Longitudinal imaging pattern analysis (SPARE-CD index) detects early structural and functional changes before cognitive decline in healthy older adults

Vanessa H. Clark, Susan M. Resnick, Jimit Doshi, Lori L. Beason-Held, Yun Zhou, Luigi Ferrucci, Dean F. Wong, Michael A. Kraut, Christos Davatzikos

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

This article investigates longitudinal imaging characteristics of early cognitive decline during normal aging, leveraging on high-dimensional imaging pattern classification methods for the development of early biomarkers of cognitive decline. By combining magnetic resonance imaging (MRI) and resting positron emission tomography (PET) cerebral blood flow (CBF) images, an individualized score is generated using high-dimensional pattern classification, which predicts subsequent cognitive decline in cognitively normal older adults of the Baltimore Longitudinal Study of Aging. The resulting score, termed SPARE-CD (Spatial Pattern of Abnormality for Recognition of Early Cognitive Decline), analyzed longitudinally for 143 cognitively normal subjects over 8 years, shows functional and structural changes well before (2.3-2.9 years) changes in neurocognitive testing (California Verbal Learning Test [CVLT] scores) can be measured. Additionally, this score is found to be correlated to the [11C] Pittsburgh compound B (PiB) PET mean distribution volume ratio at a later time. This work indicates that MRI and PET images, combined with advanced pattern recognition methods, may be useful for very early detection of cognitive decline.

Original languageEnglish (US)
Pages (from-to)2733-2745
Number of pages13
JournalNeurobiology of aging
Volume33
Issue number12
DOIs
StatePublished - Dec 2012

Keywords

  • Classification
  • Cognitive impairment
  • Magnetic resonance imaging
  • Positron emission tomography
  • Support vector machines

ASJC Scopus subject areas

  • General Neuroscience
  • Aging
  • Clinical Neurology
  • Developmental Biology
  • Geriatrics and Gerontology

Fingerprint

Dive into the research topics of 'Longitudinal imaging pattern analysis (SPARE-CD index) detects early structural and functional changes before cognitive decline in healthy older adults'. Together they form a unique fingerprint.

Cite this