Volumetric And Visual Rating Of Magnetic Resonance Imaging Scans In The Diagnosis Of Amnestic Mild Cognitive Impairment And Alzheimer's Disease

Author(s)

Qian Shen, University of Miami
David A. Loewenstein, University of Miami
Elizabeth Potter, Mount Sinai Medical Center, Miami Beach
Weizhao Zhao, University of Miami
Jason Appel, Mount Sinai Medical Center, Miami Beach
Maria T. Greig, Mount Sinai Medical Center, Miami Beach
Ashok Raj, Harvard Medical Center
Amarilis Acevedo, Nova Southeastern UniversityFollow
Elizabeth Schofield, University of South Florida
Warren Barker, Mount Sinai Medical Center, Miami Beach
Yougui Wu, University of South Florida
Huntington Potter, University of South Florida
Ranjan Duara, University of South Florida

Document Type

Article

Publication Title

Alzheimer's & Dementia

ISSN

1552-5260

Publication Date

7-2011

Abstract

Background

In the diagnosis of Alzheimer’s disease (AD), structural magnetic resonance imaging (MRI) scans have been used primarily to exclude non-Alzheimer’s causes of dementia. However, the pattern and the extent of medial temporal atrophy on structural MRI scans, which correlate strongly with the pathological severity of AD, can be used to support the diagnosis of a degenerative dementia, especially AD, even in its early predementia stage.

Methods

Elderly subjects (n = 224) were diagnosed with either no cognitive impairment (NCI), amnestic mild cognitive impairment (aMCI), or AD. Hippocampal and hemispheric gray matter volumes were measured on structural MRI scans, and a new visual rating system was used to score the severity of medial temporal atrophy (VRS-MTA) of the hippocampus (HPC), entorhinal cortex, and perirhinal cortex on a coronal image intersecting the mammillary bodies.

Results

Although both VRS-MTA scores and HPC volumes distinguished between subjects with NCI, aMCI, and AD, subjects with aMCI and NCI could be better distinguished using right VRS-MTA scores, in comparison with right HPC volumes. VRS-MTA scores were more highly correlated with episodic memory and Clinical Dementia Rating scores. A combination of left sided VRS-MTA scores and left sided hippocampal volume was the most predictive measure of diagnostic classification.

Conclusion

VRS-MTA is a clinically convenient method or distinguishing aMCI or AD from NCI. As compared with volumetric measures, it provides better discriminatory power and correlates more strongly with memory and functional scores.

DOI

10.1016/j.jalz.2010.07.002

Volume

7

Issue

4

First Page

e101

Last Page

e108

NSUWorks Citation

Shen, Q., Loewenstein, D. A., Potter, E., Zhao, W., Appel, J., Greig, M. T., Raj, A., Acevedo, A., Schofield, E., Barker, W., Wu, Y., Potter, H., Duara, R. (2011). Volumetric And Visual Rating Of Magnetic Resonance Imaging Scans In The Diagnosis Of Amnestic Mild Cognitive Impairment And Alzheimer's Disease. Alzheimer's & Dementia, 7(4), e101-e108.
Available at: https://nsuworks.nova.edu/cps_facarticles/123