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Increased Iron Deposition on Brain Quantitative Susceptibility Mapping Correlates with Decreased Cognitive Function in Alzheimer's Disease Lei Du, Zifang Zhao, Ailing Cui, Yijiang Zhu, Lu Zhang, Jing Liu, Sumin Shi, Chao Fu, Xiaowei Han, Wenwen Gao, Tianbin Song, Lizhi Xie, Lei Wang, Shilong Sun, Runcai Guo, and Guolin Ma ACS Chem. Neurosci., Just Accepted Manuscript • DOI: 10.1021/acschemneuro.8b00194 • Publication Date (Web): 03 May 2018 Downloaded from http://pubs.acs.org on May 4, 2018
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ACS Chemical Neuroscience
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Increased Iron Deposition on Brain Quantitative Susceptibility
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Mapping Correlates with Decreased Cognitive Function in
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Alzheimer's Disease
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Lei Du1#, Zifang Zhao,2#, Ailing Cui3#, Yijiang Zhu4, Lu Zhang5, Jing Liu1, Sumin Shi1, Chao Fu1, Xiaowei Han1, Wenwen Gao1, Tianbin Song6, Lizhi Xie7, Lei Wang8, Shilong Sun1, Runcai Guo1, and Guolin Ma1* #
These authors contributed equally Corresponding authors: Guolin Ma, Ph.D., Department of Radiology, China-Japan Friendship Hospital, No.2 East Yinghua Road, Chaoyang District, Beijing, China 100029, Phone: +86 13161338115, E-mail:
[email protected] ∗
Affiliations: : 1 Department of Radiology, China-Japan Friendship Hospital, Beijing, China. 2 Department of Anesthesiology, China-Japan Friendship Hospital, Beijing, China. 3 Anatomy Department, Changzhi Medical College, Changzhi, Shanxi, China. 4 Department of Imaging, ANHUI Provincial Hospital, Hefei, Anhui, China. 5 Department of Science and Education, Shangluo Central Hospital, Shangluo, China. 6 Department of Nuclear Medicine, Xuanwu Hospital, Beijing, China. 7 GE Healthcare, MR Research, Beijing, China. 8 Department of Neurology, China-Japan Friendship Hospital, Beijing, China. Email: Lei Du Zifang Zhao Ailing Cui Yijiang Zhu Lu Zhang Jing Liu Sumin Shi Chao Fu Xiaowei Han Wenwen Gao Tianbin Song Lizhi Xie Lei Wang Shilong Sun Runcai Guo Guolin Ma
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ABSTRACT
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The excessive accumulation of iron in deep gray structures is an important
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pathological characteristic in patients with Alzheimer's disease (AD). Quantitative
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susceptibility mapping (QSM) is more specific than other imaging-based iron
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measurements modalities and allows non-invasively assessment of tissue magnetic
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susceptibility, which has been shown to correlate well to the brain iron levels. This
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study aimed to investigate the correlations between the magnetic susceptibility values
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of deep gray matter nuclei and the cognitive functions assessed by mini-mental state
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examination (MMSE) and montreal cognitive assessment (MoCA) in patients with the
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mild and moderate AD. Thirty subjects with the mild and moderate AD and 30 age-
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and sex-matched healthy controls were scanned with a 3.0 T magnetic resonance
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imaging (MRI) scanner. The magnetic susceptibilities of the regions of interest (ROIs),
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including caudate nucleus (Cd), putamen (Pt), globus pallidus (Gp), thalamus (Th),
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red nucleus (Rn), substantia nigra (Sn), and the dentate nucleus (Dn), were quantified
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by QSM. We found that the susceptibility values of the bilateral Cd and Pt were
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significantly higher in AD patients than the controls (P