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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