Neuroimaging advances regarding subjective cognitive decline in preclinical Alzheimer’s disease

Abstract Subjective cognitive decline (SCD) is regarded as the first clinical manifestation in the Alzheimer’s disease (AD) continuum. Investigating populations with SCD is important for understanding the early pathological mechanisms of AD and identifying SCD-related biomarkers, which are critical...

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Main Authors: Xiaoqi Wang, Weijie Huang, Li Su, Yue Xing, Frank Jessen, Yu Sun, Ni Shu, Ying Han
Format: Article
Language:English
Published: BMC 2020-09-01
Series:Molecular Neurodegeneration
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13024-020-00395-3
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author Xiaoqi Wang
Weijie Huang
Li Su
Yue Xing
Frank Jessen
Yu Sun
Ni Shu
Ying Han
author_facet Xiaoqi Wang
Weijie Huang
Li Su
Yue Xing
Frank Jessen
Yu Sun
Ni Shu
Ying Han
author_sort Xiaoqi Wang
collection DOAJ
description Abstract Subjective cognitive decline (SCD) is regarded as the first clinical manifestation in the Alzheimer’s disease (AD) continuum. Investigating populations with SCD is important for understanding the early pathological mechanisms of AD and identifying SCD-related biomarkers, which are critical for the early detection of AD. With the advent of advanced neuroimaging techniques, such as positron emission tomography (PET) and magnetic resonance imaging (MRI), accumulating evidence has revealed structural and functional brain alterations related to the symptoms of SCD. In this review, we summarize the main imaging features and key findings regarding SCD related to AD, from local and regional data to connectivity-based imaging measures, with the aim of delineating a multimodal imaging signature of SCD due to AD. Additionally, the interaction of SCD with other risk factors for dementia due to AD, such as age and the Apolipoprotein E (ApoE) ɛ4 status, has also been described. Finally, the possible explanations for the inconsistent and heterogeneous neuroimaging findings observed in individuals with SCD are discussed, along with future directions. Overall, the literature reveals a preferential vulnerability of AD signature regions in SCD in the context of AD, supporting the notion that individuals with SCD share a similar pattern of brain alterations with patients with mild cognitive impairment (MCI) and dementia due to AD. We conclude that these neuroimaging techniques, particularly multimodal neuroimaging techniques, have great potential for identifying the underlying pathological alterations associated with SCD. More longitudinal studies with larger sample sizes combined with more advanced imaging modeling approaches such as artificial intelligence are still warranted to establish their clinical utility.
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spelling doaj.art-f40ff66c20da4d0c80708c1e6580b9402022-12-22T01:53:02ZengBMCMolecular Neurodegeneration1750-13262020-09-0115112710.1186/s13024-020-00395-3Neuroimaging advances regarding subjective cognitive decline in preclinical Alzheimer’s diseaseXiaoqi Wang0Weijie Huang1Li Su2Yue Xing3Frank Jessen4Yu Sun5Ni Shu6Ying Han7Department of Neurology, Xuanwu Hospital of Capital Medical UniversityState Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal UniversityDepartment of Psychiatry, University of CambridgeRadiological Sciences, Division of Clinical Neuroscience, University of NottinghamDepartment of Psychiatry and Psychotherapy, Medical Faculty, University of CologneDepartment of Neurology, Xuanwu Hospital of Capital Medical UniversityState Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal UniversityDepartment of Neurology, Xuanwu Hospital of Capital Medical UniversityAbstract Subjective cognitive decline (SCD) is regarded as the first clinical manifestation in the Alzheimer’s disease (AD) continuum. Investigating populations with SCD is important for understanding the early pathological mechanisms of AD and identifying SCD-related biomarkers, which are critical for the early detection of AD. With the advent of advanced neuroimaging techniques, such as positron emission tomography (PET) and magnetic resonance imaging (MRI), accumulating evidence has revealed structural and functional brain alterations related to the symptoms of SCD. In this review, we summarize the main imaging features and key findings regarding SCD related to AD, from local and regional data to connectivity-based imaging measures, with the aim of delineating a multimodal imaging signature of SCD due to AD. Additionally, the interaction of SCD with other risk factors for dementia due to AD, such as age and the Apolipoprotein E (ApoE) ɛ4 status, has also been described. Finally, the possible explanations for the inconsistent and heterogeneous neuroimaging findings observed in individuals with SCD are discussed, along with future directions. Overall, the literature reveals a preferential vulnerability of AD signature regions in SCD in the context of AD, supporting the notion that individuals with SCD share a similar pattern of brain alterations with patients with mild cognitive impairment (MCI) and dementia due to AD. We conclude that these neuroimaging techniques, particularly multimodal neuroimaging techniques, have great potential for identifying the underlying pathological alterations associated with SCD. More longitudinal studies with larger sample sizes combined with more advanced imaging modeling approaches such as artificial intelligence are still warranted to establish their clinical utility.http://link.springer.com/article/10.1186/s13024-020-00395-3subjective cognitive declineAlzheimer’s diseaseneuroimagingmultimodal MRIPET
spellingShingle Xiaoqi Wang
Weijie Huang
Li Su
Yue Xing
Frank Jessen
Yu Sun
Ni Shu
Ying Han
Neuroimaging advances regarding subjective cognitive decline in preclinical Alzheimer’s disease
Molecular Neurodegeneration
subjective cognitive decline
Alzheimer’s disease
neuroimaging
multimodal MRI
PET
title Neuroimaging advances regarding subjective cognitive decline in preclinical Alzheimer’s disease
title_full Neuroimaging advances regarding subjective cognitive decline in preclinical Alzheimer’s disease
title_fullStr Neuroimaging advances regarding subjective cognitive decline in preclinical Alzheimer’s disease
title_full_unstemmed Neuroimaging advances regarding subjective cognitive decline in preclinical Alzheimer’s disease
title_short Neuroimaging advances regarding subjective cognitive decline in preclinical Alzheimer’s disease
title_sort neuroimaging advances regarding subjective cognitive decline in preclinical alzheimer s disease
topic subjective cognitive decline
Alzheimer’s disease
neuroimaging
multimodal MRI
PET
url http://link.springer.com/article/10.1186/s13024-020-00395-3
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