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Assessing cognitive impairment and disability in older adults through the lens of whole brain white matter patterns.

Hyun Woong RohNishant ChauhanSang Won SeoSeong Hye ChoiEun-Joo KimSoo Hyun ChoByeong C KimJin Wook ChoiYoung-Sil AnBumhee ParkSun Min LeeSo Young MoonYou Jin NamSunhwa HongSang Joon SonChang Hyung HongDongha Lee
Published in: Alzheimer's & dementia : the journal of the Alzheimer's Association (2024)
The ensemble model combined both magnetic resonance imaging (MRI) and amyloid positron emission tomography (PET) and demonstrated a significantly higher classification performance for cognitive impairment and disability. Alzheimer's disease (AD) revealed a notably higher heterogeneity compared to that in subjective cognitive decline, mild cognitive impairment, or vascular dementia. White matter inter-subject variability (WM-ISV) was significantly correlated with blood-based biomarkers (glial fibrillary acidic protein and phosphorylated tau-217 [p-tau217]) and with the polygenic risk score for AD. White matter pattern analysis has significant potential as an adjunct neuroimaging biomarker for clinical decision-making processes and determining cognitive impairment and disability.
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