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Gray and White Matter Changes in Subjective Cognitive Impairment,Amnestic Mild Cognitive Impairment and Alzheimer's Disease: A Voxel-Based Analysis Study
Authors:Kuniaki Kiuchi  Soichiro Kitamura  Toshiaki Taoka  Fumihiko Yasuno  Masami Tanimura  Kiwamu Matsuoka  Daisuke Ikawa  Michihiro Toritsuka  Kazumichi Hashimoto  Manabu Makinodan  Jun Kosaka  Masayuki Morikawa  Kimihiko Kichikawa  Toshifumi Kishimoto
Abstract:Subjective cognitive impairment may be a very early at-risk period of the continuum of dementia. However, it is difficult to discriminate at-risk states from normal aging. Thus, detection of the early pathological changes in the subjective cognitive impairment period is needed. To elucidate these changes, we employed diffusion tensor imaging and volumetry analysis, and compared subjective cognitive impairment with normal, mild cognitive impairment and Alzheimer''s disease. The subjects in this study were 39 Alzheimer''s disease, 43 mild cognitive impairment, 28 subjective cognitive impairment and 41 normal controls. There were no statistically significant differences between the normal control and subjective cognitive impairment groups in all measures. Alzheimer''s disease and mild cognitive impairment had the same extent of brain atrophy and diffusion changes. These results are consistent with the hypothetical model of the dynamic biomarkers of Alzheimer''s disease.
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