Frontoparietal atrophy trajectories in cognitively unimpaired elderly individuals using longitudinal Bayesian clustering

被引:1
作者
Lorenzon, G. [1 ]
Poulakis, K. [1 ]
Mohanty, R. [1 ]
Kivipelto, M. [1 ,2 ,3 ,4 ,5 ]
Eriksdotter, M. [1 ]
Ferreira, D. [1 ,6 ]
Westman, E. [1 ,7 ]
机构
[1] Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Neo 7th floor, Huddinge
[2] Theme Inflammation and Aging, Karolinska University Hospital, Huddinge
[3] Institute of Public Health and Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, Kuopio
[4] Ageing Epidemiology Research Unit, School of Public Health, Room 10L05
[5] Imperial College London, Charing Cross Hospital, St Dunstan's Road, London
[6] Department of Radiology, Mayo Clinic, Mayo Building West, 2nd Floor, 200 First St. SW, Rochester, 55905, MN
[7] Department of Neuroimaging, Centre for Neuroimaging Sciences, Institute of Psychiatry, Psychology and Neuroscience: King's College London, De Crespigny Park, London
基金
美国国家卫生研究院;
关键词
Aging; Atrophy; Clustering; Heterogeneity; Longitudinal; MRI;
D O I
10.1016/j.compbiomed.2024.109190
中图分类号
学科分类号
摘要
Introduction: Frontal and/or parietal atrophy has been reported during aging. To disentangle the heterogeneity previously observed, this study aimed to uncover different clusters of grey matter profiles and trajectories within cognitively unimpaired individuals. Methods: Structural magnetic resonance imaging (MRI) data of 307 Aβ-negative cognitively unimpaired individuals were modelled between ages 60–85 from three cohorts worldwide. We applied unsupervised clustering using a novel longitudinal Bayesian approach and characterized the clusters' cerebrovascular and cognitive profiles. Results: Four clusters were identified with different grey matter profiles and atrophy trajectories. Differences were mainly observed in frontal and parietal brain regions. These distinct frontoparietal grey matter profiles and longitudinal trajectories were differently associated with cerebrovascular burden and cognitive decline. Discussion: Our findings suggest a conciliation of the frontal and parietal theories of aging, uncovering coexisting frontoparietal GM patterns. This could have important future implications for better stratification and identification of at-risk individuals. © 2024 The Authors
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