ArticleAlzheimer's & dementia (Amsterdam, Netherlands)
Individualized cholinergic pathway degeneration in Alzheimer's disease characterized by normative modeling.
Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionCholinergic pathway degeneration is implicated in Alzheimer's disease (AD), but its individualized characterization in AD and mild cognitive impairment (MCI) remains limited.
methodsWe constructed lifespan normative models of medial and lateral cholinergic pathways using >6000 diffusion MRI scans from healthy individuals. These models were applied to 1742 scans from 725 participants in the Alzheimer's Disease Neuroimaging Initiative (ADNI) cohort. Individualized diffusion abnormalities were integrated into a composite cholinergic pathway degeneration index (CPDI). Group differences and longitudinal associations with cognitive decline and progression were evaluated.
resultsCPDI was higher in MCI and AD participants than in controls, and increased longitudinally in patients with AD and in patients with MCI who progressed to AD. Higher baseline CPDI was associated with an increased risk of progression from MCI to AD and faster decline in global cognition, memory, language, and executive function. DISCUSSION: CPDI provides an individualized biomarker of cholinergic pathway degeneration with prognostic relevance in AD.
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