Evidence map›Paper›PMID 36942514›Full record

ArticleCNS neuroscience & therapeutics2023

Functional and structural alterations of dorsal attention network in preclinical and early-stage Alzheimer's disease.

Huimin Wu, Yu Song, Xinyi Yang, Shanshan Chen, Honglin Ge, Zheng Yan, Wenzhang Qi, Qianqian Yuan, Xuhong Liang, Xingjian Lin and 1 more

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Turning as a single and dual task-associations with Alzheimer's and vascular pathologies in cognitively healthy older people.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
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  8. Altered brain glucose metabolism and connectivity in young adults with obstructive sleep apnea.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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 2 institutions in 1 country.

Huimin WuDepartment of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Yu SongDepartment of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Xinyi YangDepartment of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Shanshan ChenDepartment of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Honglin GeInstitute of Neuropsychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Zheng YanInstitute of Neuropsychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Wenzhang QiDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Qianqian YuanDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Xuhong LiangDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0002-2675-5837
Xingjian LinDepartment of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Jiu ChenDepartment of Radiology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.ORCID 0000-0001-8185-8575
Nanjing Brain Hospital · CNNanjing Drum Tower Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSubjective cognitive decline (SCD) and amnestic mild cognitive impairment (aMCI) are known as the preclinical and early stage of Alzheimer's disease (AD). The dorsal attention network (DAN) is mainly responsible for the "top-down" attention process. However, previous studies mainly focused on single functional modality and limited structure. This study aimed to investigate the multimodal alterations of DAN in SCD and aMCI to assess their diagnostic value in preclinical and early-stage AD.

methodsResting-state functional magnetic resonance imaging (MRI) was carried out to measure the fractional amplitude of low-frequency fluctuation (fALFF), regional homogeneity (ReHo), and functional connectivity (FC). Structural MRI was used to calculate the gray matter volume (GMV) and cortical thickness. Moreover, receiver-operating characteristic (ROC) analysis was used to distinguish these alterations in SCD and aMCI.

resultsThe SCD and aMCI groups showed both decreased ReHo in the right middle temporal gyrus (MTG) and decreased GMV compared to healthy controls (HCs). Especially in the SCD group, there were increased fALFF and increased ReHo in the left inferior occipital gyrus (IOG), decreased fALFF and increased FC in the left inferior parietal lobule (IPL), and reduced cortical thickness in the right inferior temporal gyrus (ITG). Furthermore, functional and structural alterations in the SCD and aMCI groups were closely related to episodic memory (EM), executive function (EF), and information processing speed (IPS). The combination of multiple indicators of DAN had a high accuracy in differentiating clinical stages.

conclusionsOur current study demonstrated functional and structural alterations of DAN in SCD and aMCI, especially in the MTG, IPL, and SPL. Furthermore, cognitive performance was closely related to these significant alterations. Our study further suggested that the combined multiple indicators of DAN could be acted as the latent neuroimaging markers of preclinical and early-stage AD for their high diagnostic value.

Indexed as

Alzheimer DiseaseCognitive DysfunctionBrainBrain MappingExecutive FunctionGray MatterHumansMagnetic Resonance Imagingamnestic mild cognitive impairmentdorsal attention networkresting-state functional magnetic resonance imagingstructural magnetic resonance imagingsubjective cognitive decline

Identifiers

PMID36942514
PMCPMC10173716
OpenAlexW4328049732

What OpenQuestion holds

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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.