TY - JOUR T1 - Region-Specific Hierarchy between Atrophy, Hypometabolism, and β-Amyloid (Aβ) Load in Alzheimer's Disease Dementia JF - The Journal of Neuroscience JO - J. Neurosci. SP - 16265 LP - 16273 DO - 10.1523/JNEUROSCI.2170-12.2012 VL - 32 IS - 46 AU - Renaud La Joie AU - Audrey Perrotin AU - Louisa Barré AU - Caroline Hommet AU - Florence Mézenge AU - Méziane Ibazizene AU - Vincent Camus AU - Ahmed Abbas AU - Brigitte Landeau AU - Denis Guilloteau AU - Vincent de La Sayette AU - Francis Eustache AU - Béatrice Desgranges AU - Gaël Chételat Y1 - 2012/11/14 UR - http://www.jneurosci.org/content/32/46/16265.abstract N2 - Gray matter atrophy, glucose hypometabolism, and β-amyloid Aβ deposition are well-described hallmarks of Alzheimer's disease, but their relationships are poorly understood. The present study aims to compare the local levels of these three alterations in humans with Alzheimer's disease. Structural magnetic resonance imaging, 18F-fluorodeoxyglucose positron emission tomography (PET), and 18F-florbetapir PET data from 34 amyloid-negative healthy controls and 20 demented patients with a high probability of Alzheimer's disease etiology (attested using neuroimaging biomarkers as recently recommended) were analyzed. For each patient and imaging modality, age-adjusted Z-score maps were computed, and direct between-modality voxelwise comparison and correlation analyses were performed. Significant differences in the levels of atrophy, hypometabolism, and Aβ deposition were found in most brain areas, but the hierarchy differed across regions. A cluster analysis revealed distinct subsets of regions: (1) in the hippocampus, atrophy exceeded hypometabolism, whereas Aβ load was minimal; (2) in posterior association areas, Aβ deposition was predominant, together with high hypometabolism and lower but still significant atrophy; and (3) in frontal regions, Aβ deposition was maximal, whereas structural and metabolic alterations were low. Atrophy and hypometabolism significantly correlated in the hippocampus and temporo-parietal cortex, whereas Aβ load was not significantly related to either atrophy or hypometabolism. These findings provide direct evidence for regional variations in the hierarchy and relationships between Aβ load, hypometabolism, and atrophy. Altogether, these variations probably reflect the differential involvement of region-specific pathological or protective mechanisms, such as the presence of neurofibrillary tangles, disconnection, as well as compensation processes. ER -