Cited by 126Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsNeurological Disease Mechanisms and Treatments

A SPECT study of apathy in Alzheimer's disease

Lanctôt, Krista L., Moosa, Shehnaz, Herrmann, Nathan, Leibovitch, Farrell S., Rothenburg, Lana, Cotter, Adolfo, Black, Sandra E.·2007·Dementia and Geriatric Cognitive Disorders

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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Crossref · 10.1159/000103633

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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).”
  • 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).”

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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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