Specific White Matter Tracts and Diffusion Properties Predict Conversion From Mild Cognitive Impairment to Alzheimer’s Disease

Identifying biomarkers that can assess the risk of developing Alzheimer’s Disease (AD) remains a significant challenge. In this study, we investigated the integrity levels of brain white matter in 34 patients with mild cognitive impairment (MCI) who later converted to AD and 53 stable MCI patients....

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Main Authors: David B. Stone, Sephira G. Ryman, Alexandra P. Hartman, Christopher J. Wertz, Andrei A. Vakhtin, Alzheimer’s Disease Neuroimaging Initiative
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2021.711579/full
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author David B. Stone
Sephira G. Ryman
Alexandra P. Hartman
Christopher J. Wertz
Andrei A. Vakhtin
Alzheimer’s Disease Neuroimaging Initiative
author_facet David B. Stone
Sephira G. Ryman
Alexandra P. Hartman
Christopher J. Wertz
Andrei A. Vakhtin
Alzheimer’s Disease Neuroimaging Initiative
author_sort David B. Stone
collection DOAJ
description Identifying biomarkers that can assess the risk of developing Alzheimer’s Disease (AD) remains a significant challenge. In this study, we investigated the integrity levels of brain white matter in 34 patients with mild cognitive impairment (MCI) who later converted to AD and 53 stable MCI patients. We used diffusion tensor imaging (DTI) and automated fiber quantification to obtain the diffusion properties of 20 major white matter tracts. To identify which tracts and diffusion measures are most relevant to AD conversion, we used support vector machines (SVMs) to classify the AD conversion and non-conversion MCI patients based on the diffusion properties of each tract individually. We found that diffusivity measures from seven white matter tracts were predictive of AD conversion with axial diffusivity being the most predictive diffusion measure. Additional analyses revealed that white matter changes in the central and parahippocampal terminal regions of the right cingulate hippocampal bundle, central regions of the right inferior frontal occipital fasciculus, and posterior and anterior regions of the left inferior longitudinal fasciculus were the best predictors of conversion from MCI to AD. An SVM based on these white matter tract regions achieved an accuracy of 0.75. These findings provide additional potential biomarkers of AD risk in MCI patients.
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spelling doaj.art-85d33f5df07e4f0bb632782681f9dccd2022-12-21T22:11:49ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652021-07-011310.3389/fnagi.2021.711579711579Specific White Matter Tracts and Diffusion Properties Predict Conversion From Mild Cognitive Impairment to Alzheimer’s DiseaseDavid B. StoneSephira G. RymanAlexandra P. HartmanChristopher J. WertzAndrei A. VakhtinAlzheimer’s Disease Neuroimaging InitiativeIdentifying biomarkers that can assess the risk of developing Alzheimer’s Disease (AD) remains a significant challenge. In this study, we investigated the integrity levels of brain white matter in 34 patients with mild cognitive impairment (MCI) who later converted to AD and 53 stable MCI patients. We used diffusion tensor imaging (DTI) and automated fiber quantification to obtain the diffusion properties of 20 major white matter tracts. To identify which tracts and diffusion measures are most relevant to AD conversion, we used support vector machines (SVMs) to classify the AD conversion and non-conversion MCI patients based on the diffusion properties of each tract individually. We found that diffusivity measures from seven white matter tracts were predictive of AD conversion with axial diffusivity being the most predictive diffusion measure. Additional analyses revealed that white matter changes in the central and parahippocampal terminal regions of the right cingulate hippocampal bundle, central regions of the right inferior frontal occipital fasciculus, and posterior and anterior regions of the left inferior longitudinal fasciculus were the best predictors of conversion from MCI to AD. An SVM based on these white matter tract regions achieved an accuracy of 0.75. These findings provide additional potential biomarkers of AD risk in MCI patients.https://www.frontiersin.org/articles/10.3389/fnagi.2021.711579/fullAlzheimer’s diseasediffusion tensor imagingsupport vector machinemild cognitive impairmentautomated fiber quantificationtractography
spellingShingle David B. Stone
Sephira G. Ryman
Alexandra P. Hartman
Christopher J. Wertz
Andrei A. Vakhtin
Alzheimer’s Disease Neuroimaging Initiative
Specific White Matter Tracts and Diffusion Properties Predict Conversion From Mild Cognitive Impairment to Alzheimer’s Disease
Frontiers in Aging Neuroscience
Alzheimer’s disease
diffusion tensor imaging
support vector machine
mild cognitive impairment
automated fiber quantification
tractography
title Specific White Matter Tracts and Diffusion Properties Predict Conversion From Mild Cognitive Impairment to Alzheimer’s Disease
title_full Specific White Matter Tracts and Diffusion Properties Predict Conversion From Mild Cognitive Impairment to Alzheimer’s Disease
title_fullStr Specific White Matter Tracts and Diffusion Properties Predict Conversion From Mild Cognitive Impairment to Alzheimer’s Disease
title_full_unstemmed Specific White Matter Tracts and Diffusion Properties Predict Conversion From Mild Cognitive Impairment to Alzheimer’s Disease
title_short Specific White Matter Tracts and Diffusion Properties Predict Conversion From Mild Cognitive Impairment to Alzheimer’s Disease
title_sort specific white matter tracts and diffusion properties predict conversion from mild cognitive impairment to alzheimer s disease
topic Alzheimer’s disease
diffusion tensor imaging
support vector machine
mild cognitive impairment
automated fiber quantification
tractography
url https://www.frontiersin.org/articles/10.3389/fnagi.2021.711579/full
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