Publications by authors named "Jang-Jae Lee"

Background: This study utilized recent advancements in electroencephalography (EEG) technology that enable the measurement of prefrontal event-related potentials (ERPs) to facilitate the early detection of mild cognitive impairment (MCI). We investigated two-channel prefrontal ERP signals obtained from a large cohort of elderly participants and compare among cognitively normal (CN), subjective cognitive decline (SCD), amnestic MCI (aMCI), and nonamnestic MCI (naMCI) groups.

Methods: Signal processing and ERP component analyses, specifically adapted for two-channel prefrontal ERP signals evoked by the auditory oddball task, were performed on a total of 1,754 elderly participants.

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  • The study validated a regression model that predicts normative brain volumes in older adults, emphasizing the role of ethnicity as a key factor, built upon previous findings using a standard measurement tool called FreeSurfer.
  • The researchers applied this model to new brain volume estimates from a system designed for Korean populations, analyzing MRI data from 1,629 Koreans and 786 Caucasians aged 59-89.
  • Results showed that ethnicity was a significant predictor in most brain regions, and incorporating ethnicity-adjusted z-scores improved the diagnostic accuracy for Alzheimer’s disease, highlighting the model's effectiveness across different populations and tools.
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Brain age prediction is a practical method used to quantify brain aging and detect neurodegenerative diseases such as Alzheimer's disease (AD). However, very few studies have considered brain age prediction as a biomarker for the conversion of cognitively normal (CN) to mild cognitive impairment (MCI). In this study, we developed a novel brain age prediction model using brain volume and cortical thickness features.

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Motivation: Allowance for increasingly large samples is a key to identify the association of genetic variants with Alzheimer's disease (AD) in genome-wide association studies (GWAS). Accordingly, we aimed to develop a method that incorporates patients with mild cognitive impairment and unknown cognitive status in GWAS using a machine learning-based AD prediction model.

Results: Simulation analyses showed that weighting imputed phenotypes method increased the statistical power compared to ordinary logistic regression using only AD cases and controls.

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This study examined the single-nucleotide polymorphism heritability and genetic correlations of cognitive abilities and brain structural measures (regional subcortical volume and cortical thickness) in middle-aged and elderly East Asians (Korean) from the Gwangju Alzheimer's and Related Dementias cohort study. Significant heritability was found in memory function, caudate volume, thickness of the entorhinal cortices, pars opercularis, superior frontal gyri, and transverse temporal gyri. There were 3 significant genetic correlations between (i) the caudate volume and the thickness of the entorhinal cortices, (ii) the thickness of the superior frontal gyri and pars opercularis, and (iii) the thickness of the superior frontal and transverse temporal gyri.

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Accurate parcellation of cortical regions is crucial for distinguishing morphometric changes in aged brains, particularly in degenerative brain diseases. Normal aging and neurodegeneration precipitate brain structural changes, leading to distinct tissue contrast and shape in people aged >60 years. Manual parcellation by trained radiologists can yield a highly accurate outline of the brain; however, analyzing large datasets is laborious and expensive.

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Arcing is a ubiquitous phenomenon and a crucial issue in high-voltage applied systems, especially low-temperature plasma (LTP) engineering. Although arcing in LTPs has attracted interest due to the severe damage it can cause, its underlying mechanism has yet to be fully understood. To elucidate the arcing mechanism, this study investigated various signals conventionally used to analyze arcing such as light emission, arcing current and voltage, and background plasma potential.

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  • The study aims to enhance the diagnosis of Alzheimer's disease (AD) by analyzing hippocampal subfield volumes through structural imaging in various groups of elderly subjects based on cognitive and amyloid status.
  • Researchers classified 478 Korean subjects into different groups, including cognitively unimpaired and mild to severe cognitive impairment, examining how their hippocampal subfield volumes differed.
  • Findings reveal significant volume differences in specific hippocampal regions among those with mild cognitive impairment (pAD), suggesting that as cognitive impairment increases, more pronounced subfield atrophy occurs, potentially aiding in diagnosing AD at later stages.
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As the conventional voltage and current (VI) probes widely used in plasma diagnostics have separate voltage and current sensors, crosstalk between the sensors leads to degradation of measurement linearity, which is related to practical accuracy. Here, we propose a VI probe with a floating toroidal coil that plays both roles of a voltage and current sensor and is thus free from crosstalk. The operation principle and optimization conditions of the VI probe are demonstrated and established via three-dimensional electromagnetic wave simulation.

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As the importance of measuring electron density has become more significant in the material fabrication industry, various related plasma monitoring tools have been introduced. In this paper, the development of a microwave probe, called the measurement of lateral electron density (MOLE) probe, is reported. The basic properties of the MOLE probe are analyzed via three-dimensional electromagnetic wave simulation, with simulation results showing that the probe estimates electron density by measuring the surface wave resonance frequency from the reflection microwave frequency spectrum (S11).

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Introduction: Basic studies suggest that olfactory dysfunction and functional near-infrared spectroscopy (fNIRS) can be used as tools for the diagnosis of mild cognitive impairment (MCI); however, real-world evidence is lacking. We investigated the potential diagnostic efficacy of olfactory-stimulated fNIRS for early detection of MCI and/or Alzheimer disease (AD).

Methods: We conducted a patient-level, single-group, diagnostic interventional trial involving elderly volunteers (age >60 years) suspected of declining cognitive function.

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Although the recently developed cutoff probe is a promising tool to precisely infer plasma electron density by measuring the cutoff frequency (fcutoff) in the S21 spectrum, it is currently only applicable to low-pressure plasma diagnostics below several torr. To improve the cutoff probe, this paper proposes a novel method to measure the crossing frequency (fcross), which is applicable to high-pressure plasma diagnostics where the conventional fcutoff method does not operate. Here, fcross is the frequency where the S21 spectra in vacuum and plasma conditions cross each other.

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  • * The study focused on the relationship between plasma NFL/Aβ levels and brain neurodegeneration in Alzheimer's, finding they are strongly correlated and provide better diagnostic accuracy in early stages compared to individual biomarkers.
  • * Results showed that as Alzheimer's disease progresses, NFL increases and Aβ decreases, with plasma NFL/Aβ being a promising non-invasive biomarker for early detection and monitoring of the disease.
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  • This study aimed to identify new genetic factors related to Alzheimer's disease (AD) by analyzing brain imaging data from 2,643 Koreans with varying cognitive conditions.
  • A specific genetic variant (rs77359862) in the SHARPIN gene was found to negatively impact brain areas linked to memory and cognition, suggesting it increases AD risk.
  • The research also noted that this variant affects important protein interactions involved in cellular signaling pathways, highlighting SHARPIN's potential role in the development of AD.
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Background: Given that tau accumulation, not amyloid-β (Aβ) burden, is more closely connected with cognitive impairment in Alzheimer's disease (AD), a detailed understanding of the tau-related characteristics of cognitive function is critical in both clinical and research settings. We investigated the association between phosphorylated tau (p-Tau) level and cognitive impairment across the AD continuum and the mediating role of medial temporal lobe (MTL) atrophy. We also developed a prediction model for abnormal tau accumulation.

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  • Brain aging norms are vital for diagnosing neurodegenerative diseases, but existing research has mainly focused on Caucasian populations, leaving a gap regarding East Asians.
  • This study investigated ethnic differences in aging brain structures by analyzing MRI data from 1,686 normal Korean participants and 851 non-Hispanic Caucasians, revealing that ethnicity significantly affects lobar and subcortical brain volumes.
  • After adjusting for ethnicity in their diagnostic models, researchers found that classifying Alzheimer's patients showed much better accuracy, suggesting that using Caucasian brain volume norms may not be appropriate for Korean patients due to differing brain structure sizes.
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  • The study identifies two new significant genetic loci linked to late-onset Alzheimer's disease in East Asian individuals who do not carry the APOE ε4 gene variant.
  • Researchers conducted a genome-wide association study among 2,291 Korean seniors and validated their findings in a separate group of 1,956 Japanese individuals.
  • The results suggest that it is possible to discover Alzheimer's-related genetic variations in non-European populations, benefiting from a more homogeneous genetic background even with smaller sample sizes.
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Background: Alzheimer's disease (AD) is the most common cause of dementia and most of AD patients suffer from vascular abnormalities and neuroinflammation. There is an urgent need to develop novel blood biomarkers capable of diagnosing Alzheimer's disease (AD) at very early stage. This study was performed to find out new accurate plasma diagnostic biomarkers for AD by investigating a direct relationship between plasma contact system and AD.

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Alzheimer's disease (AD) is one of the most common neurodegenerative illnesses (dementia) among the elderly. Recently, researchers have developed a new method for the instinctive analysis of AD based on machine learning and its subfield, deep learning. Recent state-of-the-art techniques consider multimodal diagnosis, which has been shown to achieve high accuracy compared to a unimodal prognosis.

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The aging of the brain is a well-investigated topic, but existing analyses have mainly focused on Caucasian samples. To investigate brain aging in East Asians, we measured cortical and subcortical volumes from magnetic resonance imaging (MRI) scans of 1,008 cognitively normal elderly Koreans from the Gwangju Alzheimer's and Related Dementia cohort and 342 Caucasians from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database. To determine whether the aging effect varies with ethnicity and sex, beta coefficients of age and confidence intervals (CIs) were estimated in each ethnicity-sex group using a bootstrap method and a regression analysis using the relative volume to intracranial volume as predicted.

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Background: Cerebrospinal fluid (CSF) amyloid-β1-42 (Aβ1-42), total tau protein (t-Tau), and phosphorylated Tau (p-Tau) are ATN biomarkers for Alzheimer's disease (AD) and reflect pathogenic changes in the brain. CSF biomarkers of AD are considered for inclusion in the diagnostic criteria for research and clinical purposes to reduce the uncertainty of clinical diagnosis and to distinguish among AD stages.

Objective: This study aims to compare two commercially available analytical platforms with respect to accuracy and the potential for early diagnosis of AD.

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Purpose: Relatively little attention has been paid to the meaning of reversion from mild cognitive impairment (MCI) to cognitively normal (CN), compared to MCI progression studies. The purpose of the study was to investigate the characteristics contributing to reversion from MCI to CN and to identify the associated factors with such reversion.

Patients And Methods: We retrospectively identified 200 individuals who initially diagnosed as MCI and completed the second visit from the National Research Center for Dementia (NRCD) registry in Korea.

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In recent years, several high-dimensional, accurate, and effective classification methods have been proposed for the automatic discrimination of the subject between Alzheimer's disease (AD) or its prodromal phase {i.e., mild cognitive impairment (MCI)} and healthy control (HC) persons based on T1-weighted structural magnetic resonance imaging (sMRI).

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  • The study investigates how genetic variants in a specific gene region contribute to ethnic differences in the risk of Alzheimer's disease (AD) associated with the ε4 allele among various populations, including East Asians, Europeans, and African Americans.
  • Analysis of 19,398 East Asian individuals and 15,836 individuals of European ancestry revealed that certain SNPs, particularly rs405509, significantly impact AD risk, particularly among ε4 homozygotes, with risk increasing in a dose-dependent manner.
  • Results suggest that higher expression linked to specific genotypes might reduce AD risk, highlighting the importance of genetic variation in understanding ethnic disparities in AD association with the ε4 allele.
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