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@INPROCEEDINGS{Dronse:908569,
author = {Dronse, Julian and Dillen, Kim N. H. and Jacobs, Heidi I.
L. and Reutern, Boris and Richter, Nils and Onur, Oezguer A.
and Stoffels, Gabriele and Kops, Elena Rota and Tellmann,
Lutz and Shah, N. Jon and Langen, Karl-Josef and Fink,
Gereon R. and Kukolja, Juraj},
title = {[{P}2–362]: {DIFFERENTIAL} {EFFECT} {OF} {GLUCOSE}
{METABOLISM} {AND} {INTRINSIC} {FUNCTIONAL} {CONNECTIVITY}
{ON} {MEMORY} {PERFORMANCE} {OVER} {THE} {SPECTRUM} {OF}
{ALZHEIMER}'{S} {DISEASE}},
issn = {1552-5279},
reportid = {FZJ-2022-02693},
year = {2017},
abstract = {BackgroundWhile alterations in glucose metabolism are a
well-established feature of Alzheimer's disease and linked
to cognitive decline, aberrant patterns of spontaneous
neural activity at rest are increasingly recognized as a
characteristic of the disorder and are also evident in
preclinical stages. The regional interrelationship of
glucose consumption and resting-state activity and the
differential contributions of these measures to memory
function are still not well understood. The aim of the
present study was to characterize this relationship and to
assess the individual effects of the two modalities on
memory function.MethodsPatients with subjective memory
complaints (n=11), mild cognitive impairment (MCI) due to
Alzheimer's disease (n=9), and early stage Alzheimer's
dementia (n=10) were included in the analysis. We
simultaneously acquired resting-state functional MRI
(rs-fMRI) and [18F]fluorodeoxyglucose (FDG) PET data using a
hybrid PET-MRI scanner. Independent component analysis was
used to decompose rs-fMRI data into 75 spatially independent
components of temporally synchronized neural activity. Using
a combination of automated methods, we selected two default
mode network components for the subsequent analysis. We
performed voxel-wise regression analysis of intrinsic
network connectivity and [18F]FDG uptake in the selected
networks, correcting for voxelwise effects of gray matter
volume. Mean values for both modalities were extracted from
brain regions showing a significant effect of glucose
consumption on intrinsic functional connectivity (p < 0.05
FWE-corrected) and entered into multiple regression models
to estimate their effect on verbal memory performance
(delayed recall of Logical Memory).ResultsWithin the whole
group, glucose uptake was significantly positively
correlated with intrinsic connectivity in the ventral
default mode network. Crucially, intrinsic connectivity but
not glucose uptake predicted memory performance in patients
with Alzheimer's disease (in the combined group of MCI and
early stage dementia patients, as well in the early stage
dementia group only).ConclusionsWhile glucose metabolism and
intrinsic functional connectivity of resting state networks
are closely interrelated, the disruption of functional
connectivity in the default mode network better predicts
memory performance. These results contribute to the
development of rs-fMRI changes as a diagnostic marker and
potential therapeutic target for Alzheimer's disease.},
month = {Jul},
date = {2017-07-15},
organization = {The Alzheimer’s Association
International Conference (AAIC), London
(UK), 15 Jul 2017 - 20 Jul 2017},
cin = {INM-4 / INM-11 / INM-3 / JARA-BRAIN},
ddc = {610},
cid = {I:(DE-Juel1)INM-4-20090406 / I:(DE-Juel1)INM-11-20170113 /
I:(DE-Juel1)INM-3-20090406 / I:(DE-Juel1)VDB1046},
pnm = {5253 - Neuroimaging (POF4-525)},
pid = {G:(DE-HGF)POF4-5253},
typ = {PUB:(DE-HGF)1},
doi = {10.1016/j.jalz.2017.06.1017},
url = {https://juser.fz-juelich.de/record/908569},
}