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  • Dementia with Lewy bodies (DLB) is characterized by preserved whole brain and medial temporal lobe volumes compared with Alzheimer's disease dementia (AD) on magnetic resonance imaging. However, frequently coexistent AD-type pathology may influence the pattern of regional brain atrophy rates in DLB patients. We investigated the pattern and magnitude of the atrophy rates from 2 serial MRIs in autopsy-confirmed DLB patients (n = 20) and mixed DLB/AD patients (n = 22), compared with AD (n = 30) and elderly nondemented control subjects (n = 15), followed antemortem. DLB patients without significant AD-type pathology were characterized by lower global and regional rates of atrophy, similar to control subjects. The mixed DLB/AD patients displayed greater atrophy rates in the whole brain, temporoparietal cortices, hippocampus and amygdala, and ventricle expansion, similar to AD patients. In the DLB and DLB/AD patients, the atrophy rates correlated with Braak neurofibrillary tangle stage, cognitive decline, and progression of motor symptoms. Global and regional atrophy rates are associated with AD-type pathology in DLB, and these rates can be used as biomarkers of AD progression in patients with LB pathology.
  • Dementia with Lewy bodies (DLB) is characterized by preserved whole brain and medial temporal lobe volumes compared with Alzheimer's disease dementia (AD) on magnetic resonance imaging. However, frequently coexistent AD-type pathology may influence the pattern of regional brain atrophy rates in DLB patients. We investigated the pattern and magnitude of the atrophy rates from 2 serial MRIs in autopsy-confirmed DLB patients (n = 20) and mixed DLB/AD patients (n = 22), compared with AD (n = 30) and elderly nondemented control subjects (n = 15), followed antemortem. DLB patients without significant AD-type pathology were characterized by lower global and regional rates of atrophy, similar to control subjects. The mixed DLB/AD patients displayed greater atrophy rates in the whole brain, temporoparietal cortices, hippocampus and amygdala, and ventricle expansion, similar to AD patients. In the DLB and DLB/AD patients, the atrophy rates correlated with Braak neurofibrillary tangle stage, cognitive decline, and progression of motor symptoms. Global and regional atrophy rates are associated with AD-type pathology in DLB, and these rates can be used as biomarkers of AD progression in patients with LB pathology. (en)
Title
  • Pattern of brain atrophy rates in autopsy-confirmed dementia with Lewy bodies
  • Pattern of brain atrophy rates in autopsy-confirmed dementia with Lewy bodies (en)
skos:prefLabel
  • Pattern of brain atrophy rates in autopsy-confirmed dementia with Lewy bodies
  • Pattern of brain atrophy rates in autopsy-confirmed dementia with Lewy bodies (en)
skos:notation
  • RIV/00159816:_____/15:00061180!RIV15-MSM-00159816
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  • P(ED1.100/02/0123)
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  • 1
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  • 338
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  • RIV/00159816:_____/15:00061180
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  • Serial MRI; Sample size estimate; Braak neurofibrillary tangle stage; Autopsy-confirmed dementia with Lewy bodies; Atrophy rate; Alzheimer's disease (en)
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  • US - Spojené státy americké
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  • [6E4BF9BD57A2]
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  • Neurobiology of Aging
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  • 36
http://linked.open...iv/tvurceVysledku
  • Nedelská, Zuzana
  • Boeve, B. F.
  • Dickson, D. W.
  • Ferman, T.J
  • Geda, Y. E.
  • Graff-Radford, J.
  • Gunter, J. L.
  • Jack, C. R.
  • Kantarci, K.
  • Knopman, D. S.
  • Lesnick, T. G.
  • Murray, M. E.
  • Parisi, J. E.
  • Petersen, R. C.
  • Przybelski, S. A.
  • Senjem, M. L.
  • Smith, G. E.
  • Vemuri, P.
http://linked.open...ain/vavai/riv/wos
  • 000347408600047
issn
  • 0197-4580
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.neurobiolaging.2014.07.005
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