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Journal of Neurology, Neurosurgery, and Psychiatry 2000;69:528-530; doi:10.1136/jnnp.69.4.528
Copyright © 2000 by the BMJ Publishing Group Ltd.
J Neurol Neurosurg Psychiatry 2000;69:528-530 ( October )

Short report

Loss of connectivity in Alzheimer's disease: an evaluation of white matter tract integrity with colour coded MR diffusion tensor imaging Stephen E Rosea, Fang Chena, Jonathan B Chalkb, Fernando O Zelayad, Wendy E Strugnellc, Mark Bensonc, James Semplee, David M Doddrella

a Centre for Magnetic Resonance, University of Queensland, Brisbane 4072, Australia, b Department of Medicine, c Department of Radiology, Princess Alexandra Hospital, Woolloongabba, Brisbane, Australia, d Institute of Psychiatry, DeCrespigny Park, London, SE5 8AF, UK, e SmithKline Beecham Pharmaceuticals, Addenbrooke's Centre for Clinical Investigation, Academic Department of Psychiatry, University of Cambridge, Cambridge, CB2 2GG, UK

Correspondence to: Dr Stephen Rose Stephen.Rose{at}cmr.uq.edu.au

Received 23 September 1999 and in revised form 5 April 2000; Accepted 21 May 2000

A NOVEL MRI METHOD---diffusion tensor imaging---was used to compare the integrity of several white matter fibre tracts in patients with probable Alzheimer's disease. Relative to normal controls, patients with probable Alzheimer's disease showed a highly significant reduction in the integrity of the association white matter fibre tracts, such as the splenium of the corpus callosum, superior longitudinal fasciculus, and cingulum. By contrast, pyramidal tract integrity seemed unchanged. This novel finding is consistent with the clinical presentation of probable Alzheimer's disease, in which global cognitive decline is a more prominent feature than motor disturbance.


Keywords: Alzheimer's disease; diffusion tensor MRI


© 2000 by Journal of Neurology, Neurosurgery, and Psychiatry

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