ALZHEIMER-DISEASE - MEASURING LOSS OF CEREBRAL GRAY-MATTER WITH MR IMAGING

被引:197
作者
RUSINEK, H [1 ]
DELEON, MJ [1 ]
GEORGE, AE [1 ]
STYLOPOULOS, LA [1 ]
CHANDRA, R [1 ]
SMITH, G [1 ]
RAND, T [1 ]
MOURINO, M [1 ]
KOWALSKI, H [1 ]
机构
[1] NYU MED CTR, DEPT PSYCHIAT, NEW YORK, NY 10016 USA
关键词
BRAIN; ATROPHY; MR STUDIES; DEMENTIA; MAGNETIC RESONANCE (MR); IMAGE PROCESSING; TISSUE CHARACTERIZATION;
D O I
10.1148/radiology.178.1.1984287
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The distributions of the cerebral gray matter, the white matter, and the intracranial cerebrospinal fluid (CSF) were measured in 14 patients with Alzheimer disease (AD) and in 14 healthy control subjects. The measurements, derived from two specifically designed magnetic resonance inversion-recovery sequences, compensate for partial signal averaging. The percentage of the gray matter in the brains of AD patients (44.9% +/- 4.4) was significant lower than in control subjects (50.2% +/- 3.2). The most significant reduction (P < .001) occurred in the temporal lobes (13.8%) and a central region (12.8%); the reduction in frontal lobe (11.2%) and occipital lobe (9.2%) was also statistically significant (P < .01). There was an increase in the CSF volume in the temporal, occipital, and frontal regions; no region showed a significant difference in the white matter content. The findings of diffuse changes and temporal lobe involvement in AD are consistent with pathologic observations of cortical cell loss.
引用
收藏
页码:109 / 114
页数:6
相关论文
共 29 条
[1]   ALZHEIMERS-DISEASE - AREAL AND LAMINAR PATHOLOGY IN THE OCCIPITAL ISOCORTEX [J].
BRAAK, H ;
BRAAK, E ;
KALUS, P .
ACTA NEUROPATHOLOGICA, 1989, 77 (05) :494-506
[2]   BEAM HARDENING IN X-RAY RECONSTRUCTIVE TOMOGRAPHY [J].
BROOKS, RA ;
DICHIRO, G .
PHYSICS IN MEDICINE AND BIOLOGY, 1976, 21 (03) :390-398
[3]  
CHANDRA R, 1990, SPIE BIOMED IMAGE P, V1275, P72
[4]  
CONDON B, 1986, LANCET, V1, P1355
[5]   QUANTITATION OF CEREBRAL ATROPHY IN PRECLINICAL AND END-STAGE ALZHEIMERS-DISEASE [J].
DELAMONTE, SM .
ANNALS OF NEUROLOGY, 1989, 25 (05) :450-459
[6]   COMPUTER-ASSISTED CATEGORIZATION OF BRAIN COMPUTERIZED-TOMOGRAPHY PIXELS INTO CEREBROSPINAL-FLUID, WHITE MATTER, AND GRAY-MATTER [J].
DELEO, JM ;
SCHWARTZ, M ;
CREASEY, H ;
CUTLER, N ;
RAPOPORT, SI .
COMPUTERS AND BIOMEDICAL RESEARCH, 1985, 18 (01) :79-88
[7]   POSITRON EMISSION TOMOGRAPHY WITH THE DEOXYGLUCOSE TECHNIQUE AND THE DIAGNOSIS OF ALZHEIMERS-DISEASE [J].
DELEON, MJ ;
GEORGE, AE ;
MARCUS, DL ;
MILLER, JD .
NEUROBIOLOGY OF AGING, 1988, 9 (01) :88-90
[8]  
DELEON MJ, 1989, AM J NEURORADIOL, V10, P371
[9]  
DICHIRO G, 1978, J COMPUT ASSIST TOMO, V2, P65
[10]   ALZHEIMERS-DISEASE - ANTERIOR-POSTERIOR AND LATERAL HEMISPHERIC ALTERATIONS IN CORTICAL GLUCOSE-UTILIZATION [J].
FRIEDLAND, RP ;
BUDINGER, TF ;
KOSS, E ;
OBER, BA .
NEUROSCIENCE LETTERS, 1985, 53 (03) :235-240