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ABSTRACT: The aim of this study was to explore the integrity of association fiber tracts of the interhemispheric and within-hemispheric communication in patients with remitted geriatric depression (RGD) by diffusion tensor imaging.
A region of interest-based diffusion tensor imaging approach was applied to explore fiber tract differences between 37 patients with DSM-IV-diagnosed RGD and 33 well-matched, normal, aging healthy controls. Correlations were also sought between fractional anisotropy values and cognitive performance scores in the patients with RGD. The patients were recruited from January 2007 to December 2007.
Extensive impairment of the integrity of association fiber tracts was observed in patients with RGD, including in the bilateral inferior fronto-occipital fascicles, genu of corpus callosum, and posterior cingulate bundles. In addition, the fractional anisotropy value of left posterior cingulate bundles displayed a significantly negative correlation with the performance (time) of Trail-Making Test A (r = -0.383, P = .019).
This study suggested that association fiber tracts between remote cortexes may yield important new clues to predict whether a patient will eventually develop Alzheimer's disease.
The Journal of Clinical Psychiatry 10/2010; 71(10):1386-90. · 5.80 Impact Factor
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ABSTRACT: The apolipoprotein E (ApoE) gene has been confirmed as the major genetic risk factor for late-onset Alzheimer's disease (AD). The effect of ApoE polymorphism on brain morphology still remains unclear in remitted late-onset depression (RLOD).
A total of 37 patients with remitted geriatric depression were investigated with optimized voxel-based morphometry. We tested for differences in gray matter volume between ApoE epsilon4 allele noncarriers (n=25) and ApoE epsilon4 allele carriers (n=12) in RLOD patients.
The volumes of right medial frontal gyrus, left middle frontal gyrus and left inferior occipital gyrus were significantly smaller in RLOD patients with ApoE epsilon4 allele carriers as compared to ApoE epsilon4 allele noncarriers. There was a significant positive correlation between gray matter volume of right medial frontal gyrus and Digit Span Test score in RLOD patients with ApoE epsilon4 allele carriers.
This study is cross-sectional, therefore it cannot determine whether abnormal gray matter volume is a state marker or trait marker of RLOD with ApoE epsilon4 allele carriers.
Our findings support the hypothesis that the ApoE genotype might be associated with structural changes in RLOD.
Journal of affective disorders 08/2009; 121(3):273-7. · 3.76 Impact Factor
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ABSTRACT: We aimed to investigate structural abnormalities in first-episode remitted geriatric depression (RGD) using optimized voxel-based morphometry (VBM) in closely matched patients and healthy controls, and examining the relationship of performances on neuropsychological tests with regional white matter volumes.
Forty subjects with first-episode RGD and 36 well-matched healthy controls were recruited for this study and neuropsychological tests and magnetic resonance imaging (MRI) were conducted on the subjects. The differences in regional white matter volume were determined between these two groups by optimized VBM.
The white matter volumes of left inferior parietal lobule and right inferior frontal gyrus were significantly larger in patients with RGD relative to healthy controls. RGD patients performed significantly worse in the delayed recall of RAVLT, Trail Making Test A and B (seconds), and Symbol Digit Modalities Test when compared with the control group (all P<0.01). And there was a significant positive correlation between white matter volume of right inferior frontal gyrus and Trail Making Test A (r=0.319, P=0.045) in patients with RGD.
This study is cross-sectional, therefore it cannot determine whether increased white matter volume is a state marker or trait marker of RGD.
These results reveal that RGD is associated with larger white matter volumes of left inferior parietal lobule and right inferior frontal gyrus, and the right inferior frontal gyrus may thus be involved in the pathophysiology of executive function in RGD.
Journal of affective disorders 10/2008; 115(1-2):225-9. · 3.76 Impact Factor
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Yonggui Yuan,
Wanlin Zhu,
Zhijun Zhang,
Feng Bai,
Hui Yu,
Yongmei Shi,
Yun Qian, Wen Liu,
Tianzi Jiang,
Jiayong You,
Zhening Liu
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ABSTRACT: We aimed to investigate structural abnormalities in first-episode remitted geriatric depression (RGD) with optimized voxel-based morphometry (VBM) in closely matched patients and healthy control subjects and examine the relationship of performances on neuropsychological tests with regional gray matter volumes.
Nineteen subjects with first-episode RGD and 16 well-matched healthy control subjects were recruited for this study, and neuropsychological tests and magnetic resonance imaging were conducted on the subjects. The differences in regional gray matter volume were determined between these two groups by optimized VBM.
The volumes of right superior frontal cortex, left postcentral cortex, and right middle temporal gyrus were significantly smaller in patients with RGD relative to healthy control subjects. However, patients with RGD had larger left cingulate gyrus volume compared with healthy control subjects. There was a significant negative correlation between left cingulate gyrus volume and Rey Auditory Verbal Learning Test delayed recall raw score in patients with RGD.
These results reveal that RGD is associated with gray matter changes of certain brain regions hypothesized to influence cognition and might thus be involved in the psychopathology and pathophysiology of cognitive impairment in RGD.
Biological psychiatry 07/2008; 64(6):541-4. · 8.93 Impact Factor
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ABSTRACT: To investigate regional activity abnormalities of first-episode remitted geriatric depression (RGD) using a resting-state functional magnetic resonance imaging (fMRI) in closely matched patients and healthy controls, and to examine the relationship between performances on neuropsychological tests and regional activity abnormalities.
A newly reported regional homogeneity approach was used to analyze blood oxygen level-dependent fMRI data on resting state in 18 patients with remitted geriatric depression and 14 well-matched healthy controls. All subjects were measured by neuropsychological tests.
Decreased regional homogeneity (ReHo) in remitted geriatric depression distributed over the frontal, temporal and parietal lobes. In addition, increased ReHo were found mainly in the putamen, frontal and parietal lobes. The RGD patients performed significantly worse in the delayed recall of Rey Auditory Verbal Learning Test (RAVLT) and Trail Making Test A and B (seconds) when compared with the control group. And there are significant negative correlations between ReHo values of right putamen, left superior frontal gyrus and Trail Making Test A (seconds) (r=-0.583, P=0.023; r=-0.598, P=0.018, respectively), Trail Making Test B (seconds) (r=-0.587, P=0.021; r=-0.545, P=0.036, respectively) in the patients with RGD.
This study is cross-sectional, therefore it cannot determine whether abnormal brain activation is a state marker or trait marker of RGD in resting-state fMRI.
Our study reveals that RGD is associated with abnormal activity of certain brain regions, which are believed to be involved in the psychopathology and pathophysiology of executive function in remitted geriatric depression.
Journal of Affective Disorders 04/2008; 111(2-3):145-52. · 3.52 Impact Factor
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ABSTRACT: Previous studies have demonstrated lower-diffusion anisotropy within white matter in late-onset depression measured by diffusion tensor imaging, which provides information about brain white matter integrity. We have examined whether white matter is abnormal in first-episode remitted geriatric depression by using diffusion tensor imaging. Sixteen remitted geriatric depression patients and 14 well matched healthy controls underwent diffusion tensor-imaging scans of magnetic resonance imaging, which were analyzed by a rigorous voxel-based approach. We found that fractional anisotropy in white matter was lower in patients than in controls at the right superior frontal gyrus, left inferior frontal gyrus, left middle temporal gyrus, right inferior parietal lobule, right middle occipital gyrus, left lingual gyrus, right putamen and right caudate. These results suggested that the white matter integrity of the whole brain was disrupted in first-episode remitted geriatric depression, and that these abnormalities were perhaps involved in the psychopathology and pathophysiology of cognitive impairment in remitted geriatric depression.
Neuroreport 12/2007; 18(17):1845-9. · 1.66 Impact Factor
