Resting state functional connectivity in preclinical Alzheimer’s disease
Open accessAbstract
There has been a dramatic increase in the number of studies using resting state functional magnetic resonance imaging (rs-fMRI), a recent addition to imaging analysis techniques. The technique analyzes ongoing low-frequency fluctuations in the blood oxygen level-dependent signal. Through patterns of spatial coherence, these fluctuations can be used to identify the networks within the brain. Multiple brain networks are present simultaneously, and the relationships within and between networks are in constant dynamic flux. Resting state fMRI functional connectivity analysis is increasingly used to detect subtle brain network differences and, in the case of pathophysiology, subtle abnormalities in illnesses such as Alzheimer's disease (AD). The sequence of events leading up to dementia has been hypothesized to begin many years or decades before any clinical symptoms occur. Here we review the findings across rs-fMRI studies in the spectrum of preclinical AD to clinical AD. In addition, we discuss evidence for underlying preclinical AD mechanisms, including an important relationship between resting state functional connectivity and brain metabolism and how this results in a distinctive pattern of amyloid plaque deposition in default mode network regions.
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Reduced functional connectivity in the hippocampus could be a marker preceding cognitive decline.
“Here reduced FC could be a marker preceding cognitive decline (Sheline and Raichle, 2013).”
From Early stage alterations in white matter and decreased functional interhemispheric hippocampal connectivity in the 3xTg mouse model of Alzheimer’s disease. (2019) · cites this paper as Sheline and Raichle, 2013
Some preclinical AD data has indicated altered rsfMRI FC resulting in a loss of connectivity in the default mode network and salience network, and this finding correlates with Aβ plaque accumulation, resulting in decreased connectivity between the precuneus and hippocampus.
“Some preclinical AD data has indicated altered rsfMRI FC (Sheline and Raichle, 2013) resulting in a loss of connectivity in the default mode network and salience network (Brier et al., 2012) and this finding correlates with Aβ plaque accumulation, resulting in decreased connectivity between the precuneus and hippocampus (Sheline et al., 2010).”
From Early stage alterations in white matter and decreased functional interhemispheric hippocampal connectivity in the 3xTg mouse model of Alzheimer’s disease. (2019) · cites this paper as Sheline and Raichle, 2013
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- Authors
- Sheline, Y. I., & Raichle, M. E.
- Affiliations
- Washington University in St. Louis (US)
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 74
- Issue
- 5
- Pages
- 340-347
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC3537262
- OpenAlex
- W2010216178
- Cited by
- 509
- References
- 14
- Citations by year
- 2026: 26 · 2025: 35 · 2024: 34 · 2023: 43 · 2022: 45 · 2021: 40 · 2020: 37 · 2019: 46 · 2018: 38 · 2017: 39 · 2016: 41 · 2015: 42 · 2014: 28 · 2013: 15
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NeoSync
- National Institute of Mental Health (K24 MH79510)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- preclinical Alzheimer's disease, resting-state functional connectivity, default mode network, brain metabolism, brain network dynamics, dementia pathophysiology, BOLD signal, spatial coherence
- MeSH terms
- Alzheimer Disease, Brain, Humans, Magnetic Resonance Imaging, Nerve Net, Cognitive Dysfunction, Prodromal Symptoms
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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