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Cited by 213

The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.

A critical discussion of the role of neuroimaging in mild cognitive impairment*: Neuroimaging in MCI

Wolf, Henrike, Jelic, Vesna, Gertz, Hermann-Josef, Nordberg, Agneta, Julin, Per, Wahlund, Lars-Olof·2003·Acta Neurologica Scandinavica

Abstract

OBJECTIVE: In this paper, the current neuroimaging literature is reviewed with regard to characteristic findings in mild cognitive impairment (MCI). Particular attention is drawn to the possible value of neuroimaging modalities in the prediction and early diagnosis of Alzheimer's disease (AD). METHODS: First, the potential contribution of neuroimaging to an early, preclinical diagnosis of degenerative disorders is discussed at the background of our knowledge about the pathogenesis of AD. Second, relevant neuroimaging studies focusing on MCI are explored and summarized. Neuroimaging studies were found through Medline search and by systematically checking through the bibliographies of relevant articles. RESULTS: Structural volumetric magnetic resonance imaging (MRI) and positron emission tomography (PET)/single photon emission tomography (SPECT) are currently the most commonly used neuroimaging modalities in studies focusing on MCI. There were considerable variations in demographical and clinical characteristics across studies. However, significant hippocampal and entorhinal cortex volume reductions were consistently found in subjects with MCI as compared with cognitively unimpaired controls. While hippocampal and entorhinal cortex atrophy in subjects with MCI are also well-established risk factors for the development of AD, these measures cannot be regarded as being of high predictive value in an individual case. Evidence for other typical neuroimaging changes in MCI is still scarce. In PET and SPECT studies, reduced blood flow and/or glucose metabolism in temporoparietal association areas, posterior cingulate and hippocampus were associated with a higher risk of progressive cognitive decline in MCI. In quantitative electroencephalogram (QEEG), low beta, high theta, low alpha and slowed mean frequency were associated with development of dementia. CONCLUSIONS: Existing studies suggest that neuroimaging measures have the potential to become valuable tools in the early diagnosis of AD. To establish their value in routine use, larger studies, preferably with long prospective follow-up are needed.

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Metadata

Authors
Wolf, H., Jelic, V., Gertz, H.-J., Nordberg, A., Julin, P., & Wahlund, L.-O.
Venue
Acta Neurologica Scandinavica
Publisher
Wiley
Published
2003-02
Volume
107
Pages
52-76
ISSN
0001-6314 (ISSN-L)
OpenAlex
W2016158653
Cited by
213
References
22
FWCI
13.24
Type
journal article
Language
en
Open access
closed

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Wolf, H., Jelic, V., Gertz, H.-J., Nordberg, A., Julin, P., & Wahlund, L.-O. (2003). A critical discussion of the role of neuroimaging in mild cognitive impairment*: Neuroimaging in MCI. Acta Neurologica Scandinavica. https://doi.org/10.1034/j.1600-0404.107.s179.10.x

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