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The relative brain signal variability increases in the behavioral variant of frontotemporal dementia and Alzheimer’s disease but not in schizophrenia
Overlapping symptoms between Alzheimer’s disease (AD), behavioral variant of frontotemporal dementia (bvFTD), and schizophrenia (SZ) can lead to misdiagnosis and delays in appropriate treatment, especially in cases of early-onset dementia. To determine the potential of brain signal variability as a...
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Published in: | Journal of cerebral blood flow and metabolism 2024-12, Vol.44 (12), p.1535-1549 |
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container_title | Journal of cerebral blood flow and metabolism |
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creator | Tuovinen, Timo Häkli, Jani Rytty, Riikka Krüger, Johanna Korhonen, Vesa Järvelä, Matti Helakari, Heta Kananen, Janne Nikkinen, Juha Veijola, Juha Remes, Anne M Kiviniemi, Vesa Rosen, Howard Dickerson, Bradford C Domoto-Reilly, Kimoko Knopman, David Boeve, Bradley F Boxer, Adam L Kornak, John Miller, Bruce L Seeley, William W Tempini, Maria Luisa Gorno McGinnis, Scott Mandelli, Maria Luisa |
description | Overlapping symptoms between Alzheimer’s disease (AD), behavioral variant of frontotemporal dementia (bvFTD), and schizophrenia (SZ) can lead to misdiagnosis and delays in appropriate treatment, especially in cases of early-onset dementia. To determine the potential of brain signal variability as a diagnostic tool, we assessed the coefficient of variation of the BOLD signal (CVBOLD) in 234 participants spanning bvFTD (n = 53), AD (n = 17), SZ (n = 23), and controls (n = 141). All underwent functional and structural MRI scans. Data unveiled a notable increase in CVBOLD in bvFTD patients across both datasets (local and international, p |
doi_str_mv | 10.1177/0271678X241262583 |
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To determine the potential of brain signal variability as a diagnostic tool, we assessed the coefficient of variation of the BOLD signal (CVBOLD) in 234 participants spanning bvFTD (n = 53), AD (n = 17), SZ (n = 23), and controls (n = 141). All underwent functional and structural MRI scans. Data unveiled a notable increase in CVBOLD in bvFTD patients across both datasets (local and international, p < 0.05), revealing an association with clinical scores (CDR and MMSE, r = 0.46 and r = −0.48, p < 0.0001). While SZ and control group demonstrated no significant differences, a comparative analysis between AD and bvFTD patients spotlighted elevated CVBOLD in the frontopolar cortices for the latter (p < 0.05). Furthermore, CVBOLD not only presented excellent diagnostic accuracy for bvFTD (AUC 0.78–0.95) but also showcased longitudinal repeatability. During a one-year follow-up, the CVBOLD levels increased by an average of 35% in the bvFTD group, compared to a 2% increase in the control group (p < 0.05). Our findings suggest that CVBOLD holds promise as a biomarker for bvFTD, offering potential for monitoring disease progression and differentiating bvFTD from AD and SZ.</description><identifier>ISSN: 0271-678X</identifier><identifier>ISSN: 1559-7016</identifier><identifier>EISSN: 1559-7016</identifier><identifier>DOI: 10.1177/0271678X241262583</identifier><identifier>PMID: 38897598</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Alzheimer Disease - diagnosis ; Alzheimer Disease - diagnostic imaging ; Brain - diagnostic imaging ; Brain - physiopathology ; Female ; Frontotemporal Dementia - diagnosis ; Frontotemporal Dementia - diagnostic imaging ; Frontotemporal Dementia - physiopathology ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Original ; Schizophrenia - diagnostic imaging ; Schizophrenia - physiopathology</subject><ispartof>Journal of cerebral blood flow and metabolism, 2024-12, Vol.44 (12), p.1535-1549</ispartof><rights>The Author(s) 2024</rights><rights>The Author(s) 2024 2024 International Society for Cerebral Blood Flow and Metabolism</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c321t-39097c202b0d84dacb52dc3bf7613a9fe0fe53fa0208f5b3bd71e7e8005b112c3</cites><orcidid>0000-0001-9403-4583 ; 0000-0001-6831-8056 ; 0000-0001-7079-3673</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904,79110</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38897598$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tuovinen, Timo</creatorcontrib><creatorcontrib>Häkli, Jani</creatorcontrib><creatorcontrib>Rytty, Riikka</creatorcontrib><creatorcontrib>Krüger, Johanna</creatorcontrib><creatorcontrib>Korhonen, Vesa</creatorcontrib><creatorcontrib>Järvelä, Matti</creatorcontrib><creatorcontrib>Helakari, Heta</creatorcontrib><creatorcontrib>Kananen, Janne</creatorcontrib><creatorcontrib>Nikkinen, Juha</creatorcontrib><creatorcontrib>Veijola, Juha</creatorcontrib><creatorcontrib>Remes, Anne M</creatorcontrib><creatorcontrib>Kiviniemi, Vesa</creatorcontrib><creatorcontrib>Rosen, Howard</creatorcontrib><creatorcontrib>Dickerson, Bradford C</creatorcontrib><creatorcontrib>Domoto-Reilly, Kimoko</creatorcontrib><creatorcontrib>Knopman, David</creatorcontrib><creatorcontrib>Boeve, Bradley F</creatorcontrib><creatorcontrib>Boxer, Adam L</creatorcontrib><creatorcontrib>Kornak, John</creatorcontrib><creatorcontrib>Miller, Bruce L</creatorcontrib><creatorcontrib>Seeley, William W</creatorcontrib><creatorcontrib>Tempini, Maria Luisa Gorno</creatorcontrib><creatorcontrib>McGinnis, Scott</creatorcontrib><creatorcontrib>Mandelli, Maria Luisa</creatorcontrib><creatorcontrib>Frontotemporal Lobar Degeneration Neuroimaging Initiative</creatorcontrib><creatorcontrib>on behalf of the Frontotemporal Lobar Degeneration Neuroimaging Initiative</creatorcontrib><title>The relative brain signal variability increases in the behavioral variant of frontotemporal dementia and Alzheimer’s disease but not in schizophrenia</title><title>Journal of cerebral blood flow and metabolism</title><addtitle>J Cereb Blood Flow Metab</addtitle><description>Overlapping symptoms between Alzheimer’s disease (AD), behavioral variant of frontotemporal dementia (bvFTD), and schizophrenia (SZ) can lead to misdiagnosis and delays in appropriate treatment, especially in cases of early-onset dementia. To determine the potential of brain signal variability as a diagnostic tool, we assessed the coefficient of variation of the BOLD signal (CVBOLD) in 234 participants spanning bvFTD (n = 53), AD (n = 17), SZ (n = 23), and controls (n = 141). All underwent functional and structural MRI scans. Data unveiled a notable increase in CVBOLD in bvFTD patients across both datasets (local and international, p < 0.05), revealing an association with clinical scores (CDR and MMSE, r = 0.46 and r = −0.48, p < 0.0001). While SZ and control group demonstrated no significant differences, a comparative analysis between AD and bvFTD patients spotlighted elevated CVBOLD in the frontopolar cortices for the latter (p < 0.05). Furthermore, CVBOLD not only presented excellent diagnostic accuracy for bvFTD (AUC 0.78–0.95) but also showcased longitudinal repeatability. During a one-year follow-up, the CVBOLD levels increased by an average of 35% in the bvFTD group, compared to a 2% increase in the control group (p < 0.05). Our findings suggest that CVBOLD holds promise as a biomarker for bvFTD, offering potential for monitoring disease progression and differentiating bvFTD from AD and SZ.</description><subject>Adult</subject><subject>Aged</subject><subject>Alzheimer Disease - diagnosis</subject><subject>Alzheimer Disease - diagnostic imaging</subject><subject>Brain - diagnostic imaging</subject><subject>Brain - physiopathology</subject><subject>Female</subject><subject>Frontotemporal Dementia - diagnosis</subject><subject>Frontotemporal Dementia - diagnostic imaging</subject><subject>Frontotemporal Dementia - physiopathology</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Schizophrenia - diagnostic imaging</subject><subject>Schizophrenia - physiopathology</subject><issn>0271-678X</issn><issn>1559-7016</issn><issn>1559-7016</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><recordid>eNp9kc9qFTEYxYMo9lp9ADeSpZtp8-fmJrOSUqoWCm4quAtJ5ps7KTPJNclcaFe-hfh6PokZb1sUwVU-OL9zcuAg9JqSE0qlPCVM0o1UX9iasg0Tij9BKypE20hCN0_RatGbBThCL3K-IYQoLsRzdMSVaqVo1Qp9vx4AJxhN8XvANhkfcPbbYEa8N8kb60dfbrEPLoHJkOuFS7VYGMzex_TAhYJjj_sUQ4kFpt1vpYMJQvEGm9Dhs_FuAD9B-vntR8adz0setnPBIZYlNrvB38XdkCB48xI9682Y4dX9e4w-v7-4Pv_YXH36cHl-dtU4zmhpeEta6RhhlnRq3RlnBesct73cUG7aHkgPgveGMKJ6YbntJAUJihBhKWWOH6N3h9zdbCfoXO1bm-td8pNJtzoar_9Wgh_0Nu41pUKuWy5qwtv7hBS_zpCLnnx2MI4mQJyz5kQSxQSnrKL0gLoUc07QP_5DiV4W1f8sWj1v_iz46HiYsAInByCbLeibOKc6Xv5P4i_RHa9z</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Tuovinen, Timo</creator><creator>Häkli, Jani</creator><creator>Rytty, Riikka</creator><creator>Krüger, Johanna</creator><creator>Korhonen, Vesa</creator><creator>Järvelä, Matti</creator><creator>Helakari, Heta</creator><creator>Kananen, Janne</creator><creator>Nikkinen, Juha</creator><creator>Veijola, Juha</creator><creator>Remes, Anne M</creator><creator>Kiviniemi, Vesa</creator><creator>Rosen, Howard</creator><creator>Dickerson, Bradford C</creator><creator>Domoto-Reilly, Kimoko</creator><creator>Knopman, David</creator><creator>Boeve, Bradley F</creator><creator>Boxer, Adam L</creator><creator>Kornak, John</creator><creator>Miller, Bruce L</creator><creator>Seeley, William W</creator><creator>Tempini, Maria Luisa Gorno</creator><creator>McGinnis, Scott</creator><creator>Mandelli, Maria Luisa</creator><general>SAGE Publications</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9403-4583</orcidid><orcidid>https://orcid.org/0000-0001-6831-8056</orcidid><orcidid>https://orcid.org/0000-0001-7079-3673</orcidid></search><sort><creationdate>20241201</creationdate><title>The relative brain signal variability increases in the behavioral variant of frontotemporal dementia and Alzheimer’s disease but not in schizophrenia</title><author>Tuovinen, Timo ; 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To determine the potential of brain signal variability as a diagnostic tool, we assessed the coefficient of variation of the BOLD signal (CVBOLD) in 234 participants spanning bvFTD (n = 53), AD (n = 17), SZ (n = 23), and controls (n = 141). All underwent functional and structural MRI scans. Data unveiled a notable increase in CVBOLD in bvFTD patients across both datasets (local and international, p < 0.05), revealing an association with clinical scores (CDR and MMSE, r = 0.46 and r = −0.48, p < 0.0001). While SZ and control group demonstrated no significant differences, a comparative analysis between AD and bvFTD patients spotlighted elevated CVBOLD in the frontopolar cortices for the latter (p < 0.05). Furthermore, CVBOLD not only presented excellent diagnostic accuracy for bvFTD (AUC 0.78–0.95) but also showcased longitudinal repeatability. During a one-year follow-up, the CVBOLD levels increased by an average of 35% in the bvFTD group, compared to a 2% increase in the control group (p < 0.05). Our findings suggest that CVBOLD holds promise as a biomarker for bvFTD, offering potential for monitoring disease progression and differentiating bvFTD from AD and SZ.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>38897598</pmid><doi>10.1177/0271678X241262583</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0001-9403-4583</orcidid><orcidid>https://orcid.org/0000-0001-6831-8056</orcidid><orcidid>https://orcid.org/0000-0001-7079-3673</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Alzheimer Disease - diagnosis Alzheimer Disease - diagnostic imaging Brain - diagnostic imaging Brain - physiopathology Female Frontotemporal Dementia - diagnosis Frontotemporal Dementia - diagnostic imaging Frontotemporal Dementia - physiopathology Humans Magnetic Resonance Imaging Male Middle Aged Original Schizophrenia - diagnostic imaging Schizophrenia - physiopathology |
title | The relative brain signal variability increases in the behavioral variant of frontotemporal dementia and Alzheimer’s disease but not in schizophrenia |
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