A SPECT study of apathy in Alzheimer's disease
Abstract
BACKGROUND/AIMS: To assess the association between regional cerebral blood flow (rCBF) and apathy in Alzheimer's Disease (AD). METHODS: SPECT and MRI scans were obtained from 51 nondepressed outpatients meeting criteria for probable AD (age 77.6 +/- 6.6 years; MMSE 22.3 +/- 5.1; 23 apathetic, 28 nonapathetic) and 23 healthy elderly (75.6 +/- 3.8 years) controls. The following regions of interest (ROIs) were compared between apathetic and nonapathetic AD patients and then referenced against aged controls: anterior cingulate, orbitofrontal cortex, middle medial temporal cortex, hippocampus, medial superior temporal cortex, thalamus/hypothalamus and pons. RESULTS: Apathetic and nonapathetic patients had significant differences in rCBF. Relative to nonapathetic AD patients, apathetic AD patients had lower perfusion in 2 ROIs (right orbitofrontal cortex and left anterior cingulate) and higher perfusion in 5 ROIs (right and left hippocampi, left medial superior temporal gyrus, and right and left middle medial temporal cortex). Comparison of rCBF in these 7 ROIs to healthy elderly controls confirmed hypoperfusion in the left anterior cingulate and right orbitofrontal cortex and suggested a relative sparing of perfusion among apathetic AD patients in the remaining 5 ROIs. CONCLUSIONS: In this group of nondepressed patients with AD, apathetic subjects displayed significant perfusion differences compared to nonapathetic subjects.
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Apathy in Alzheimer's disease is associated with decreased perfusion in anterior cingulate cortex.
“Similarly apathy is associated with decreased perfusion in ACC (Benoit et al., 2004; Lanctôt et al., 2007; Robert et al., 2006), decreased ACC white matter integrity by DTI (Hahn et al., 2013; Kim et al., 2011; Ota et al., 2012) and increased amyloid burden in right ACC (Mori et al., 2014).”
From Neuropsychiatric symptoms in Alzheimer's disease: what might be associated brain circuits? (2015) · cites this paper as Lanctôt et al., 2007
Apathy in Alzheimer's disease is associated with greater amyloid burden in bilateral frontal cortex, reduced orbitofrontal metabolism on the left or right, and reduced connectivity in left-sided functional connectivity with frontal cortex.
“Apathy is further associated with greater amyloid burden in bilateral frontal cortex (Mori et al., 2014), reduced orbitofrontal metabolism on the left (Holthoff et al., 2005) or right (Lanctôt et al., 2007), and reduced connectivity in left-sided functional connectivity with frontal cortex (Baggio et al., 2015).”
From Neuropsychiatric symptoms in Alzheimer's disease: what might be associated brain circuits? (2015) · cites this paper as Lanctôt et al., 2007
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A functional neuroimaging study of appetite loss in Alzheimer’s disease
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Olfaction and apathy in Parkinson's disease
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Dysfunctional effort-based decision-making underlies apathy in genetic cerebral small vessel disease
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Neurocognitive Correlates of Apathy and Anxiety in Parkinson's Disease
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A transdiagnostic review of neuroimaging studies of apathy and disinhibition in dementia
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An Update on Apathy in Alzheimer’s Disease
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Depressive symptoms and regional cerebral blood flow in Alzheimer's disease
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Pharmacological Therapy for Apathy in Alzheimer’s Disease: A Systematic Review and Meta-Analysis
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Frontal Assessment Battery and brain perfusion images in amnestic mild cognitive impairment
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Revisiting Apathy in Alzheimer's Disease: From Conceptualization to Therapeutic Approaches
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Apathy and Olfactory Dysfunction in Early Parkinson’s Disease
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Exploring social cognition in patients with apathy following acquired brain damage
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Apathy Predicts More Severe Parkinsonism in Alzheimer's Disease
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Apathy and Attentional Biases in Alzheimer’s Disease
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Neural Basis of Apathy in Patients with Amnestic Mild Cognitive Impairment
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Gait and Apathy as Relevant Symptoms of Subcortical Vascular Dementia
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Psychometric Properties of Apathy Scales in Dementia: A Systematic Review
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Trail Making Test Part A and Brain Perfusion Imaging in Mild Alzheimer's Disease
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Lack of Association Between COMT Polymorphisms and Apathy in Alzheimer's Disease
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- Authors
- Lanctôt, K. L., Moosa, S., Herrmann, N., Leibovitch, F. S., Rothenburg, L., Cotter, A., & Black, S. E.
- Affiliations
- University of Toronto (CA)
- Sunnybrook Health Science Centre (CA)
- Venue
- Dementia and Geriatric Cognitive Disorders
- Publisher
- S. Karger AG
- Published
- 2007
- Volume
- 24
- Issue
- 1
- Pages
- 65-72
- ISSN
- 1420-8008 (ISSN-L)
- 1421-9824
- OpenAlex
- W2065519255
- Cited by
- 126
- References
- 61
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 6 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 8 · 2017: 7 · 2016: 7 · 2015: 10 · 2014: 7 · 2013: 11 · 2012: 6
- FWCI
- 4.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Dementia and Geriatric Cognitive Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- apathy, Alzheimer's disease, regional cerebral blood flow, cerebral perfusion, anterior cingulate cortex, orbitofrontal cortex, hippocampus, medial temporal cortex, thalamus, passive optical networks, cerebral hypoperfusion
- MeSH terms
- Aged, Alzheimer Disease, Brain, Cerebrovascular Circulation, Depression, Female, Humans, Male, Middle Aged, Tomography, Emission-Computed, Single-Photon
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