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Research ArticleBrain

Regional Analysis of the Magnetization Transfer Ratio of the Brain in Mild Alzheimer Disease and Amnestic Mild Cognitive Impairment

M. Mascalchi, A. Ginestroni, V. Bessi, N. Toschi, S. Padiglioni, S. Ciulli, C. Tessa, M. Giannelli, L. Bracco and S. Diciotti
American Journal of Neuroradiology November 2013, 34 (11) 2098-2104; DOI: https://doi.org/10.3174/ajnr.A3568
M. Mascalchi
aFrom the Quantitative and Functional Neuroradiology Research Unit, Department of Experimental and Clinical Biomedical Sciences (M.M., A.G., S.C., S.D.)
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A. Ginestroni
aFrom the Quantitative and Functional Neuroradiology Research Unit, Department of Experimental and Clinical Biomedical Sciences (M.M., A.G., S.C., S.D.)
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V. Bessi
bDepartment of Neurological and Psychiatric Sciences (V.B., S.P., L.B.), University of Florence, Florence, Italy
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N. Toschi
cMedical Physics Section (N.T.), Faculty of Medicine, University of Rome “Tor Vergata,” Rome, Italy
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S. Padiglioni
bDepartment of Neurological and Psychiatric Sciences (V.B., S.P., L.B.), University of Florence, Florence, Italy
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S. Ciulli
aFrom the Quantitative and Functional Neuroradiology Research Unit, Department of Experimental and Clinical Biomedical Sciences (M.M., A.G., S.C., S.D.)
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C. Tessa
dRadiology Department (C.T.), Versilia Hospital, Lido di Camaiore (Lucca), Italy
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M. Giannelli
eUnit of Medical Physics (M.G.), Pisa University Hospital, “Azienda Ospedaliero-Universitaria Pisana,” Pisa, Italy.
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L. Bracco
bDepartment of Neurological and Psychiatric Sciences (V.B., S.P., L.B.), University of Florence, Florence, Italy
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S. Diciotti
aFrom the Quantitative and Functional Neuroradiology Research Unit, Department of Experimental and Clinical Biomedical Sciences (M.M., A.G., S.C., S.D.)
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    Fig 1.

    SPM8 “glass brain” representation (A) of voxelwise analysis between control subjects and patients with Alzheimer disease showing significant clusters of decreased magnetization transfer ratio in the left hippocampus and amygdala and in the posterior mesial temporal cortex (fusiform gyrus) (P < .05, with family-wise error rate correction). Superimposition onto T1 template of the cluster in the hippocampus and amygdala are demonstrated in B and of the cluster in the fusiform gyrus in C.

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    Fig 2.

    Example of the FreeSurfer automatic VOI segmentation of the hippocampus (A) and amygdala (B) eroded with a 3D structural element with 1-mm radius.

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    Fig 3.

    Magnetization transfer ratio of in the hippocampi [left (A) and right (B)] and amygdalae [left (C) and right (D)] in the 3 groups. Mean and 95% confidence intervals of mean MT ratio are reported. The MT ratio in the bilateral hippocampus and amygdala was significantly lower in patients with Alzheimer disease when compared with control subjects (ANOVA with post hoc Bonferroni correction, with P < .05). The values of the mean MT ratio in the hippocampus and amygdala in the patients with amnestic mild cognitive impairment were between those of healthy control subjects and those of patients with mild AD, and the differences were not significant with the exception of the MT ratio in the left amygdala, which was significantly lower in AD than in amnestic MCI.

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American Journal of Neuroradiology: 34 (11)
American Journal of Neuroradiology
Vol. 34, Issue 11
1 Nov 2013
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M. Mascalchi, A. Ginestroni, V. Bessi, N. Toschi, S. Padiglioni, S. Ciulli, C. Tessa, M. Giannelli, L. Bracco, S. Diciotti
Regional Analysis of the Magnetization Transfer Ratio of the Brain in Mild Alzheimer Disease and Amnestic Mild Cognitive Impairment
American Journal of Neuroradiology Nov 2013, 34 (11) 2098-2104; DOI: 10.3174/ajnr.A3568

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Regional Analysis of the Magnetization Transfer Ratio of the Brain in Mild Alzheimer Disease and Amnestic Mild Cognitive Impairment
M. Mascalchi, A. Ginestroni, V. Bessi, N. Toschi, S. Padiglioni, S. Ciulli, C. Tessa, M. Giannelli, L. Bracco, S. Diciotti
American Journal of Neuroradiology Nov 2013, 34 (11) 2098-2104; DOI: 10.3174/ajnr.A3568
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