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Diffusion kurtosis imaging allows the early detection and longitudinal follow‐up of amyloid‐β‐induced pathology
Open accessAbstract
BACKGROUND: Alzheimer's disease (AD) is a progressive neurodegenerative disorder and the most common cause of dementia in the elderly population. In this study, we used the APP/PS1 transgenic mouse model to explore the feasibility of using diffusion kurtosis imaging (DKI) as a tool for the early detection of microstructural changes in the brain due to amyloid-β (Aβ) plaque deposition. METHODS: We longitudinally acquired DKI data of wild-type (WT) and APP/PS1 mice at 2, 4, 6 and 8 months of age, after which these mice were sacrificed for histological examination. Three additional cohorts of mice were also included at 2, 4 and 6 months of age to allow voxel-based co-registration between diffusion tensor and diffusion kurtosis metrics and immunohistochemistry. RESULTS: Changes were observed in diffusion tensor (DT) and diffusion kurtosis (DK) metrics in many of the 23 regions of interest that were analysed. Mean and axial kurtosis were greatly increased owing to Aβ-induced pathological changes in the motor cortex of APP/PS1 mice at 4, 6 and 8 months of age. Additionally, fractional anisotropy (FA) was decreased in APP/PS1 mice at these respective ages. Linear discriminant analysis of the motor cortex data indicated that combining diffusion tensor and diffusion kurtosis metrics permits improved separation of WT from APP/PS1 mice compared with either diffusion tensor or diffusion kurtosis metrics alone. We observed that mean kurtosis and FA are the critical metrics for a correct genotype classification. Furthermore, using a newly developed platform to co-register the in vivo diffusion-weighted magnetic resonance imaging with multiple 3D histological stacks, we found high correlations between DK metrics and anti-Aβ (clone 4G8) antibody, glial fibrillary acidic protein, ionised calcium-binding adapter molecule 1 and myelin basic protein immunohistochemistry. Finally, we observed reduced FA in the septal nuclei of APP/PS1 mice at all ages investigated. The latter was at least partially also observed by voxel-based statistical parametric mapping, which showed significantly reduced FA in the septal nuclei, as well as in the corpus callosum, of 8-month-old APP/PS1 mice compared with WT mice. CONCLUSIONS: Our results indicate that DKI metrics hold tremendous potential for the early detection and longitudinal follow-up of Aβ-induced pathology.
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![Fig. 7 Voxel-based statistical parametric mapping. a Statistical parametric maps at two different levels in the brains of mice at 8 months of age. On these images, for each of the seven metrics (mean diffusivity [MD], axial diffusivity [AD], radial diffusivity [RD], mean kurtosis [MK], axial kurtosis [AK], radial kurtosis [RK] and fractional anisotropy [FA]), the voxels with a decreased value in APP/PS1 mice compared with wild-type (WT) mice are shown in blue, and the voxels with an increased value in APP/PS1 mice compared with WT mice are shown in red. Only voxels with a false discovery rate-corrected p > 0.05 are shown. b Close-up of the FA statistical parametric map showing reduced FA in APP/PS1 mice in the septal nuclei at 8 months of age (blue voxels). c Voxel-based correlation values between the percent optical density (%O.D.) anti-amyloid-β (clone 4G8) antibody (4G8), myelin basic protein (MBP), glial fibrillary acidic protein (GFAP) and ionised calcium-binding adapter molecule 1 (IBA1) and the diffusion tensor metrics (DT), the diffusion kurtosis metrics (DK), and the DT and DK metrics (DT/DK)](/paper-figures/421707896fea4dfaa81c10d072aa3588/diffusion-kurtosis-imaging-allows-the-early-detection-and-longitudinal-followup-figure-7.jpg)
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“Although Alzheimer’s disease (AD) is a leading cause, other forms such as vascular dementia (VD), Lewy body dementia (LBD) and frontotemporal dementia (FTD) are also prevalent9–11.”
From AI-based differential diagnosis of dementia etiologies on multimodal data (2024) · cites this paper as [10]
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“Advanced diffusion models—including diffusion kurtosis imaging (DKI), neurite orientation dispersion and density imaging (NODDI), and soma and neurite density imaging (SANDI) —offer improved sensitivity to microstructural complexity and may provide more biologically informative markers than DTI.”
From Diffusion MRI reveals amyloid plaque–associated cellular signatures through spatial transcriptomic integration (2026) · cites this paper as [20]
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“which may be associated primarily with the plaque deposition and related inflammation (Praet et al., 2018).”
From Age-dependent microstructure alterations in 5xFAD mice by high-resolution diffusion tensor imaging (2022) · cites this paper as Praet et al., 2018
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“Previous studies on 3×Tg-AD mice have reported significant volumetric decreases (Kong et al., 2018) and WM microstructural abnormalities (Praet et al., 2018; Gatto et al., 2019; Bergamino et al., 2023) in the CC and internal capsule compared with controls.”
From Multimodal MRI combined with RNA sequencing reveals pathological signatures in the 9-month-old 3×Tg-AD mouse brain (2026) · cites this paper as Praet et al., 2018
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“The heterogeneous FA alterations were observed in the subregions of the hippocampus, which may be associated primarily with the plaque deposition and related inflammation (Praet et al., 2018).”
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Metadata
- Authors
- Praet, J., Manyakov, N. V., Muchene, L., Mai, Z., Terzopoulos, V., de Backer, S., Torremans, A., Guns, P.-J., Van De Casteele, T., Bottelbergs, A., Van Broeck, B., Sijbers, J., Smeets, D., Shkedy, Z., Bijnens, L., Pemberton, D. J., Schmidt, M. E., Van der Linden, A., & Verhoye, M.
- Affiliations
- University of Antwerp (BE)
- Janssen (Belgium) (BE)
- Hasselt University (BE)
- Icometrix (Belgium) (BE)
- HistoGeneX (Belgium) (BE)
- Corresponding author
- Verhoye, Marleen
- ORCID
- Venue
- Alzheimer's Research & Therapy
- Published
- 2018-01-09
- Volume
- 10
- Issue
- 1
- Pages
- 1-1
- ISSN
- 1758-9193 (ISSN-L)
- PMC
- PMC6389136
- OpenAlex
- W2791831747
- Cited by
- 133
- References
- 61
- Citations by year
- 2026: 7 · 2025: 19 · 2024: 22 · 2023: 18 · 2022: 22 · 2021: 22 · 2020: 15 · 2019: 5 · 2018: 3
- FWCI
- 7.77
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Alzheimer s Research & Therapy (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Document Server@UHasselt (UHasselt) (submittedVersion, cc-by)
- Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, cc-by)
- Funders
- FP7 IAAP (612360)
- Hercules stichting (AUHA/012)
- IWT O&O (120178)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Keywords
- diffusion kurtosis imaging, amyloid-beta, APP/PS1 mice, Alzheimer's disease, early detection of neurodegeneration, fractional anisotropy, mean kurtosis, motor cortex, septal nuclei, corpus callosum, diffusion tensor imaging, longitudinal neuroimaging, glial fibrillary acidic protein, myelin basic protein, immunohistochemistry
- MeSH terms
- Aging, Animals, Brain, Disease Models, Animal, Feasibility Studies, Follow-Up Studies, Image Interpretation, Computer-Assisted, Immunohistochemistry, Longitudinal Studies, Male, Mice, Inbred C57BL, Mice, Transgenic, Imaging, Three-Dimensional, Diffusion Magnetic Resonance Imaging, Early Diagnosis, Plaque, Amyloid
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