2023年6月13日
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揭示个人神经解剖学的异质性在阿尔茨海默病神经解剖学的规范性建模
第一次出版2023年5月1日,
DOI: https://doi.org/10.1212/WNL.0000000000207298
瑟瑞娜威尔第
从医学影像计算中心(S.V.,J.H.C.), Medical Physics and Biomedical Engineering, University College London; Dementia Research Centre (S.V., K.X.X.Y., J.M.S., J.H.C.), UCL Queen Square Institute of Neurology, London, United Kingdom; Donders Centre for Cognitive Neuroimaging (S.M.K., A.F.M.), Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen; Department of Psychiatry (S.M.K.), University Medical Centre Utrecht, the Netherlands; Department of Radiology and Biomedical Imaging (D.T.), University of California, San Francisco; and Department of Cognitive Neuroscience (A.F.M.), Radboud University Medical Centre, Nijmegen, the Netherlands.
赛义德Mostafa起亚
从医学影像计算中心(S.V.,J.H.C.), Medical Physics and Biomedical Engineering, University College London; Dementia Research Centre (S.V., K.X.X.Y., J.M.S., J.H.C.), UCL Queen Square Institute of Neurology, London, United Kingdom; Donders Centre for Cognitive Neuroimaging (S.M.K., A.F.M.), Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen; Department of Psychiatry (S.M.K.), University Medical Centre Utrecht, the Netherlands; Department of Radiology and Biomedical Imaging (D.T.), University of California, San Francisco; and Department of Cognitive Neuroscience (A.F.M.), Radboud University Medical Centre, Nijmegen, the Netherlands.
Keir X.X.勇
从医学影像计算中心(S.V.,J.H.C.), Medical Physics and Biomedical Engineering, University College London; Dementia Research Centre (S.V., K.X.X.Y., J.M.S., J.H.C.), UCL Queen Square Institute of Neurology, London, United Kingdom; Donders Centre for Cognitive Neuroimaging (S.M.K., A.F.M.), Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen; Department of Psychiatry (S.M.K.), University Medical Centre Utrecht, the Netherlands; Department of Radiology and Biomedical Imaging (D.T.), University of California, San Francisco; and Department of Cognitive Neuroscience (A.F.M.), Radboud University Medical Centre, Nijmegen, the Netherlands.
Duygu Tosun
从医学影像计算中心(S.V.,J.H.C.), Medical Physics and Biomedical Engineering, University College London; Dementia Research Centre (S.V., K.X.X.Y., J.M.S., J.H.C.), UCL Queen Square Institute of Neurology, London, United Kingdom; Donders Centre for Cognitive Neuroimaging (S.M.K., A.F.M.), Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen; Department of Psychiatry (S.M.K.), University Medical Centre Utrecht, the Netherlands; Department of Radiology and Biomedical Imaging (D.T.), University of California, San Francisco; and Department of Cognitive Neuroscience (A.F.M.), Radboud University Medical Centre, Nijmegen, the Netherlands.
乔纳森·m·Schott
从医学影像计算中心(S.V.,J.H.C.), Medical Physics and Biomedical Engineering, University College London; Dementia Research Centre (S.V., K.X.X.Y., J.M.S., J.H.C.), UCL Queen Square Institute of Neurology, London, United Kingdom; Donders Centre for Cognitive Neuroimaging (S.M.K., A.F.M.), Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen; Department of Psychiatry (S.M.K.), University Medical Centre Utrecht, the Netherlands; Department of Radiology and Biomedical Imaging (D.T.), University of California, San Francisco; and Department of Cognitive Neuroscience (A.F.M.), Radboud University Medical Centre, Nijmegen, the Netherlands.
安德烈·f·Marquand
从医学影像计算中心(S.V.,J.H.C.), Medical Physics and Biomedical Engineering, University College London; Dementia Research Centre (S.V., K.X.X.Y., J.M.S., J.H.C.), UCL Queen Square Institute of Neurology, London, United Kingdom; Donders Centre for Cognitive Neuroimaging (S.M.K., A.F.M.), Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen; Department of Psychiatry (S.M.K.), University Medical Centre Utrecht, the Netherlands; Department of Radiology and Biomedical Imaging (D.T.), University of California, San Francisco; and Department of Cognitive Neuroscience (A.F.M.), Radboud University Medical Centre, Nijmegen, the Netherlands.
詹姆斯·h·科尔
从医学影像计算中心(S.V.,J.H.C.), Medical Physics and Biomedical Engineering, University College London; Dementia Research Centre (S.V., K.X.X.Y., J.M.S., J.H.C.), UCL Queen Square Institute of Neurology, London, United Kingdom; Donders Centre for Cognitive Neuroimaging (S.M.K., A.F.M.), Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen; Department of Psychiatry (S.M.K.), University Medical Centre Utrecht, the Netherlands; Department of Radiology and Biomedical Imaging (D.T.), University of California, San Francisco; and Department of Cognitive Neuroscience (A.F.M.), Radboud University Medical Centre, Nijmegen, the Netherlands.
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文章数据和数据
图2
离群值不同
(A)离群值距离的热图:x和y轴表示参与者在每个组。黄色表示更高的汉明距离(大不同参与者之间在这个大脑区域),而如果参与者一致在这个大脑区域,为代表的汉明距离是0,白色的彩条。(B)离群值距离密度:说明了离群值不同的传播(汉明距离计算的)在每个组。广告=阿尔茨海默病;MCI =轻度认知障碍。
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图3
认知功能和CSF与tOC的标志
从线性回归模型拟合线是每个诊断组(a)记忆功能,(B)执行功能,(C) CSFβ-amyloid, phosphoylated-tau (D)。广告=阿尔茨海默病;MCI =轻度认知障碍;tOC =异常值总数。
图4
离群值的区域地图,分层的MMSE得分
映射的百分比地区异常值成正比的MMSE评分小组(A)参与者与MCI患者(B)的广告。颜色条反映了离群值(阈值的比例从2.5%降至100%z分数)。灰色代表没有参与者离群值在这些各自的区域。广告=阿尔茨海默病;MCI =轻度认知障碍;MMSE =细微精神状态检查。
图5
转换从轻度认知障碍到广告
(一)kaplan meier MCI向AD转换的情节:两条线代表tOC平均分割,< 4列为低tOC(蓝色)和≥4列为高tOC(红色)。十字架表示审查点(即。、年龄最后诊断评估)。填充颜色代表了95%的置信区间。(B)映射区域异常值的比例在人与MCI患者转化为广告。广告=阿尔茨海默病;MCI =轻度认知障碍;tOC =异常值总数。
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视频1
每个参与者的个人离群值映射。个性化区域地图的异常值遍历每个参与者的研究。下载补充视频1通过http://dx.doi.org/10.1212/207298_Video_1
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