Individualized network analysis: A novel approach to investigate tau PET using graph theory in the Alzheimer’s disease continuum

IntroductionTau PET imaging has emerged as an important tool to detect and monitor tangle burden in vivo in the study of Alzheimer’s disease (AD). Previous studies demonstrated the association of tau burden with cognitive decline in probable AD cohorts. This study introduces a novel approach to anal...

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Main Authors: Hillary Protas, Valentina Ghisays, Dhruman D. Goradia, Robert Bauer, Vivek Devadas, Kewei Chen, Eric M. Reiman, Yi Su
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1089134/full
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author Hillary Protas
Hillary Protas
Valentina Ghisays
Valentina Ghisays
Dhruman D. Goradia
Dhruman D. Goradia
Robert Bauer
Robert Bauer
Vivek Devadas
Vivek Devadas
Kewei Chen
Kewei Chen
Kewei Chen
Kewei Chen
Kewei Chen
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Yi Su
Yi Su
Yi Su
author_facet Hillary Protas
Hillary Protas
Valentina Ghisays
Valentina Ghisays
Dhruman D. Goradia
Dhruman D. Goradia
Robert Bauer
Robert Bauer
Vivek Devadas
Vivek Devadas
Kewei Chen
Kewei Chen
Kewei Chen
Kewei Chen
Kewei Chen
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Yi Su
Yi Su
Yi Su
author_sort Hillary Protas
collection DOAJ
description IntroductionTau PET imaging has emerged as an important tool to detect and monitor tangle burden in vivo in the study of Alzheimer’s disease (AD). Previous studies demonstrated the association of tau burden with cognitive decline in probable AD cohorts. This study introduces a novel approach to analyze tau PET data by constructing individualized tau network structure and deriving its graph theory-based measures. We hypothesize that the network- based measures are a measure of the total tau load and the stage through disease.MethodsUsing tau PET data from the AD Neuroimaging Initiative from 369 participants, we determine the network measures, global efficiency, global strength, and limbic strength, and compare with two regional measures entorhinal and tau composite SUVR, in the ability to differentiate, cognitively unimpaired (CU), MCI and AD. We also investigate the correlation of these network and regional measures and a measure of memory performance, auditory verbal learning test for long-term recall memory (AVLT-LTM). Finally, we determine the stages based on global efficiency and limbic strength using conditional inference trees and compare with Braak staging.ResultsWe demonstrate that the derived network measures are able to differentiate three clinical stages of AD, CU, MCI, and AD. We also demonstrate that these network measures are strongly correlated with memory performance overall. Unlike regional tau measurements, the tau network measures were significantly associated with AVLT-LTM even in cognitively unimpaired individuals. Stages determined from global efficiency and limbic strength, visually resembled Braak staging.DiscussionThe strong correlations with memory particularly in CU suggest the proposed technique may be used to characterize subtle early tau accumulation. Further investigation is ongoing to examine this technique in a longitudinal setting.
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spelling doaj.art-29bdabdd8a3547f1bc0233a46c32ea4c2023-03-02T05:03:04ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-03-011710.3389/fnins.2023.10891341089134Individualized network analysis: A novel approach to investigate tau PET using graph theory in the Alzheimer’s disease continuumHillary Protas0Hillary Protas1Valentina Ghisays2Valentina Ghisays3Dhruman D. Goradia4Dhruman D. Goradia5Robert Bauer6Robert Bauer7Vivek Devadas8Vivek Devadas9Kewei Chen10Kewei Chen11Kewei Chen12Kewei Chen13Kewei Chen14Eric M. Reiman15Eric M. Reiman16Eric M. Reiman17Eric M. Reiman18Eric M. Reiman19Eric M. Reiman20Yi Su21Yi Su22Yi Su23Banner Alzheimer’s Institute, Phoenix, AZ, United StatesArizona Alzheimer’s Consortium, Phoenix, AZ, United StatesBanner Alzheimer’s Institute, Phoenix, AZ, United StatesArizona Alzheimer’s Consortium, Phoenix, AZ, United StatesBanner Alzheimer’s Institute, Phoenix, AZ, United StatesArizona Alzheimer’s Consortium, Phoenix, AZ, United StatesBanner Alzheimer’s Institute, Phoenix, AZ, United StatesArizona Alzheimer’s Consortium, Phoenix, AZ, United StatesBanner Alzheimer’s Institute, Phoenix, AZ, United StatesArizona Alzheimer’s Consortium, Phoenix, AZ, United StatesBanner Alzheimer’s Institute, Phoenix, AZ, United StatesArizona Alzheimer’s Consortium, Phoenix, AZ, United StatesDepartment of Neurology, The University of Arizona, Tucson, AZ, United StatesDepartment of Psychiatry, The University of Arizona, Tucson, AZ, United StatesDepartment of Neuroscience, School of Computing and Augmented Intelligence, Biostatistical Core, School of Mathematics and Statistics, College of Health Solutions, Arizona State University, Tempe, AZ, United StatesBanner Alzheimer’s Institute, Phoenix, AZ, United StatesArizona Alzheimer’s Consortium, Phoenix, AZ, United StatesDepartment of Neurology, The University of Arizona, Tucson, AZ, United StatesDepartment of Psychiatry, The University of Arizona, Tucson, AZ, United StatesDepartment of Neuroscience, School of Computing and Augmented Intelligence, Biostatistical Core, School of Mathematics and Statistics, College of Health Solutions, Arizona State University, Tempe, AZ, United StatesTranslational Genomics Research Institute, Phoenix, AZ, United StatesBanner Alzheimer’s Institute, Phoenix, AZ, United StatesArizona Alzheimer’s Consortium, Phoenix, AZ, United StatesDepartment of Neuroscience, School of Computing and Augmented Intelligence, Biostatistical Core, School of Mathematics and Statistics, College of Health Solutions, Arizona State University, Tempe, AZ, United StatesIntroductionTau PET imaging has emerged as an important tool to detect and monitor tangle burden in vivo in the study of Alzheimer’s disease (AD). Previous studies demonstrated the association of tau burden with cognitive decline in probable AD cohorts. This study introduces a novel approach to analyze tau PET data by constructing individualized tau network structure and deriving its graph theory-based measures. We hypothesize that the network- based measures are a measure of the total tau load and the stage through disease.MethodsUsing tau PET data from the AD Neuroimaging Initiative from 369 participants, we determine the network measures, global efficiency, global strength, and limbic strength, and compare with two regional measures entorhinal and tau composite SUVR, in the ability to differentiate, cognitively unimpaired (CU), MCI and AD. We also investigate the correlation of these network and regional measures and a measure of memory performance, auditory verbal learning test for long-term recall memory (AVLT-LTM). Finally, we determine the stages based on global efficiency and limbic strength using conditional inference trees and compare with Braak staging.ResultsWe demonstrate that the derived network measures are able to differentiate three clinical stages of AD, CU, MCI, and AD. We also demonstrate that these network measures are strongly correlated with memory performance overall. Unlike regional tau measurements, the tau network measures were significantly associated with AVLT-LTM even in cognitively unimpaired individuals. Stages determined from global efficiency and limbic strength, visually resembled Braak staging.DiscussionThe strong correlations with memory particularly in CU suggest the proposed technique may be used to characterize subtle early tau accumulation. Further investigation is ongoing to examine this technique in a longitudinal setting.https://www.frontiersin.org/articles/10.3389/fnins.2023.1089134/fullflortaucipir PETgraph theoryAlzheimer’s diseasetangle burdenADNI
spellingShingle Hillary Protas
Hillary Protas
Valentina Ghisays
Valentina Ghisays
Dhruman D. Goradia
Dhruman D. Goradia
Robert Bauer
Robert Bauer
Vivek Devadas
Vivek Devadas
Kewei Chen
Kewei Chen
Kewei Chen
Kewei Chen
Kewei Chen
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Eric M. Reiman
Yi Su
Yi Su
Yi Su
Individualized network analysis: A novel approach to investigate tau PET using graph theory in the Alzheimer’s disease continuum
Frontiers in Neuroscience
flortaucipir PET
graph theory
Alzheimer’s disease
tangle burden
ADNI
title Individualized network analysis: A novel approach to investigate tau PET using graph theory in the Alzheimer’s disease continuum
title_full Individualized network analysis: A novel approach to investigate tau PET using graph theory in the Alzheimer’s disease continuum
title_fullStr Individualized network analysis: A novel approach to investigate tau PET using graph theory in the Alzheimer’s disease continuum
title_full_unstemmed Individualized network analysis: A novel approach to investigate tau PET using graph theory in the Alzheimer’s disease continuum
title_short Individualized network analysis: A novel approach to investigate tau PET using graph theory in the Alzheimer’s disease continuum
title_sort individualized network analysis a novel approach to investigate tau pet using graph theory in the alzheimer s disease continuum
topic flortaucipir PET
graph theory
Alzheimer’s disease
tangle burden
ADNI
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1089134/full
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