Accelerated Brain Atrophy, Microstructural Decline and Connectopathy in Age-Related Macular Degeneration.

dc.contributor.author

Stout, Jacques A

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Mahzarnia, Ali

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Dai, Rui

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Anderson, Robert J

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Cousins, Scott

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Zhuang, Jie

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Lad, Eleonora M

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Whitaker, Diane B

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Madden, David J

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Potter, Guy G

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Whitson, Heather E

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Badea, Alexandra

dc.date.accessioned

2024-02-01T15:32:00Z

dc.date.available

2024-02-01T15:32:00Z

dc.date.issued

2024-01-10

dc.description.abstract

Age-related macular degeneration (AMD) has recently been linked to cognitive impairment. We hypothesized that AMD modifies the brain aging trajectory, and we conducted a longitudinal diffusion MRI study on 40 participants (20 with AMD and 20 controls) to reveal the location, extent, and dynamics of AMD-related brain changes. Voxel-based analyses at the first visit identified reduced volume in AMD participants in the cuneate gyrus, associated with vision, and the temporal and bilateral cingulate gyrus, linked to higher cognition and memory. The second visit occurred 2 years after the first and revealed that AMD participants had reduced cingulate and superior frontal gyrus volumes, as well as lower fractional anisotropy (FA) for the bilateral occipital lobe, including the visual and the superior frontal cortex. We detected faster rates of volume and FA reduction in AMD participants in the left temporal cortex. We identified inter-lingual and lingual-cerebellar connections as important differentiators in AMD participants. Bundle analyses revealed that the lingual gyrus had a lower streamline length in the AMD participants at the first visit, indicating a connection between retinal and brain health. FA differences in select inter-lingual and lingual cerebellar bundles at the second visit showed downstream effects of vision loss. Our analyses revealed widespread changes in AMD participants, beyond brain networks directly involved in vision processing.

dc.identifier

biomedicines12010147

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2227-9059

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2227-9059

dc.identifier.uri

https://hdl.handle.net/10161/30007

dc.language

eng

dc.publisher

MDPI AG

dc.relation.ispartof

Biomedicines

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10.3390/biomedicines12010147

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https://creativecommons.org/licenses/by-nc/4.0

dc.subject

age-related macular degeneration

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aging

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brain networks

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connectomics

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diffusion MRI

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tractography

dc.title

Accelerated Brain Atrophy, Microstructural Decline and Connectopathy in Age-Related Macular Degeneration.

dc.type

Journal article

duke.contributor.orcid

Whitaker, Diane B|0000-0002-7467-5065

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Madden, David J|0000-0003-2815-6552

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Whitson, Heather E|0000-0002-8417-4846

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Badea, Alexandra|0000-0001-6621-4560

pubs.begin-page

147

pubs.end-page

147

pubs.issue

1

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Duke

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Pratt School of Engineering

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School of Medicine

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Trinity College of Arts & Sciences

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Clinical Science Departments

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Institutes and Centers

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Biomedical Engineering

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Psychiatry & Behavioral Sciences

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Radiology

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Psychology & Neuroscience

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Institutes and Provost's Academic Units

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University Institutes and Centers

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Duke Institute for Brain Sciences

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Duke-UNC Center for Brain Imaging and Analysis

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Neurology

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Neurology, Behavioral Neurology

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Center for Cognitive Neuroscience

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Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences

pubs.publication-status

Published online

pubs.volume

12

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