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Premi, E.

Publications and source records attributed to Premi, E..

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PET-derived amyloid patterns in gray and white matter across Alzheimer's disease: A high-model-order ICA

INTRODUCTIONAlzheimers Disease (AD) is a neurodegenerative disorder marked by gray matter (GM) changes driven by amyloid-beta (A{beta}) plaques and neurofibrillary tangles. While GM alterations are well documented, spatially distinct patterns of homogeneous A{beta} uptake and white matter (WM) involvement remain underexplored. METHODSWe applied high-order independent component analysis (ICA) to 716 [18F]Florbetapir PET scans, identifying 80 GM and 13 WM networks. Diagnostic and cognitive associations were evaluated via statistical modeling. RESULTSIdentified networks delineated a progression trajectory, with mild cognitive impairment (MCI) profiles in temporoparietal and frontal subdomains more closely aligned with AD than cognitively normal (CN) profiles. GM networks, including the hippocampal-entorhinal complex and precuneus, and WM networks, including the retrolenticular internal capsule, demonstrated robust associations with cognitive performance. DISCUSSIONOur findings highlight the utility of high-order ICA in identifying reproducible A{beta} networks and the contribution of WM networks, such as the posterior corpus callosum, in the early pathological landscape of AD.

neuroscience↗

Hubs of long-distance co-alteration in brain pathology

The exact mechanisms at the root of pathologic anatomical covariances are still unknown. It is nonetheless becoming clearer that the impact of brain diseases is more convincingly represented in terms of co-alterations rather than in terms of localization of alterations. According to this view, neurological and psychiatric conditions might be seen as whole-brain patterns of modifications. In this context, the physical distance between two co-altered areas may provide insightful information about how pathology develops across the brain, assuming that long-range co-alterations might be relevant features of pathological networks. To demonstrate this hypothesis, we calculated the probability of co-alteration between brain areas across a large database of voxel-based morphometry studies of psychiatric and neurological disorders, and we investigated the physical (Euclidean) distance of the edges of the resulting network. Such analysis produced a series of observations relevant for the understanding of pathology, which range from unanticipated results to the recognition of regions of well-known functional and clinical relevance. For instance, it emphasizes the importance of the anterior and dorsal prefrontal cortices in the distribution of the disease-related alterations, as well as a specular asymmetry of gray matter decreases and increases between the hemispheres. Also, the analyses of schizophrenia and Alzheimers disease show that long-distance co-alterations are able to identify areas involved in pathology and symptomatology. Moreover, the good concordance between the measure of the mean physical distance and that of functional degree centrality suggests that co-alterations and connectivity are intimately related. These findings highlight the importance of analyzing the physical distance in pathology, as the areas characterized by a long mean distance may be considered as hubs with a crucial role in the systems of alterations induced by brain diseases.

neuroscience↗

Addressing reverse inference in structural brain alterations

In neuroimaging with reverse inferences we can infer the involvement of cognitive processes from certain patterns of brain activity. Still, the same reasoning holds if we substitute "brain activity" with "brain alteration" and "cognitive process" with "brain disorder". To assess the involvement of a certain alteration pattern in a brain disorder we used the Bayes factor technique on voxel-based morphometry data of schizophrenia and Alzheimers disease. This technique allows to calculate the ratio between the likelihoods of two alternative hypotheses (in our case, that the alteration of the voxel is specific for the brain disorder under scrutiny or that the alteration is not specific). We then performed temporal simulations of the alteration spread associated with different pathologies. The Bayes factor values calculated on these simulated data were able to reveal that the areas which are more specific to a certain disease are also the ones to be early altered.

neuroscience↗