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Research ArticleClinical Investigations

Longitudinal Progression of Cognitive Decline Correlates with Changes in the Spatial Pattern of Brain 18F-FDG PET

Sepideh Shokouhi, Daniel Claassen, Hakmook Kang, Zhaohua Ding, Baxter Rogers, Arabinda Mishra, William R. Riddle and for The Alzheimer’s Disease Neuroimaging Initiative
Journal of Nuclear Medicine September 2013, 54 (9) 1564-1569; DOI: https://doi.org/10.2967/jnumed.112.116137
Sepideh Shokouhi
1Department of Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, Nashville, Tennessee
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Daniel Claassen
2Department of Neurology, Vanderbilt University, Nashville, Tennessee; and
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Hakmook Kang
3Department of Biostatistics, Vanderbilt University, , Nashville, Tennessee
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Zhaohua Ding
1Department of Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, Nashville, Tennessee
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Baxter Rogers
1Department of Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, Nashville, Tennessee
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Arabinda Mishra
1Department of Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, Nashville, Tennessee
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William R. Riddle
1Department of Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, Nashville, Tennessee
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  • FIGURE 1.
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    FIGURE 1.

    Illustration of regional binary masks warped from reference brain to ADNI image volume with nonrigid deformation field. Regions include cerebellum (1); midbrain (2); pons (3); occipital lobe (4); cingulate cortex (5); sublobar region (6) including corpus callosum, caudate, putamen, globus pallidus, thalamus, and right and left frontal lobes (7, 8); right and left parietal lobes (9, 10); and right and left temporal lobes (11, 12).

  • FIGURE 2.
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    FIGURE 2.

    Comparison between 18F-FDG vectors at baseline and follow-up in 2 subjects. Lower figure shows subject with low correlation, and upper figure shows subject with high correlation.

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    FIGURE 3.

    Comparison between normal (black dashed line) and MCI (red solid line) subjects with respect to their rFTC(t).

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    FIGURE 4.

    Changes in rFTC, MMSE, FAQ, and ADAS_cog values with age in MCI subject who has large decline in cognitive scores.

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    FIGURE 5.

    Changes in rFTC, MMSE, FAQ, and ADAS_cog values with age in MCI subject who has moderate decline in cognitive scores.

Tables

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    TABLE 1

    Clinical Data of ADNI Subjects Used for This Study

    CharacteristicMCINormal
    No. of subjects2724
     Female1311
     Male1413
    Average age at baseline74.6 ± 7.274.53 ± 5.7
    APOE-ε4176
    Baseline ADAS_cog11 ± 4.76 ± 2.6
    Baseline FAQ3.2 ± 2.80.1 ± 0.6
    Baseline MMSE27.4 ± 1.429.2 ± 0.9
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    TABLE 2

    Outcome Results of 2 Mixed-Effects Models

    ModelFixed effectEstimateP
    1
     ADAS_cogtime:MCI1.60.0001
     rFTCtime:MCI−0.020.0001
     MMSEtime:MCI−0.820.0002
     FAQtime:MCI2.50.0001
    2
     ADAS_cogtime:APOE1.140.001
     rFTCtime:APOE−0.0140.008
     MMSEtime:APOE−0.440.007
     FAQtime:APOE1.320.0001
    • Both models were performed for rFTC(t), MMSE(t), ADAS-cog(t), and FAQ(t) as outcome variables. With the first model (time:MCI), we see how changes in these variables over time differed between MCI and normal subjects. Second model (time:APOE) shows how changes in these variables over time differed between the group with positive APOE-ε4 and control group.

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    TABLE 3

    Correlation Between rFTC and Cognitive Tests

    Method AMethod B
    VariableMedianPMedianP
    ADAS-cog/rFTC0.50.0110.810.0005
    MMSE/rFTC0.50.00390.640.00004
    FAQ/rFTC0.60.00160.40.0002
    • Wilcoxon rank-sum tests of Spearman rank correlation between rFTC and each of 3 cognitive tests (method A) and correlation between residuals of linear regressions on rFTC(t) and 3 cognitive tests (method B).

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Journal of Nuclear Medicine: 54 (9)
Journal of Nuclear Medicine
Vol. 54, Issue 9
September 1, 2013
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Longitudinal Progression of Cognitive Decline Correlates with Changes in the Spatial Pattern of Brain 18F-FDG PET
Sepideh Shokouhi, Daniel Claassen, Hakmook Kang, Zhaohua Ding, Baxter Rogers, Arabinda Mishra, William R. Riddle, for The Alzheimer’s Disease Neuroimaging Initiative
Journal of Nuclear Medicine Sep 2013, 54 (9) 1564-1569; DOI: 10.2967/jnumed.112.116137

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Longitudinal Progression of Cognitive Decline Correlates with Changes in the Spatial Pattern of Brain 18F-FDG PET
Sepideh Shokouhi, Daniel Claassen, Hakmook Kang, Zhaohua Ding, Baxter Rogers, Arabinda Mishra, William R. Riddle, for The Alzheimer’s Disease Neuroimaging Initiative
Journal of Nuclear Medicine Sep 2013, 54 (9) 1564-1569; DOI: 10.2967/jnumed.112.116137
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Keywords

  • Alzheimer imaging
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  • longitudinal 18F-FDG imaging
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