Mayo Clinic Study Using Structural MRI May Help Accurately Diagnose Dementia Patients

/PRNewswire / -- A new Mayo Clinic study may help physicians differentially diagnose three common neurodegenerative disorders in the future. The study will be presented at the Alzheimer's Association International Conference on Alzheimer's Disease on July 11 in Vienna.

In this study, Mayo Clinic researchers developed a framework for MRI-based differential diagnosis of three common neurodegenerative disorders: Alzheimer's disease, frontotemporal lobar degeneration, and Lewy body disease using Structural MRI. Currently, examination of the brain at autopsy is the only way to confirm with certainty that a patient had a specific form of dementia. The framework, which is called "STructural Abnormality iNDex" or STAND-Map, shows promise in accurately diagnosing dementia patients while they are alive. The rationale is that if each neurodegenerative disorder can be associated with a unique pattern of atrophy specific on MRI, then it may be possible to differentially diagnose new patients. The study looked at 90 patients from the Mayo Clinic database who were confirmed to have only a single dementia pathology and also underwent an MRI at the time of clinical diagnosis of dementia. Using the STAND-Map framework, researchers predicted an accurate pathological diagnosis 75 to 80 percent of the time.

"The STAND-Map framework might have great potential in early diagnosis of dementia patients," says Prashanthi Vemuri, Ph.D., a senior research fellow at the Mayo Clinic aging and dementia imaging research lab and lead author of the study. "The next step would be to test the framework on a larger population to see if we can replicate these results and improve the accuracy level we achieved in this proof of concept study. In turn, this may lead to better treatment options for dementia patients."

The senior author of this Mayo Clinic research study is Clifford Jack, M.D. Other members included Kejal Kantarci, M.D.; Matthew L. Senjem; Jeffrey Gunter; Jennifer Whitwell, Ph.D.; Keith Josephs, M.D.; David Knopman, M.D.; Bradley Boeve, M.D.; Tanis Ferman, Ph.D.; Dennis Dickson, M.D.; and Ronald Petersen, Ph.D., M.D.

This work was supported in part by National Institutes of Health (NIH) grants, Robert H. Smith Family Foundation Research Fellowship, Alexander Family Alzheimer's Disease ResearchProfessorship.

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Zen Training Speeds the Mind's Return After Distraction, Brain Scans Reveal

Experienced Zen meditators can clear their minds of distractions more quickly than novices, according to a new brain imaging study.

After being interrupted by a word-recognition task, experienced meditators’ brains returned faster to their pre-interruption condition, researchers at Emory University School of Medicine found.

The results are published online by the journal Public Library of Science One (PLoS ONE). Read the results.

Giuseppe Pagnoni, PhD, Emory assistant professor of psychiatry and behavioral sciences, and co-workers used functional magnetic resonance imaging (fMRI) to examine changes in blood flow in the brain when people meditating were interrupted by stimuli designed to mimic the appearance of spontaneous thoughts.

The study compared 12 people from the Atlanta area with more than three years of daily practice in Zen meditation with 12 others who had never practiced meditation.

While having their brains scanned, the subjects were asked to focus on their breathing. Every once in a while, they had to distinguish a real word from a nonsense word presented at random intervals on a computer screen and, having done that, promptly “let go” of the just processed stimulus by refocusing on their breath.

The authors found that differences in brain activity between experienced meditators and novices after interruption could be seen in a set of areas often referred to as the "default mode network." Previous studies have linked the default mode network with the occurrence of spontaneous thoughts and mind wandering during wakeful rest.

After interruption, experienced meditators were able to bring activity in most regions of the default network back to baseline faster than non-meditators. This effect was especially prominent in the angular gyrus, a region important for processing language.

"This suggests that the regular practice of meditation may enhance the capacity to limit the influence of distracting thoughts. This skill could be important in conditions such as attention deficit and hyperactivity disorder, obsessive-compulsive disorder, anxiety disorder and major depression, characterized by excessive rumination or an abnormal production of task-unrelated thoughts," Pagnoni says.

Dr. Pagnoni recently moved from Emory to the University of Modena and Reggio Emilia in Italy.

The research was funded by a National Institutes of Health grant to the Emory Center for Research on Complementary and Alternative Medicine in Neurodegenerative Diseases.

Reference:
Pagnoni et al, PLoS One, Volume 3, Issue 9 (September 2008) “Thinking about Not-Thinking”: Neural Correlates of Conceptual Processing during Zen Meditation.

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