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Neuroanatomic changes and their association with cognitive decline in mild cognitive impairment: a meta-analysis

Overview of attention for article published in Brain Structure and Function, June 2011
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Title
Neuroanatomic changes and their association with cognitive decline in mild cognitive impairment: a meta-analysis
Published in
Brain Structure and Function, June 2011
DOI 10.1007/s00429-011-0333-x
Pubmed ID
Authors

Thomas Nickl-Jockschat, Alexandra Kleiman, Jörg B. Schulz, Frank Schneider, Angela R. Laird, Peter T. Fox, Simon B. Eickhoff, Kathrin Reetz

Abstract

Mild cognitive impairment (MCI) is an acquired syndrome characterised by cognitive decline not affecting activities of daily living. Using a quantitative meta-analytic approach, we aimed to identify consistent neuroanatomic correlates of MCI and how they are related to cognitive dysfunction. The meta-analysis enrols 22 studies, involving 917 MCI (848 amnestic MCI) patients and 809 healthy controls. Only studies investigating local changes in grey matter and reporting whole-brain results in stereotactic coordinates were included and analysed using the activation likelihood estimation approach. Probabilistic cytoarchitectonic maps were used to compare the localization of the obtained significant effects to histological areas. A correlation between the probability of grey matter changes and cognitive performance of MCI patients was performed. In MCI patients, the meta-analysis revealed three significant clusters of convergent grey matter atrophy, which were mainly situated in the bilateral amygdala and hippocampus, extending to the left medial temporal pole and thalamus, as well as in the bilateral precuneus. A sub-analysis in only amnestic MCI revealed a similar pattern. A voxel-wise analysis revealed a correlation between grey matter reduction and cognitive decline in the right hippocampus and amygdala as well as in the left thalamus. This study provides convergent evidence of a distinct neuroanatomical pattern in MCI. The correlation analysis with cognitive-mnestic decline further highlights the impact of limbic structures and the linkage with data from a functional neuroimaging database provides additional insight into underlying functions. Although different pathologies are underlying MCI, the observed neuroanatomical pattern of structural changes may reflect the common clinical denominator of cognitive impairment.

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Geographical breakdown

Country Count As %
United States 2 2%
Ireland 1 <1%
Netherlands 1 <1%
Austria 1 <1%
Italy 1 <1%
Unknown 104 95%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 16 15%
Researcher 12 11%
Student > Master 11 10%
Student > Doctoral Student 11 10%
Other 9 8%
Other 21 19%
Unknown 30 27%
Readers by discipline Count As %
Psychology 26 24%
Medicine and Dentistry 14 13%
Neuroscience 14 13%
Agricultural and Biological Sciences 8 7%
Biochemistry, Genetics and Molecular Biology 3 3%
Other 7 6%
Unknown 38 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 March 2012.
All research outputs
#15,270,937
of 24,217,893 outputs
Outputs from Brain Structure and Function
#873
of 1,725 outputs
Outputs of similar age
#83,301
of 116,454 outputs
Outputs of similar age from Brain Structure and Function
#1
of 4 outputs
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