Evidence map›Paper›PMID 33064765›Full record

ArticlePloS one2020

Functional connectivity of white matter as a biomarker of cognitive decline in Alzheimer's disease.

Yurui Gao, Anirban Sengupta, Muwei Li, Zhongliang Zu, Baxter P Rogers, Adam W Anderson, Zhaohua Ding, John C Gore, Alzheimer’s Disease Neuroimaging Initiative

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 61 citations in OpenAlex.

  1. White-Matter BOLD Encoding Beyond Marginal Connectivity.bioRxiv : the preprint server for biology · 2026
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  2. Review
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  5. Fractional amplitude of low-frequency fluctuations in right dorsal cingulum bundle associated with depression symptoms in AD patients: effects of donepezil intervention.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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  20. Automatic Preprocessing Pipeline for White Matter Functional Analyses of Large-Scale Databases.Proceedings of SPIE--the International Society for Optical Engineering · 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

9 authors at 2 institutions in 1 country.

Yurui GaoInstitute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0002-4339-5351
Anirban SenguptaInstitute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Muwei LiInstitute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Zhongliang ZuInstitute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Baxter P RogersInstitute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0002-5666-2797
Adam W AndersonInstitute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Zhaohua DingInstitute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
John C GoreInstitute of Imaging Science, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Alzheimer’s Disease Neuroimaging Initiative
Vanderbilt University · USVanderbilt University Medical Center · US

Funding

Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
Resting State Connectivity in White MatterR01NS093669 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GORE, JOHN C · 2016 to 2020
$2.7M
Biophysical basis of functional MRI of white matterR01NS113832 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GORE, JOHN C · 2020 to 2024
$2.4M
NICHD NIH HHS P50 HD103537NINDS NIH HHS R01 NS093669NINDS NIH HHS R01 NS113832
6 · The paper itself

Abstract

objectiveIn vivo functional changes in white matter during the progression of Alzheimer's disease (AD) have not been previously reported. Our objectives are to measure changes in white matter functional connectivity (FC) in an elderly population undergoing cognitive decline as AD develops, to establish their relationship to neuropsychological scores of cognitive abilities, and to assess the performance in prediction of AD using white matter FC measures as features.

methodsAnalyses were conducted using resting state functional MRI and neuropsychological data from 383 ADNI participants, including 136 cognitive normal (CN) controls, 46 with significant memory concern, 83 with early mild cognitive impairment (MCI), 37 with MCI, 46 with late MCI, and 35 with AD dementia. FC metrics between segregated white matter tracts and discrete gray matter volumes or between white matter tracts were quantitatively analyzed and characterized, along with their relationships to 6 cognitive measures. Finally, supervised machine learning was implemented on white matter FCs to classify the participants and performance of the classification was evaluated.

resultsSignificant decreases in FC measures were found in white matter with prominent, specific, regional deficits appearing in late MCI and AD dementia patients from CN. These changes significantly correlated with neuropsychological measurements of impairments in cognition and memory. The sensitivity and specificity of distinguishing AD dementia and CN using white matter FCs were 0.83 and 0.81 respectively. CONCLUSIONS AND RELEVANCE: The white matter FC decreased in late MCI and AD dementia patients compared to CN participants, and this decrease was correlated with cognitive measures. White matter FC is valuable in the prediction of AD. All these findings suggest that white matter FC may be a promising avenue for understanding functional impairments in white matter tracts during AD progression.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseCase-Control StudiesCognitive DysfunctionDisease ProgressionFemaleHumansMagnetic Resonance ImagingMaleNeuropsychological TestsSensitivity and SpecificitySupervised Machine LearningWhite Matter

Identifiers

PMID33064765
PMCPMC7567362
OpenAlexW3093100650

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.