Pattern of brain atrophy rates in autopsy-confirmed dementia with Lewy bodies
Open accessAbstract
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.
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Studies have shown DLB with co-existing AD pathology is associated with faster rates of progression.
“In parallel, studies have shown that DLB with co-existing AD pathology is associated with faster rates of progression suggesting that the presence of AD pathology is likely the driver of atrophy [45, 46].”
From The use of neuroimaging techniques in the early and differential diagnosis of dementia (2023) · cites this paper as [45]
The presence of AD pathology is likely the driver of atrophy in DLB with co-existing AD pathology.
“suggesting that the presence of AD pathology is likely the driver of atrophy [45, 46].”
From The use of neuroimaging techniques in the early and differential diagnosis of dementia (2023) · cites this paper as [45]
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- Authors
- Nedelska, Z., Ferman, T. J., Boeve, B. F., Przybelski, S. A., Lesnick, T. G., Murray, M. E., Gunter, J. L., Senjem, M. L., Vemuri, P., Smith, G. E., Geda, Y. E., Graff-Radford, J., Knopman, D. S., Petersen, R. C., Parisi, J. E., Dickson, D. W., Jack, C. R., & Kantarci, K.
- Affiliations
- Mayo Clinic (US)
- Mayo Clinic in Florida (US)
- Corresponding author
- Kantarci, Kejal
- ORCID
- Venue
- Neurobiology of Aging
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 36
- Issue
- 1
- Pages
- 452-461
- ISSN
- 0197-4580 (ISSN-L)
- PMC
- PMC4268128
- OpenAlex
- W2040670498
- Cited by
- 155
- References
- 75
- Citations by year
- 2026: 6 · 2025: 15 · 2024: 13 · 2023: 6 · 2022: 16 · 2021: 18 · 2020: 12 · 2019: 16 · 2018: 13 · 2017: 14 · 2016: 14 · 2015: 10 · 2014: 1
- FWCI
- 9.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neurobiology of Aging (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (P50-AG16574/P1, R01AG040042, R01-AG015866, R01-AG11378, P50-AG16574)
- Mangurian Foundation
- CTSA (UL1 TR000135)
- National Center for Advancing Translational Sciences, United States
- Grant Agency of Charles University in Prague (624012)
- European Social Fund within the project Young Talent Incubator II (reg. CZ.1.07/2.3.00/20.0117)
- State Budget of the Czech Republic
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- dementia with Lewy bodies, brain atrophy rate, Alzheimer's disease pathology, regional brain atrophy, hippocampal atrophy, amygdala atrophy, ventriculomegaly, cognitive decline, MRI biomarkers
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Amygdala, Atrophy, Autopsy, Brain, Cognition, Female, Hippocampus, Humans, Magnetic Resonance Imaging, Male, Organ Size, Parietal Lobe, Temporal Lobe, Biomarkers, Neurofibrillary Tangles, Disease Progression, Lewy Body Disease
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