PMID- 27176479 OWN - NLM STAT- MEDLINE DCOM- 20161219 LR - 20181202 IS - 1471-2377 (Electronic) IS - 1471-2377 (Linking) VI - 16 DP - 2016 May 12 TI - Neuroimaging basis in the conversion of aMCI patients with APOE-epsilon4 to AD: study protocol of a prospective diagnostic trial. PG - 64 LID - 10.1186/s12883-016-0587-2 [doi] LID - 64 AB - BACKGROUND: The epsilon4 allele of the Apolipoprotein E gene (APOE-epsilon4) is a potent genetic risk factor for sporadic Alzheimer's disease (AD). Amnestic mild cognitive impairment (aMCI) is an intermediate state between normal cognitive aging and dementia, which is easy to convert to AD dementia. It is an urgent problem in the field of cognitive neuroscience to reveal the conversion of aMCI-epsilon4 to AD. Based on our preliminary work, we will study the neuroimaging features in the special group of aMCI-epsilon4 with multi-modality magnetic resonance imaging (structural MRI, resting state-fMRI and diffusion tensor imaging) longitudinally. METHODS/DESIGN: In this study, 200 right-handed subjects who are diagnosed as aMCI with APOE-epsilon4 will be recruited at the memory clinic of the Neurology Department, XuanWu Hospital, Capital Medical University, Beijing, China. All subjects will undergo the neuroimaging and neuropsychological evaluation at a 1 year-interval for 3 years. The primary outcome measures are 1) Microstructural alterations revealed with multimodal MRI scans including structure MRI (sMRI), resting state functional MRI (rs-fMRI), diffusion tensor imaging (DTI); 2) neuropsychological evaluation, including the World Health Organization-University of California-LosAngeles Auditory Verbal Learning Test (WHO-UCLA AVLT), Addenbrook's cognitive examination-revised (ACE-R), mini-mental state examination (MMSE), Montreal Cognitive Assessment (MoCA), Clinical Dementia Rating scale (CDR). DISCUSSION: This study is to find out the neuroimaging biomarker and the changing laws of the marker during the progress of aMCI-epsilon4 to AD, and the final purpose is to provide scientific evidence for new prevention, diagnosis and treatment of AD. TRIAL REGISTRATION: This study has been registered to ClinicalTrials.gov (NCT02225964, https://www.clinicaltrials.gov/ ) in August 24, 2014. FAU - Chen, Guan-Qun AU - Chen GQ AD - Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, 100053, China. FAU - Sheng, Can AU - Sheng C AD - Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, 100053, China. FAU - Li, Yu-Xia AU - Li YX AD - Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, 100053, China. AD - Department of Neurology, Tangshan Gongren Hospital, Tangshan, 063000, China. FAU - Yu, Yang AU - Yu Y AD - Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, 100053, China. FAU - Wang, Xiao-Ni AU - Wang XN AD - Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, 100053, China. FAU - Sun, Yu AU - Sun Y AD - Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, 100053, China. FAU - Li, Hong-Yan AU - Li HY AD - Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, 100053, China. AD - Department of Neurology, Civil Aviation General Hospital, Beijing, 100123, China. FAU - Li, Xuan-Yu AU - Li XY AD - Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, 100053, China. FAU - Xie, Yun-Yan AU - Xie YY AD - Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, 100053, China. FAU - Han, Ying AU - Han Y AD - Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing, 100053, China. hanying@xwh.ccmu.edu.cn. AD - Center of Alzheimer's Disease, Beijing Institute for Brain Disorders, Beijing, 100053, China. hanying@xwh.ccmu.edu.cn. LA - eng SI - ClinicalTrials.gov/NCT02225964 PT - Journal Article DEP - 20160512 PL - England TA - BMC Neurol JT - BMC neurology JID - 100968555 RN - 0 (Apolipoprotein E4) RN - 0 (Biomarkers) SB - IM MH - Alzheimer Disease/*diagnostic imaging/genetics/psychology MH - Apolipoprotein E4/genetics MH - Biomarkers MH - China MH - Cognitive Dysfunction/*diagnostic imaging/genetics/psychology MH - Diffusion Tensor Imaging/methods MH - Disease Progression MH - Follow-Up Studies MH - Functional Neuroimaging MH - Humans MH - Image Processing, Computer-Assisted MH - Magnetic Resonance Imaging MH - Neuropsychological Tests MH - Prospective Studies PMC - PMC4866435 OTO - NOTNLM OT - APOE4 allele OT - Alzheimer's disease OT - Amnestic mild cognitive impairment OT - Longitudinal study OT - Multimodality OT - Neuroimaging techniques EDAT- 2016/05/14 06:00 MHDA- 2016/12/20 06:00 PMCR- 2016/05/12 CRDT- 2016/05/14 06:00 PHST- 2016/03/23 00:00 [received] PHST- 2016/05/05 00:00 [accepted] PHST- 2016/05/14 06:00 [entrez] PHST- 2016/05/14 06:00 [pubmed] PHST- 2016/12/20 06:00 [medline] PHST- 2016/05/12 00:00 [pmc-release] AID - 10.1186/s12883-016-0587-2 [pii] AID - 587 [pii] AID - 10.1186/s12883-016-0587-2 [doi] PST - epublish SO - BMC Neurol. 2016 May 12;16:64. doi: 10.1186/s12883-016-0587-2.