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MRI Shows Brain Atrophy Pattern That Predicts Alzheimer's

by Barbara Kram, Editor | February 11, 2009

"Although these individuals are reporting problems mainly with memory, the atrophy involves more than just memory areas, extending into brain regions involved in planning, organization, problem solving and language," Dr. McEvoy said.

Follow-up data were available for 160 patients with MCI. The patients exhibiting atrophy in the brain regions described above showed significant one-year clinical decline and structural brain loss and were more likely to progress to a probable diagnosis of Alzheimer's disease. MCI patients without that pattern of atrophy remained stable after a year.

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Dr. McEvoy hopes that these findings will have an impact on the design of clinical trials to test medications that may slow or halt the progression of Alzheimer's disease.

"Currently there are no treatments that will prevent or cure Alzheimer's disease, but information about risk of rapid decline may help patients with MCI and their families plan for the future," Dr. McEvoy said.

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"Alzheimer Disease: Quantitative Structural Neuroimaging for Detection and Prediction of Clinical and Structural Changes in Mild Cognitive Impairment." Collaborating with Dr. McEvoy were Christine Fennema-Notestine, Ph.D., J. Cooper Roddey, Ph.D., Donald J. Hagler, Jr., Ph.D., Dominic Holland, Ph.D., David S. Karow, M.D., Christopher J. Pung, B.A., James B. Brewer, M.D., Ph.D., and Anders M. Dale, Ph.D. Journal attribution requested.

This research was supported by the National Center for Research Resources, the National Institute on Aging and the National Institutes of Health. Data were obtained from the Alzheimer's Disease Neuroimaging Initiative database.

Radiology is edited by Herbert Y. Kressel, M.D., Harvard Medical School, Boston, Mass., and owned and published by the Radiological Society of North America, Inc. (RSNA.org/radiologyjnl)

RSNA is an association of more than 42,000 radiologists, radiation oncologists, medical physicists and related scientists committed to excellence in patient care through education and research. (RSNA.org)

For patient-friendly information on MRI, visit RadiologyInfo.org.

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