaging-magnetoencephalographic study. , 2003, AJNR. American journal of neuroradiology.

[9]  Lars-Göran Nilsson,et al.  New frontiers in cognitive aging , 2004 .

[10]  R. Leahy,et al.  Mapping human brain function with MEG and EEG: methods and validation , 2004, NeuroImage.

[11]  E G Tangalos,et al.  Mild cognitive impairment. When is it a precursor to Alzheimer's disease? , 2000, Geriatrics.

[12]  P. S. St John,et al.  Are cognitively intact seniors with subjective memory loss more likely to develop dementia? , 2002, International journal of geriatric psychiatry.

[13]  K. D. Singh,et al.  Magnetic field tomography of coherent thalamocortical 40-Hz oscillations in humans. , 1991, Proceedings of the National Academy of Sciences of the United States of America.

[14]  B. Rockstroh,et al.  Focal temporoparietal slow activity in Alzheimer’s disease revealed by magnetoencephalography , 2002, Biological Psychiatry.

[15]  P. Campo,et al.  Medial temporal lobe neuromagnetic hypoactivation and risk for developing cognitive decline in elderly population: A 2-year follow-up study , 2006, Neurobiology of Aging.

[16]  G. Livingston,et al.  The Gospel Oak Study stage IV: the clinical relevance of subjective memory impairment in older people , 1995, Psychological Medicine.

[17]  E Püregger,et al.  Magnetoencephalographic—Features related to mild cognitive impairment , 2003, NeuroImage.

[18]  B. W van Dijk,et al.  Magnetoencephalographic analysis of cortical activity in Alzheimer's disease: a pilot study , 2000, Clinical Neurophysiology.

[19]  T Dierks,et al.  Discrimination of Alzheimer's disease and mild cognitive impairment by equivalent EEG sources: a cross-sectional and longitudinal study , 2000, Clinical Neurophysiology.

[20]  F Maestú,et al.  [Magnetoencephalographic study in patients with cognitive impairment]. , 2003, Revista de neurologia.

[21]  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.

[22]  R. Ilmoniemi,et al.  Alzheimer's disease affects parallel processing between the auditory cortices. , 1996, Neuroreport.

[23]  Joshua I. Breier,et al.  Magnetoencephalography (MEG) and Magnetic Source Imaging (MSI) , 2004, The neurologist.

[24]  Lars Bäckman,et al.  Cognitive impairment in preclinical Alzheimer's disease: a meta-analysis. , 2005, Neuropsychology.

[25]  Mark S. Cohen,et al.  Patterns of brain activation in people at risk for Alzheimer's disease. , 2000, The New England journal of medicine.

[26]  L M Bouter,et al.  Memory complaints and APOE-ε4 accelerate cognitive decline in cognitively normal elderly , 2001, Neurology.

[27]  Andrew C. Papanicolaou,et al.  Fundamentals of Functional Brain Imaging — A Guide to the Methods and their Applications to Psychology and Behavioral Neuroscience. A.C. Papanicolaou, Swets and Zeitlinger, Lisse, 1998, ISBN 90-265-1518-6 , 2000, Biological Psychology.

[28]  E. Tangalos,et al.  CME Practice parameter: , 2022 .

[29]  Thomas Dierks,et al.  Spatial pattern of cerebral glucose metabolism (PET) correlates with localization of intracerebral EEG-generators in Alzheimer's disease , 2000, Clinical Neurophysiology.

[30]  H. Nowak,et al.  Magnetism in Medicine , 2006 .

[31]  H. Rowley,et al.  Functional localization by magnetoencephalography. , 1995, Neuroimaging clinics of North America.

[32]  Magnetoencephalography and magnetic source imaging. Capabilities and limitations. , 1995 .

[33]  J. Cummings,et al.  Alzheimer's disease , 1998, Neurology.

[34]  R. Petersen Mild cognitive impairment as a diagnostic entity , 2004, Journal of internal medicine.

[35]  Alberto Fernández,et al.  Magnetoencephalographic parietal delta dipole density in mild cognitive impairment: preliminary results of a method to estimate the risk of developing Alzheimer disease. , 2006, Archives of neurology.

[36]  L. Bouter,et al.  Association between memory complaints and incident Alzheimer's disease in elderly people with normal baseline cognition. , 1999, The American journal of psychiatry.

[37]  S. Fields,et al.  Urinary incontinence. A primary care guide to managing acute and chronic symptoms in older adults. , 2000, Geriatrics.

[38]  Risto Näätänen,et al.  Impaired preconscious auditory processing and cognitive functions in Alzheimer's disease , 1999, Clinical Neurophysiology.

[39]  Gregory G. Brown,et al.  fMRI evidence of compensatory mechanisms in older adults at genetic risk for Alzheimer disease , 2005, Neurology.

[40]  J. Lindeboom,et al.  Subjective memory complaints in the elderly: Depressive symptoms and future dementia , 1997, British Journal of Psychiatry.

[41]  A. Nordberg,et al.  Quantitative electroencephalography in mild cognitive impairment: longitudinal changes and possible prediction of Alzheimer’s disease , 2000, Neurobiology of Aging.

[42]  A. Korten,et al.  Memory complaints as a precursor of memory impairment in older people: a longitudinal analysis over 7–8 years , 2001, Psychological Medicine.