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Research ArticleAdult Brain
Open Access

Microstructural Tissue Changes in Alzheimer Disease Brains: Insights from Magnetization Transfer Imaging

I. Colonna, M. Koini, L. Pirpamer, A. Damulina, E. Hofer, P. Schwingenschuh, C. Enzinger, R. Schmidt and S. Ropele
American Journal of Neuroradiology April 2021, 42 (4) 688-693; DOI: https://doi.org/10.3174/ajnr.A6975
I. Colonna
aFrom the Department of Neurology (I.C., M.K., L.P., A.D., P.S., C.E., R.S., S.R.)
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  • ORCID record for I. Colonna
M. Koini
aFrom the Department of Neurology (I.C., M.K., L.P., A.D., P.S., C.E., R.S., S.R.)
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  • ORCID record for M. Koini
L. Pirpamer
aFrom the Department of Neurology (I.C., M.K., L.P., A.D., P.S., C.E., R.S., S.R.)
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A. Damulina
aFrom the Department of Neurology (I.C., M.K., L.P., A.D., P.S., C.E., R.S., S.R.)
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E. Hofer
bInstitute for Medical Informatics, Statistics and Documentation (E.H.)
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P. Schwingenschuh
aFrom the Department of Neurology (I.C., M.K., L.P., A.D., P.S., C.E., R.S., S.R.)
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C. Enzinger
aFrom the Department of Neurology (I.C., M.K., L.P., A.D., P.S., C.E., R.S., S.R.)
cDivision of Neuroradiology, Vascular & Interventional Radiology, Department of Radiology (C.E.), Medical University of Graz, Graz, Austria
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R. Schmidt
aFrom the Department of Neurology (I.C., M.K., L.P., A.D., P.S., C.E., R.S., S.R.)
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S. Ropele
aFrom the Department of Neurology (I.C., M.K., L.P., A.D., P.S., C.E., R.S., S.R.)
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    FIG 1.

    Flowchart shows the recruitment of the study participants with AD.

Tables

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    Table 1:

    Demographic, neuropsychological, and MR imaging findings of study participants

    Study Participant CharacteristicAD (n =  77)Healthy Control Participants (n = 77)P Valueb
    No. female (%)47 (61)44 (57).62
    Age, years,a72 (8)72 (8).98
    Age range, years51–8751–87
    MMSEa22.03 (3.72)27.57 (1.75)<.001
    Global cortex volume, cm3a329.63 (14.53)394.04 (41.25)<.001
    AD-signature regions volume, cm3a54.81 (10.15)70.28 (8.86)<.001
    Global NAWM volume, cm3a305.77 (63.71)334.70 (52.52).01
    WM hyperintensities volume, cm3a16.19 (17.69)11.64 (18.01).02
    Fazekas grade 2 or 3, no. (%)49 (63.7)31 (40.3)
    Global cortex MTRsa0.295 (0.016)0.309 (0.008)<.001
    AD-signature regions MTRsa0.297 (0.018)0.309 (0.009)<.001
    Global NAWM MTRsa0.384 (0.009)0.388 (0.009).003
    WM hyperintensities MTRsa0.322 (0.028)0.350 (0.016)<.001
    • ↵a Data are mean ± SDs.

    • ↵b Pearson χ2 for nominal, Wilcoxon, and paired t test for continuous variables were applied.

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    Table 2:

    Logistic regression analysis—lower MTRs relate to AD independent of normalized regional brain volume and white matter damage

    MTR RegionOR95% CIP Valuea
    Global cortex0.470.22–0.97.04
    AD-signature regions0.310.14–0.67.003
    Global NAWM0.590.39–0.88.01
    WM hyperintensities0.180.09–0.33<.001
    • ↵a Corrected for age, sex, years of education, normalized regional volume, and Fazekas score.

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    Table 3:

    Linear regression analysis in AD—cortical MTRs relate to poorer language function in patients with AD

    MTR RegionMMSE, n = 77Language Function (CERAD Test: Boston Naming Test), n = 77Constructional Praxis (CERAD Test: Figure Copying), n = 73
    β95% CIP Valueaβ95% CIP Valueaβ95% CIP Valuea
    Global cortex0.23−0.07–1.96.060.310.19–1.95.020.22−0.09–1.24.09
    AD-signature regions0.14−0.50–1.52.320.28−0.02–1.74.050.29−0.01–1.32.05
    Global NAWM0.17−0.24–1.67.140.11−0.05–1.23.400.23−0.05–1.23.07
    WM hyperintensities0.01−0.78–0.88.91-0.01−0.81–0.67.890.01−0.53–0.59.92
    • Note:—β indicates standardized regression coefficient.

    • ↵a Corrected for age, sex, years of education, normalized regional volume, and Fazekas score.

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American Journal of Neuroradiology: 42 (4)
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I. Colonna, M. Koini, L. Pirpamer, A. Damulina, E. Hofer, P. Schwingenschuh, C. Enzinger, R. Schmidt, S. Ropele
Microstructural Tissue Changes in Alzheimer Disease Brains: Insights from Magnetization Transfer Imaging
American Journal of Neuroradiology Apr 2021, 42 (4) 688-693; DOI: 10.3174/ajnr.A6975

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Microstructural Tissue Changes in Alzheimer Disease Brains: Insights from Magnetization Transfer Imaging
I. Colonna, M. Koini, L. Pirpamer, A. Damulina, E. Hofer, P. Schwingenschuh, C. Enzinger, R. Schmidt, S. Ropele
American Journal of Neuroradiology Apr 2021, 42 (4) 688-693; DOI: 10.3174/ajnr.A6975
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