Skip to main content

Main menu

  • Home
  • Content
    • Current
    • Ahead of print
    • Past Issues
    • JNM Supplement
    • SNMMI Annual Meeting Abstracts
    • Continuing Education
    • JNM Podcasts
  • Subscriptions
    • Subscribers
    • Institutional and Non-member
    • Rates
    • Journal Claims
    • Corporate & Special Sales
  • Authors
    • Submit to JNM
    • Information for Authors
    • Assignment of Copyright
    • AQARA requirements
  • Info
    • Reviewers
    • Permissions
    • Advertisers
  • About
    • About Us
    • Editorial Board
    • Contact Information
  • More
    • Alerts
    • Feedback
    • Help
    • SNMMI Journals
  • SNMMI
    • JNM
    • JNMT
    • SNMMI Journals
    • SNMMI

User menu

  • Subscribe
  • My alerts
  • Log in
  • My Cart

Search

  • Advanced search
Journal of Nuclear Medicine
  • SNMMI
    • JNM
    • JNMT
    • SNMMI Journals
    • SNMMI
  • Subscribe
  • My alerts
  • Log in
  • My Cart
Journal of Nuclear Medicine

Advanced Search

  • Home
  • Content
    • Current
    • Ahead of print
    • Past Issues
    • JNM Supplement
    • SNMMI Annual Meeting Abstracts
    • Continuing Education
    • JNM Podcasts
  • Subscriptions
    • Subscribers
    • Institutional and Non-member
    • Rates
    • Journal Claims
    • Corporate & Special Sales
  • Authors
    • Submit to JNM
    • Information for Authors
    • Assignment of Copyright
    • AQARA requirements
  • Info
    • Reviewers
    • Permissions
    • Advertisers
  • About
    • About Us
    • Editorial Board
    • Contact Information
  • More
    • Alerts
    • Feedback
    • Help
    • SNMMI Journals
  • View or Listen to JNM Podcast
  • Visit JNM on Facebook
  • Join JNM on LinkedIn
  • Follow JNM on Twitter
  • Subscribe to our RSS feeds
Research ArticleNeurology

Progressive Disintegration of Brain Networking from Normal Aging to Alzheimer Disease: Analysis of Independent Components of 18F-FDG PET Data

Marco Pagani, Alessandro Giuliani, Johanna Öberg, Fabrizio De Carli, Silvia Morbelli, Nicola Girtler, Dario Arnaldi, Jennifer Accardo, Matteo Bauckneht, Francesca Bongioanni, Andrea Chincarini, Gianmario Sambuceti, Cathrine Jonsson and Flavio Nobili
Journal of Nuclear Medicine July 2017, 58 (7) 1132-1139; DOI: https://doi.org/10.2967/jnumed.116.184309
Marco Pagani
1Institute of Cognitive Sciences and Technologies, CNR, Rome, Italy
2Department of Nuclear Medicine, Karolinska Hospital, Stockholm, Sweden
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alessandro Giuliani
3Environment and Health Department, Istituto Superiore di Sanità, Rome, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Johanna Öberg
4Department of Hospital Physics, Karolinska Hospital, Stockholm, Sweden
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Fabrizio De Carli
5Institute of Molecular Bioimaging and Physiology, CNR, Genoa, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Silvia Morbelli
6Departments of Nuclear Medicine and Health Science, University of Genoa, and IRCCS AOU San Martino–IST, Genoa, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nicola Girtler
7Clinical Neurology, Department of Neuroscience, University of Genoa, and IRCCS AOU San Martino–IST, Genoa, Italy
8Clinical Psychology, IRCCS AOU San Martino–IST, Genoa, Italy; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Dario Arnaldi
7Clinical Neurology, Department of Neuroscience, University of Genoa, and IRCCS AOU San Martino–IST, Genoa, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jennifer Accardo
7Clinical Neurology, Department of Neuroscience, University of Genoa, and IRCCS AOU San Martino–IST, Genoa, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Matteo Bauckneht
6Departments of Nuclear Medicine and Health Science, University of Genoa, and IRCCS AOU San Martino–IST, Genoa, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Francesca Bongioanni
6Departments of Nuclear Medicine and Health Science, University of Genoa, and IRCCS AOU San Martino–IST, Genoa, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andrea Chincarini
9National Institute of Nuclear Physics, Genoa, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Gianmario Sambuceti
6Departments of Nuclear Medicine and Health Science, University of Genoa, and IRCCS AOU San Martino–IST, Genoa, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Cathrine Jonsson
4Department of Hospital Physics, Karolinska Hospital, Stockholm, Sweden
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Flavio Nobili
7Clinical Neurology, Department of Neuroscience, University of Genoa, and IRCCS AOU San Martino–IST, Genoa, Italy
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Additional Files
  • FIGURE 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 1.

    Topographic representation of clusters in which 18F-FDG uptake was significantly lower in MCI converters (n = 95) than in MCI nonconverters (n = 27) (threshold P < 0.05, corrected for multiple comparisons with familywise error option). Clusters are superimposed on Montreal Neurologic Institute template in coronal (left), sagittal (middle), and transversal (right) views.

  • FIGURE 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 2.

    (Left) For each severity class, negative correlations between percentage of variance explained by first principal component (λ1) and generation of local circuits expressed as total independent-component extent in voxels (top) and number of independent components (bottom). (Right) Relations between disease severity class and average independent-component extent (top) and number of independent components (bottom). MCI > 2 y = MCI converters after more than 2 y; IC = independent component; MCI ≤ 2 y = MCI converters within 2 y; NA = normally aging individuals; MCI NC = MCI nonconverters.

  • FIGURE 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 3.

    Topographic representations of independent components identifying sensorimotor cortex (A), left temporal cortex (B), posterior cingulate cortex/precuneus (C), and sylvian temporal cortex (D) on brain surfaces. Regions obtained from ICA have been superimposed on Montreal Neurologic Institute template in coronal (left), sagittal (middle), and transversal (right) views.

  • FIGURE 4.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 4.

    Receiver-operating-characteristic curves obtained by SVM classifier as applied to 3 different datasets.

Tables

  • Figures
  • Additional Files
    • View popup
    TABLE 1

    Demographic Data

    GroupEducation (y)Age at PET (y)MMSE*Sex
    Normal aging10.0 ± 4.168.8 ± 9.729.1 ± 0.912 M, 32 F
    Nonconverting MCI8.9 ± 3.771.9 ± 6.426.8 ± 1.516 M, 12 F
    MCI > 2 y10.4 ± 5.074.7 ± 7.026.3 ± 1.68 M, 28 F
    MCI ≤ 2 y9.9 ± 4.575.5 ± 6.525.8 ± 1.922 M, 36 F
    AD7.4 ± 4.273.4 ± 7.419.2 ± 4.018 M, 36 F
    • ↵* Normalized for education

    • MCI > 2 y = MCI converting after more than 2 y; MCI ≤ 2 y = MCI converting within 2 y.

    • Qualitative data are expressed as numbers; continuous data are expressed as mean ± SD.

    • View popup
    TABLE 2

    Independent Components Identified as Pathophysiologically Significant in Each Group

    NANC MCIMCI > 2 yMCI ≤ 2 yAD
    ICSizeRegionsICSizeRegionsICSizeRegionsICSizeRegionsICSizeRegions
    32,309DLFC+MFG
    6907SMA, premotor, and BA9
    42,408PCC+iPL (postDMN)63,210PCC+iPL (postDMN)
    14813Basal ganglia71,277Basal ganglia192,960Basal ganglia+thalamic
    155,083Primary visual163,117Primary visual75,346Primary visual105,721Primary visual1&98,783Primary visual
    15,971Cerebellum142,679Cerebellum45,358Cerebellum45,183Cerebellum35,178Cerebellum
    71,470L sPL11,756L sPL+L DLFC+L T
    8891R sensorimotor161,493R sensorimotor192,370Sensorimotor103,588Sensorimotor
    151,702Sylvian temporal34,161Sylvian temporal34,464Sylvian temporal83,121Sylvian temporal
    11,038L DLFC
    21,700iPL+O
    12787VLFC
    94,691R iPL+R T55,190R iPL+R T54,466iPL+R T
    172,922R iPL+R O+R T154,000R iPL+R O
    121,748Thalami
    132,231L O
    11,129R MTL61,357MTL
    22,565VLFC183,888VLFC
    64,427sPL135,119sPL
    123,700PCC73,343PCC+PC
    81,894O
    94,281L sPL+PC+L T
    131,526DLFC
    142,978L T
    162,959L T
    Voxel extent17,49116,59429,70643,72751,740
    Number9991314
    • NA = normal aging; NC = nonconverting; MCI > 2 y = MCI converting after more than 2 y; MCI ≤ 2 y = MCI converting within 2 y; IC = independent component; DLFC = dorsolateral frontal cortex; MFG = medial frontal gyrus; SMA = supplementary motor area; BA = Brodmann area; PCC = posterior cingulate cortex; iPL = inferior parietal lobule; postDNM = posterior default-mode network; L = left; sPL superior parietal lobule; T = temporal; R = right; O = occipital; VLFC = ventrolateral frontal cortex; MTL = mesial temporal lobe; PC = precuneus.

    • View popup
    TABLE 3

    Discriminant Models

    NA vs. (converting MCI+AD)Nonconverting MCI vs. (converting MCI+AD)
    1 component4 components1 component4 components
    ParameterExp.CIExp.CIExp.CIExp.CI
    Model performance
     Sensitivity75.870.1–82.790.185.9–95.381.975.7–88.683.277.2–89.2
     Specificity83.372.1–94.688.178.3–97.977.862.1–93.585.271.8–98.6
     Accuracy77.571.6–83.490.085.8–94.381.375.5–87.083.578.0–89.0
     ROC AUC85.579.3–90.693.188.0–95.787.280.4–92.789.483.3–93.3
    Within-group classificationNAADNAADNCADNCAD
     NA81.019.092.97.181.0*19.0*88.1*11.9*
     Nonconverters66.7*33.3*88.2*14.8*85.214.896.33.7
     Early MCI29.770.318.981.135.164.929.770.3
     Late MCI27.672.419.081.029.370.720.779.3
     AD13.087.014.885.213.087.014.885.2
    • * Not involved in training step.

    • Exp. = expected value; CI = confidence interval; ROC AUC = area under receiver-operating-characteristic curve; NA = normal aging.

    • Discriminant models are as evaluated by leave-one-out cross-validation considering partitions into two contrasting groups: NA vs. all AD and nonconverting MCI vs. all AD. Linear discrimination was applied to best discriminant region (1 component), which in both cases was left temporal cortex. Four-component models were based on SVM method and involved sensorimotor cortex, left temporal cortex, posterior cingulate cortex/precuneus, and sylvian temporal cortex. Two-level discrimination as obtained by each model for each group is reported (within-group classification). Data are percentages.

Additional Files

  • Figures
  • Tables
  • Supplemental Data

    Files in this Data Supplement:

    • Supplemental Data
PreviousNext
Back to top

In this issue

Journal of Nuclear Medicine: 58 (7)
Journal of Nuclear Medicine
Vol. 58, Issue 7
July 1, 2017
  • Table of Contents
  • Table of Contents (PDF)
  • About the Cover
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Journal of Nuclear Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Progressive Disintegration of Brain Networking from Normal Aging to Alzheimer Disease: Analysis of Independent Components of 18F-FDG PET Data
(Your Name) has sent you a message from Journal of Nuclear Medicine
(Your Name) thought you would like to see the Journal of Nuclear Medicine web site.
Citation Tools
Progressive Disintegration of Brain Networking from Normal Aging to Alzheimer Disease: Analysis of Independent Components of 18F-FDG PET Data
Marco Pagani, Alessandro Giuliani, Johanna Öberg, Fabrizio De Carli, Silvia Morbelli, Nicola Girtler, Dario Arnaldi, Jennifer Accardo, Matteo Bauckneht, Francesca Bongioanni, Andrea Chincarini, Gianmario Sambuceti, Cathrine Jonsson, Flavio Nobili
Journal of Nuclear Medicine Jul 2017, 58 (7) 1132-1139; DOI: 10.2967/jnumed.116.184309

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Progressive Disintegration of Brain Networking from Normal Aging to Alzheimer Disease: Analysis of Independent Components of 18F-FDG PET Data
Marco Pagani, Alessandro Giuliani, Johanna Öberg, Fabrizio De Carli, Silvia Morbelli, Nicola Girtler, Dario Arnaldi, Jennifer Accardo, Matteo Bauckneht, Francesca Bongioanni, Andrea Chincarini, Gianmario Sambuceti, Cathrine Jonsson, Flavio Nobili
Journal of Nuclear Medicine Jul 2017, 58 (7) 1132-1139; DOI: 10.2967/jnumed.116.184309
Twitter logo Facebook logo LinkedIn logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
    • Abstract
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSION
    • DISCLOSURE
    • Acknowledgments
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • PDF

Related Articles

  • This Month in JNM
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

Neurology

  • Dopamine D1 Receptor Agonist PET Tracer Development: Assessment in Nonhuman Primates
  • Hypermetabolism on Pediatric PET Scans of Brain Glucose Metabolism: What Does It Signify?
  • TauIQ: A Canonical Image Based Algorithm to Quantify Tau PET Scans
Show more Neurology

Clinical

  • Dopamine D1 Receptor Agonist PET Tracer Development: Assessment in Nonhuman Primates
  • Hypermetabolism on Pediatric PET Scans of Brain Glucose Metabolism: What Does It Signify?
  • TauIQ: A Canonical Image Based Algorithm to Quantify Tau PET Scans
Show more Clinical

Similar Articles

Keywords

  • 18F-FDG PET
  • independent-component analysis
  • normal aging
  • Mild cognitive impairment
  • Alzheimer disease
SNMMI

© 2025 SNMMI

Powered by HighWire