Evidence map›Paper›PMID 30877785›Full record

ArticleCerebral cortex (New York, N.Y. : 1991)2019

Association Between Earliest Amyloid Uptake and Functional Connectivity in Cognitively Unimpaired Elderly.

Andreas Hahn, Tor O Strandberg, Erik Stomrud, Markus Nilsson, Danielle van Westen, Sebastian Palmqvist, Rik Ossenkoppele, Oskar Hansson

Open access · hybridAbstract read
In one paragraph

Article in Cerebral cortex (New York, N.Y. : 1991), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
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  8. Article
  9. Multimodal neuroimaging insights into the neurobiology of healthy aging across the lifespan.European journal of nuclear medicine and molecular imaging · 2025
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  10. Autonomic dysfunction in neurodegenerative disease.Nature reviews. Neuroscience · 2025
    Review
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  13. A whole-brain functional connectivity model of Alzheimer's disease pathology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  14. Article
  15. The Azalea Hypothesis of Alzheimer Disease: A Functional Iron Deficiency Promotes Neurodegeneration.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2024
    Review
  16. Article
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  19. Article
  20. Genetic, vascular and amyloid components of cerebral blood flow in a preclinical population.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Article
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

8 authors at 2 institutions in 3 countries.

Andreas HahnDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
Tor O StrandbergClinical Memory Research Unit, Department of Clinical Sciences, Malmö, Lund University, Sweden.
Erik StomrudClinical Memory Research Unit, Department of Clinical Sciences, Malmö, Lund University, Sweden.
Markus NilssonLund University Bioimaging Center, Lund University, Lund, Sweden.
Danielle van WestenDepartment of Clinical Sciences Lund, Diagnostic Radiology, Lund University, Sweden.
Sebastian PalmqvistClinical Memory Research Unit, Department of Clinical Sciences, Malmö, Lund University, Sweden.
Rik OssenkoppeleClinical Memory Research Unit, Department of Clinical Sciences, Malmö, Lund University, Sweden.
Oskar HanssonClinical Memory Research Unit, Department of Clinical Sciences, Malmö, Lund University, Sweden.
Lund University · SEMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alterations in cognitive performance have been noted in nondemented subjects with elevated accumulation of amyloid-β (Aβ) fibrils. However, it is not yet understood whether brain function is already influenced by Aβ deposition during the very earliest stages of the disease. We therefore investigated associations between [18F]Flutemetamol PET, resting-state functional connectivity, gray and white matter structure and cognitive performance in 133 cognitively normal elderly that exhibited normal global Aβ PET levels. [18F]Flutemetamol uptake in regions known to accumulate Aβ fibrils early in preclinical AD (i.e., mainly certain parts of the default-mode network) was positively associated with dynamic but not static functional connectivity (r = 0.77). Dynamic functional connectivity was further related to better cognitive performance (r = 0.21-0.72). No significant associations were found for Aβ uptake with gray matter volume or white matter diffusivity. The findings demonstrate that the earliest accumulation of Aβ fibrils is associated with increased functional connectivity, which occurs before any structural alterations. The enhanced functional connectivity may reflect a compensatory mechanism to maintain high cognitive performance in the presence of increasing amyloid accumulation during the earliest phases of AD.

Indexed as

AgedAged, 80 and overAmyloid beta-PeptidesBrainBrain MappingCognitionFemaleGray MatterHumansMagnetic Resonance ImagingMaleMental Status and Dementia TestsNeural PathwaysPositron-Emission TomographyWhite MatterAmyloid beta-Peptides[18 f]flutemetamolAlzheimer’s diseasedynamic connectivityresting-state fMRI

Identifiers

PMID30877785
PMCPMC6458901
OpenAlexW2921943135

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.