TY - JOUR AU - Hallab, Asma AU - Lange, Catharina AU - Apostolova, Ivayla AU - Özden, Cansu AU - Gonzalez Escamilla, Gabriel AU - Klutmann, Susanne AU - Brenner, Winfried AU - Grothe, Michel J AU - Buchert, Ralph TI - Impairment of Everyday Spatial Navigation Abilities in Mild Cognitive Impairment Is Weakly Associated with Reduced Grey Matter Volume in the Medial Part of the Entorhinal Cortex. JO - Journal of Alzheimer's disease VL - 78 IS - 3 SN - 1387-2877 CY - Amsterdam PB - IOS Press M1 - DZNE-2022-01007 SP - 1149 - 1159 PY - 2020 AB - Research in rodents identified specific neuron populations encoding information for spatial navigation with particularly high density in the medial part of the entorhinal cortex (ERC), which may be homologous with Brodmann area 34 (BA34) in the human brain.The aim of this study was to test whether impaired spatial navigation frequently occurring in mild cognitive impairment (MCI) is specifically associated with neurodegeneration in BA34.The study included baseline data of MCI patients enrolled in the Alzheimer's Disease Neuroimaging Initiative with high-resolution structural MRI, brain FDG PET, and complete visuospatial ability scores of the Everyday Cognition test (VS-ECog) within 30 days of PET. A standard mask of BA34 predefined in MNI space was mapped to individual native space to determine grey matter volume and metabolic activity in BA34 on MRI and on (partial volume corrected) FDG PET, respectively. The association of the VS-ECog sum score with grey matter volume and metabolic activity in BA34, APOE4 carrier status, age, education, and global cognition (ADAS-cog-13 score) was tested by linear regression. BA28, which constitutes the lateral part of the ERC, was used as control region.The eligibility criteria led to inclusion of 379 MCI subjects. The VS-ECog sum score was negatively correlated with grey matter volume in BA34 (β= -0.229, p = 0.022) and age (β= -0.124, p = 0.036), and was positively correlated with ADAS-cog-13 (β= 0.175, p = 0.003). None of the other predictor variables contributed significantly.Impairment of spatial navigation in MCI is weakly associated with BA34 atrophy. KW - Activities of Daily Living KW - Aged KW - Aged, 80 and over KW - Atrophy KW - Cognitive Dysfunction: diagnostic imaging KW - Cognitive Dysfunction: pathology KW - Cognitive Dysfunction: physiopathology KW - Entorhinal Cortex: diagnostic imaging KW - Entorhinal Cortex: pathology KW - Female KW - Fluorodeoxyglucose F18 KW - Gray Matter: diagnostic imaging KW - Gray Matter: pathology KW - Humans KW - Magnetic Resonance Imaging KW - Male KW - Middle Aged KW - Organ Size KW - Positron-Emission Tomography KW - Radiopharmaceuticals KW - Spatial Navigation: physiology KW - 18F-fluorodeoxyglucose (Other) KW - Entorhinal cortex (Other) KW - grid cells (Other) KW - magnetic resonance imaging (Other) KW - mild cognitive impairment (Other) KW - positron emission tomography (Other) KW - spatial navigation (Other) KW - volumetry (Other) KW - Radiopharmaceuticals (NLM Chemicals) KW - Fluorodeoxyglucose F18 (NLM Chemicals) LB - PUB:(DE-HGF)16 C6 - pmid:33104026 DO - DOI:10.3233/JAD-200520 UR - https://pub.dzne.de/record/164455 ER -