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Basal ganglia compensatory white matter changes on DTI in Alzheimer's disease

Publication at Central Library of Charles University, Third Faculty of Medicine |
2023

Abstract

The volume reduction of the gray matter structures in patients with Alzheimer's disease is often accompanied by an asymmetric increase in the number of white matter fibers located close to these structures. The present study aims to investigate the white matter structure changes in the motor basal ganglia in Alzheimer's disease patients compared to healthy controls using the dif-fusion tensor imaging.

The number of tracts, tract length, tract volume, quantitative anisotropy, and general fractional anisotropy were measured in ten patients with Alzheimer's disease and ten healthy controls. A significant decrease in the number of tracts and general fractional ani-sotropy was found in patients with Alzheimer's disease compared to controls in the right cau-date nucleus, while an increase was found in the left and the right putamen.

Also, a significant decrease in the structural volume of the left and the right putamen was observed. An increase in the white matter diffusion tensor imaging parameters in patients with Alzheimer's disease was observed only in the putamen bilaterally.

The right caudate showed a decrease in both the diffu-sion tensor imaging parameters and the volume in the Alzheimer's disease patients. The right pallidum showed an increase in the diffusion tensor imaging parameters, but a decrease in volume in Alzheimer's disease patients.