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[Quantitative magnetic resonance tomography and the severity of deficits in dementia of the Alzheimer type].
Nervenarzt 1996; 67(1):46-52N

Abstract

The aim of the present study was to investigate the severity of dementia of the Alzheimer type (DAT) with respect to morphological changes revealed by quantitative magnetic resonance imaging (MRI). Seventeen patients with DAT (NINCDS-ADRDA guidelines) and 10 healthy elderly controls were included. The severity of dementia was evaluated on the Mini Mental State Examination (MMSE), the Global Deterioration Scale (GDS) and the Brief Cognitive Rating Scale (BCRS). Three-dimensional MRI sequences were acquired using a 1.5-T Siemens Magnetom. Whole-brain volume and the volume of the amygdala-hippocampus complex (AHC) were assessed using the newly developed software NMRWin. This software provides a semi-automated measure of the whole brain volume, while measurement of substructures requires manual guidance. In addition, the ventricle-brain ratio (VBR) was assessed. All morphometric parameters differed significantly between the two groups. AHC volumes discriminated best between them with only a small overlap. These findings were confirmed when only the data of the mildly demented patients were included in the analysis. The degree of AHC atrophy exceeded that of generalized cerebral atrophy. The severity of dementia as indicated by the MMSE, GDS and BCRS scores was correlated significantly with the volumes of the AHC bilaterally, but not with whole-brain volume or with VBR. These results underline the importance of the mesial temporal substructures in the etiology and progression of DAT and indicate that the volume of the AHC can be monitored by MRI and may be used to follow up the disease process.

Authors+Show Affiliations

Sektion Gerontopsychiatrie, Psychiatrische Klinik der Universität Heidelberg.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

8676988

Citation

Pantel, J, et al. "[Quantitative Magnetic Resonance Tomography and the Severity of Deficits in Dementia of the Alzheimer Type]." Der Nervenarzt, vol. 67, no. 1, 1996, pp. 46-52.
Pantel J, Schröder J, Schmitt R, et al. [Quantitative magnetic resonance tomography and the severity of deficits in dementia of the Alzheimer type]. Nervenarzt. 1996;67(1):46-52.
Pantel, J., Schröder, J., Schmitt, R., Schad, L. R., Knopp, M. V., Geissler, M., ... Sauer, H. (1996). [Quantitative magnetic resonance tomography and the severity of deficits in dementia of the Alzheimer type]. Der Nervenarzt, 67(1), pp. 46-52.
Pantel J, et al. [Quantitative Magnetic Resonance Tomography and the Severity of Deficits in Dementia of the Alzheimer Type]. Nervenarzt. 1996;67(1):46-52. PubMed PMID: 8676988.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Quantitative magnetic resonance tomography and the severity of deficits in dementia of the Alzheimer type]. AU - Pantel,J, AU - Schröder,J, AU - Schmitt,R, AU - Schad,L R, AU - Knopp,M V, AU - Geissler,M, AU - Uhde,W H, AU - Blüml,S, AU - Friedlinger,M, AU - Klemenz,M, AU - Essig,M, AU - Sauer,H, PY - 1996/1/1/pubmed PY - 1996/1/1/medline PY - 1996/1/1/entrez SP - 46 EP - 52 JF - Der Nervenarzt JO - Nervenarzt VL - 67 IS - 1 N2 - The aim of the present study was to investigate the severity of dementia of the Alzheimer type (DAT) with respect to morphological changes revealed by quantitative magnetic resonance imaging (MRI). Seventeen patients with DAT (NINCDS-ADRDA guidelines) and 10 healthy elderly controls were included. The severity of dementia was evaluated on the Mini Mental State Examination (MMSE), the Global Deterioration Scale (GDS) and the Brief Cognitive Rating Scale (BCRS). Three-dimensional MRI sequences were acquired using a 1.5-T Siemens Magnetom. Whole-brain volume and the volume of the amygdala-hippocampus complex (AHC) were assessed using the newly developed software NMRWin. This software provides a semi-automated measure of the whole brain volume, while measurement of substructures requires manual guidance. In addition, the ventricle-brain ratio (VBR) was assessed. All morphometric parameters differed significantly between the two groups. AHC volumes discriminated best between them with only a small overlap. These findings were confirmed when only the data of the mildly demented patients were included in the analysis. The degree of AHC atrophy exceeded that of generalized cerebral atrophy. The severity of dementia as indicated by the MMSE, GDS and BCRS scores was correlated significantly with the volumes of the AHC bilaterally, but not with whole-brain volume or with VBR. These results underline the importance of the mesial temporal substructures in the etiology and progression of DAT and indicate that the volume of the AHC can be monitored by MRI and may be used to follow up the disease process. SN - 0028-2804 UR - https://www.unboundmedicine.com/medline/citation/8676988/[Quantitative_magnetic_resonance_tomography_and_the_severity_of_deficits_in_dementia_of_the_Alzheimer_type]_ L2 - https://medlineplus.gov/mriscans.html DB - PRIME DP - Unbound Medicine ER -