Evidence map›Paper›PMID 28088928›Full record

ArticleInternational psychogeriatrics2017

Multi-modal MRI investigation of volumetric and microstructural changes in the hippocampus and its subfields in mild cognitive impairment, Alzheimer's disease, and dementia with Lewy bodies.

Elijah Mak, Silvy Gabel, Li Su, Guy B Williams, Robert Arnold, Luca Passamonti, Patricia Vazquez Rodríguez, Ajenthan Surendranathan, W Richard Bevan-Jones, James B Rowe and 1 more

Open access · diamondAbstract read
In one paragraph

Article in International psychogeriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Mild cognitive impairment in dementia with Lewy bodies: an update and outlook.Journal of neural transmission (Vienna, Austria : 1996) · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Elijah MakDepartment of Psychiatry,University of Cambridge,UK.
Silvy GabelDepartment of Psychiatry,University of Cambridge,UK.
Li SuDepartment of Psychiatry,University of Cambridge,UK.
Guy B WilliamsWolfson Brain Imaging Centre,University of Cambridge,UK.
Robert ArnoldDepartment of Psychiatry,University of Cambridge,UK.
Luca PassamontiDepartment of Clinical Neurosciences,University of Cambridge,Cambridge,UK.
Patricia Vazquez RodríguezDepartment of Clinical Neurosciences,University of Cambridge,Cambridge,UK.
Ajenthan SurendranathanDepartment of Psychiatry,University of Cambridge,UK.
W Richard Bevan-JonesDepartment of Psychiatry,University of Cambridge,UK.
James B RoweDepartment of Clinical Neurosciences,University of Cambridge,Cambridge,UK.
John T O'BrienDepartment of Psychiatry,University of Cambridge,UK.
University of Cambridge · GBMaastricht University · NLMRC Cognition and Brain Sciences Unit · GB

Funding

Department of HealthMedical Research Council MC_U105597119Medical Research Council MC_UU_00005/12Medical Research Council MR/M009041/1Medical Research Council MR/M024873/1Wellcome Trust 103838
6 · The paper itself

Abstract

backgroundVolumetric atrophy and microstructural alterations in diffusion tensor imaging (DTI) measures of the hippocampus have been reported in people with Alzheimer's disease (AD) and mild cognitive impairment (MCI). However, no study to date has jointly investigated concomitant microstructural and volumetric changes of the hippocampus in dementia with Lewy bodies (DLB).

methodsA total of 84 subjects (23 MCI, 17 DLB, 14 AD, and 30 healthy controls) were recruited for a multi-modal imaging (3T MRI and DTI) study that included neuropsychological evaluation. Freesurfer was used to segment the total hippocampus and delineate its subfields. The hippocampal segmentations were co-registered to the mean diffusivity (MD) and fractional anisotropy (FA) maps obtained from the DTI images.

resultsBoth AD and MCI groups showed significantly smaller hippocampal volumes compared to DLB and controls, predominantly in the CA1 and subiculum subfields. Compared to controls, hippocampal MD was elevated in AD, but not in MCI. DLB was characterized by both volumetric and microstructural preservation of the hippocampus. In MCI, higher hippocampal MD was associated with greater atrophy of the hippocampus and CA1 region. Hippocampal volume was a stronger predictor of memory scores compared to MD within the MCI group.

conclusionsThrough a multi-modal integration, we report novel evidence that the hippocampus in DLB is characterized by both macrostructural and microstructural preservation. Contrary to recent suggestions, our findings do not support the view that DTI measurements of the hippocampus are superior to volumetric changes in characterizing group differences, particularly between MCI and controls.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseAtrophyCase-Control StudiesCognitive DysfunctionDiffusion Tensor ImagingFemaleHippocampusHumansLewy Body DiseaseMagnetic Resonance ImagingMaleMiddle AgedMultivariate AnalysisNeuropsychological TestsAlzheimer's diseasecognitive impairmentdementia with Lewy bodiesdiffusion MRIMRIneuroimaging

Identifiers

PMID28088928
PMCPMC5819731
OpenAlexW2573011376

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.