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Research ArticleBrain

Frontotemporal Cortical Thinning in Amyotrophic Lateral Sclerosis

A. d'Ambrosio, A. Gallo, F. Trojsi, D. Corbo, F. Esposito, M. Cirillo, M.R. Monsurrò and G. Tedeschi
American Journal of Neuroradiology February 2014, 35 (2) 304-310; DOI: https://doi.org/10.3174/ajnr.A3753
A. d'Ambrosio
aFrom the Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences (A.d'A., A.G., F.T., M.R.M., M.C., G.T.), Second University of Naples, Naples, Italy
bMRI Research Center SUN-FISM—Neurological Institute for Diagnosis and Care “Hermitage Capodimonte,” (A.d'A., A.G., F.T., D.C., F.E., M.C., M.R.M., G.T.), Naples, Italy
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A. Gallo
aFrom the Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences (A.d'A., A.G., F.T., M.R.M., M.C., G.T.), Second University of Naples, Naples, Italy
bMRI Research Center SUN-FISM—Neurological Institute for Diagnosis and Care “Hermitage Capodimonte,” (A.d'A., A.G., F.T., D.C., F.E., M.C., M.R.M., G.T.), Naples, Italy
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F. Trojsi
aFrom the Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences (A.d'A., A.G., F.T., M.R.M., M.C., G.T.), Second University of Naples, Naples, Italy
bMRI Research Center SUN-FISM—Neurological Institute for Diagnosis and Care “Hermitage Capodimonte,” (A.d'A., A.G., F.T., D.C., F.E., M.C., M.R.M., G.T.), Naples, Italy
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D. Corbo
bMRI Research Center SUN-FISM—Neurological Institute for Diagnosis and Care “Hermitage Capodimonte,” (A.d'A., A.G., F.T., D.C., F.E., M.C., M.R.M., G.T.), Naples, Italy
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F. Esposito
bMRI Research Center SUN-FISM—Neurological Institute for Diagnosis and Care “Hermitage Capodimonte,” (A.d'A., A.G., F.T., D.C., F.E., M.C., M.R.M., G.T.), Naples, Italy
cDepartment of Medicine and Surgery (F.E.), University of Salerno, Salerno, Italy
dDepartment of Cognitive Neuroscience (F.E.), Maastricht University, Maastricht, The Netherlands.
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M. Cirillo
aFrom the Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences (A.d'A., A.G., F.T., M.R.M., M.C., G.T.), Second University of Naples, Naples, Italy
bMRI Research Center SUN-FISM—Neurological Institute for Diagnosis and Care “Hermitage Capodimonte,” (A.d'A., A.G., F.T., D.C., F.E., M.C., M.R.M., G.T.), Naples, Italy
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M.R. Monsurrò
aFrom the Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences (A.d'A., A.G., F.T., M.R.M., M.C., G.T.), Second University of Naples, Naples, Italy
bMRI Research Center SUN-FISM—Neurological Institute for Diagnosis and Care “Hermitage Capodimonte,” (A.d'A., A.G., F.T., D.C., F.E., M.C., M.R.M., G.T.), Naples, Italy
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G. Tedeschi
aFrom the Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences (A.d'A., A.G., F.T., M.R.M., M.C., G.T.), Second University of Naples, Naples, Italy
bMRI Research Center SUN-FISM—Neurological Institute for Diagnosis and Care “Hermitage Capodimonte,” (A.d'A., A.G., F.T., D.C., F.E., M.C., M.R.M., G.T.), Naples, Italy
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  • Fig 1.
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    Fig 1.

    Right hemisphere, lateral surface. Areas showing a significant cortical thinning in patients with ALS (P < .05) are colored in blue. Areas 1–4 are localized in the frontal region. Area 5 is localized in the temporal region.

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    Fig 2.

    Left hemisphere, lateral surface. Areas showing a significant cortical thinning in patients with ALS (P < .05) are colored in blue. Areas 1–11 are localized in the frontal region. CTh in area 1 (orbitofrontal lateral cortex) correlated with disease disability (P = .04).

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    Fig 3.

    Right hemisphere, medial surface. Areas showing a significant cortical thinning in patients with ALS (P < .05) are colored in blue. Areas 1–4 are localized in the frontal region. Areas 5 and 8 are localized in the temporal region. Areas 6 and 7 are localized in the parietooccipital region. CTh in area 4 (premotor cortex) correlated with disease duration (P = .007).

  • Fig 4.
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    Fig 4.

    Left hemisphere, medial surface. Areas showing a significant cortical thinning in patients with ALS (P < .05) are colored in blue. Areas 1–4 are localized in the frontal region. Areas 7 and 8 are localized in the temporal region. Areas 5 and 6 are localized in the parietooccipital region. CTh in area 8 (inferior temporal and parahippocampal cortex) correlated with the rate of disease progression (P = .0265).

Tables

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    Table 1:

    Demographics and clinical features

    Group
    HCALS
    n1820
    M/F10/810/10
    Mean age, y (SD)60 (10.5)61.5 (9.1)
    Disease duration, mean y (SD)n/a2.6 (2.7)
    Upper limbs onsetn/a10
    Lower limbs onsetn/a10
    ALSFRS-R, mean (SD)n/a36.2 (8.7)
    48-ALSFRS-R/months of disease duration, mean (SD)n/a0.64 (0.7)
    UMN score, mean (SD)n/a7.1 (3.9)
    FrSBe, mean (SD)n/a102.3 (18.5)
    • Note:—n/a indicates not applicable; SD, standard deviation.

    • View popup
    Table 2:

    Spatial coordinates, extent, and average CTh of areas showing significant cortical thinning between patients with ALS and HCs

    AreaTalairach Coordinates (x, y, z)Surface Extension (mm2)ALS Mean CTh (mm)HC Mean CTh (mm)
    Right hemisphere, lateral surface (see Fig 1 for reference)
    10, 97, −351782.7782.891
    213, 74, −337132.4822.687
    3−12, −2, 69392.4622.793
    422, 13, 39152.6622.952
    523, 27, −692693.1523.387
    Left hemisphere, lateral surface (see Fig 2 for reference)
    15, 85, −455012.3982.651
    2−13, 78, −32373.0503.134
    3−14, 88, −17652.0392.323
    4−20, 73, −32061.8602.116
    5−12, 76, 13692.5272.796
    6−12, 38, −421753.3503.652
    7−14, 37, −161542.2712.434
    8−22, 3, 43221.3891.557
    911, 28, 61572.1642.522
    10−40, −4, 152322.5692.817
    11−33, −21, 311522.2932.507
    Right hemisphere, medial surface (see Fig 3 for reference)
    1−32, 82, 01162.2502.516
    2−31, 62, 261312.3472.510
    3−31, 40, 401392.3362.664
    4−31, 15, 38672.1872.450
    52, 11, −641593.3423.970
    6−29, −57, 18722.5362.724
    7−25, −93, −192041.5711.797
    817, −44, −52652.6972.928
    Left hemisphere, medial surface (see Fig 4 for reference)
    128, 93, −391792.2882.668
    233, 51, 24552.0632.509
    330, 41, 49402.7692.929
    428, 13, 66442.4072.747
    528, −68, 25672.4112.614
    628, −63, 17432.6342.769
    720, −102, −281551.6851.826
    8−4, −3, −645583.0123.470
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American Journal of Neuroradiology: 35 (2)
American Journal of Neuroradiology
Vol. 35, Issue 2
1 Feb 2014
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Cite this article
A. d'Ambrosio, A. Gallo, F. Trojsi, D. Corbo, F. Esposito, M. Cirillo, M.R. Monsurrò, G. Tedeschi
Frontotemporal Cortical Thinning in Amyotrophic Lateral Sclerosis
American Journal of Neuroradiology Feb 2014, 35 (2) 304-310; DOI: 10.3174/ajnr.A3753

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Frontotemporal Cortical Thinning in Amyotrophic Lateral Sclerosis
A. d'Ambrosio, A. Gallo, F. Trojsi, D. Corbo, F. Esposito, M. Cirillo, M.R. Monsurrò, G. Tedeschi
American Journal of Neuroradiology Feb 2014, 35 (2) 304-310; DOI: 10.3174/ajnr.A3753
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