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ALTERATIONS OF VISUO-SPATIAL NETWORK AS AN EARLY DIAGNOSTIC MARKER OF COGNITIVE DECLINE
Abstract
Aims
Mild cognitive impairment (MCI) is the prodromal phase of Alzheimer’s disease preceding the first symptoms of severe cognitive decline with years. Recent studies indicate that changes in the functional brain networks are one of the first markers of MCI. Neuropsychological studies also suggest the early impairment of visuo-spatial skills. The aim of the study was to analyze the cortical visuo-spatial network in MCI.
Methods
50 MCI patients and 50 age matched healthy controls underwent neuropsychological assessment, clinical testing, structural and functional MRI acquisition. We defined parietal, frontal and superior temporal cortical areas as regions of interest in the analysis of fMRI. Seed- to-voxel and seed-to-ROI analyses were performed with FDR correction to estimate the functional connectivity between the cortical areas. Functional connectivity was measured as correlation among the analyzed brain areas and MCI patients were compared to healthy controls.
Results
Significant elevation in the functional connectivity among the short-distance frontal and temporal networks was highlighted in the MCI group compare to controls (p<0.001). Long-distance connections were significantly reduced between the left and right frontal areas between the right frontal and parietal areas in MCI (p<0.001).
Conclusions
Our results show that changes in the visuo-spatial cortical networks are significantly altered in the early phase of cognitive decline. Local connections increase, while commissural and associative connection are reduced. It suggests the relative isolation of neural areas with the loss of long-distance connections. Automated testing of visuo-spatial networks with neuroimaging might serve as a potential novel diagnostic marker for early screening of dementia.