AI Article Synopsis

  • Neuroimaging studies of Alzheimer's disease reveal changes in grey matter volumes in key brain networks, particularly in individuals with Mild Cognitive Impairment (MCI).
  • The study assessed how varying levels of white matter hyperintensities (WMH) affect grey matter volume (GMV) and cognitive function in 183 subjects, splitting them into low, medium, and high WMH loads.
  • Findings indicate that high WMH loads are linked to reduced GMV in both the Default Mode Network (DMN) and Executive Control Network (ECN), while low WMH loads can have a positive relationship with ECN GMV, highlighting complex interactions between WMH, GMV, and cognitive abilities.

Article Abstract

Neuroimaging measures of Alzheimer's disease (AD) include grey matter volume (GMV) alterations in the Default Mode Network (DMN) and Executive Control Network (ECN). Small-vessel cerebrovascular disease, often visualised as white matter hyperintensities (WMH) on MRI, is often seen in AD. However, the relationship between WMH load and GMV needs further examination. We examined the load-dependent influence of WMH on GMV and cognition in 183 subjects. T1-MRI data from 93 Mild Cognitive Impairment (MCI) and 90 cognitively normal subjects were studied and WMH load was categorized into low, medium and high terciles. We examined how differing loads of WMH related to whole-brain voxel-wise and regional DMN and ECN GMV. We further investigated how regional GMV moderated the relationship between WMH and cognition. We found differential load-dependent effects of WMH burden on voxel-wise and regional atrophy in only MCI. At high load, as expected WMH negatively related to both ECN and DMN GMV, however at low load, WMH positively related to ECN GMV. Additionally, negative associations between WMH and memory and executive function were moderated by regional GMV. Our results demonstrate non-unidirectional relationships between WMH load, GMV and cognition in MCI.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8109133PMC
http://dx.doi.org/10.18632/aging.202977DOI Listing

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