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A signature pattern of cortical atrophy in dementia with Lewy bodies: A study on 333 patients from the European DLB consortium
K. Oppedal, D. Ferreira, L. Cavallin, AW. Lemstra, M. Ten Kate, A. Padovani, I. Rektorova, L. Bonanni, LO. Wahlund, K. Engedal, F. Nobili, M. Kramberger, JP. Taylor, J. Hort, J. Snædal, F. Blanc, Z. Walker, A. Antonini, E. Westman, D. Aarsland,...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, multicentrická studie, Research Support, N.I.H., Extramural, práce podpořená grantem, Research Support, U.S. Gov't, Non-P.H.S.
Grantová podpora
U01 AG024904
NIA NIH HHS - United States
- MeSH
- Alzheimerova nemoc diagnostické zobrazování patologie MeSH
- atrofie MeSH
- demence s Lewyho tělísky diagnostické zobrazování patologie MeSH
- diferenciální diagnóza MeSH
- lidé MeSH
- magnetická rezonanční tomografie MeSH
- mozková kůra diagnostické zobrazování patologie MeSH
- retrospektivní studie MeSH
- senioři MeSH
- testy pro posouzení mentálních funkcí a demence MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
- Research Support, U.S. Gov't, Non-P.H.S. MeSH
- Geografické názvy
- Evropa MeSH
INTRODUCTION: We explored regional brain atrophy patterns and their clinical correlates in dementia with Lewy bodies (DLB). METHODS: In this multicentre study, we included a total of 333 patients with DLB, 352 patients with Alzheimer's disease (AD), and 233 normal controls and used medial temporal lobe atrophy, posterior atrophy, and frontal atrophy (GCA-F) visual rating scales. Patients were classified according to four atrophy patterns. RESULTS: Patients with DLB had higher scores on all the three atrophy scales than normal controls but had less medial temporal lobe atrophy than those with AD (all P values < .001). A signature hippocampal-sparing pattern of regional atrophy was observed in DLB. The magnetic resonance imaging measures showed 65% ability to discriminate between DLB and AD and marginally contributed to the discrimination over and above the core clinical features. DISCUSSION: The most common pattern of atrophy of DLB was hippocampal-sparing. Future studies should explore whether comorbid AD pathology underlies the atrophy patterns seen in DLB.
Centre for Age Related Medicine Stavanger University Hospital Stavanger Norway
Department of Clinical Neuroscience Karolinska Institutet Stockholm Sweden
Department of Neurology and Alzheimercenter VU Universisty Medical Center Amsterdam Netherlands
Department of Radiology Karolinska University Hospital Stockholm Sweden
Department of Radiology Stavanger University Hospital Stavanger Norway
Institute of Neuroscience Newcastle University Newcastle upon Tyne United Kingdom
Institute of Psychiatry Psychology and Neuroscience King's College London London UK
International Clinical Research Center St Anne's University Hospital Brno Brno Czech Republic
Landspitali University Hospital Reykjavik Iceland
Neurology Unit Department o Clinical and Experimental Sciences University of Brescia Brescia Italy
University of Strasbourg and French National Centre for Scientific Research ICONE Strasbourg France
Citace poskytuje Crossref.org
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