Evidence map›Paper›PMID 32318784›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2020

Individual brain metabolic connectome indicator based on Kullback-Leibler Divergence Similarity Estimation predicts progression from mild cognitive impairment to Alzheimer's dementia.

Min Wang, Jiehui Jiang, Zhuangzhi Yan, Ian Alberts, Jingjie Ge, Huiwei Zhang, Chuantao Zuo, Jintai Yu, Axel Rominger, Kuangyu Shi and 1 more

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed.

  1. Article
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  6. Frontiers in medicine · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Individual-level metabolic connectivity from dynamic [European journal of nuclear medicine and molecular imaging · 2025
    Article
  13. Review
  14. Article
  15. Structural MRI of brain similarity networks.Nature reviews. Neuroscience · 2025
    Review
  16. Molecular connectivity studies in neurotransmission: a scoping review.Imaging neuroscience (Cambridge, Mass.) · 2025
    Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Min WangShanghai Institute for Advanced Communication and Data Science, Shanghai University, 99 Shangda Road, Shanghai, 200444, China.
Jiehui JiangShanghai Institute for Advanced Communication and Data Science, Shanghai University, 99 Shangda Road, Shanghai, 200444, China. jiangjiehui@shu.edu.cn.ORCID https://orcid.org/0000-0003-4948-3683
Zhuangzhi YanShanghai Institute for Advanced Communication and Data Science, Shanghai University, 99 Shangda Road, Shanghai, 200444, China.
Ian AlbertsDepartment of Nuclear Medicine, Inselspital, University Hospital Bern, Bern, Switzerland.
Jingjie GeDepartment of Nuclear Medicine, PET Center, Huashan Hospital, Fudan University, 518 Wuzhong Dong Road, Shanghai, 201103, China.
Huiwei ZhangDepartment of Nuclear Medicine, PET Center, Huashan Hospital, Fudan University, 518 Wuzhong Dong Road, Shanghai, 201103, China.
Chuantao ZuoDepartment of Nuclear Medicine, PET Center, Huashan Hospital, Fudan University, 518 Wuzhong Dong Road, Shanghai, 201103, China. zuochuantao@fudan.edu.cn.ORCID https://orcid.org/0000-0002-8856-7217
Jintai YuDepartment of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Axel RomingerDepartment of Nuclear Medicine, Inselspital, University Hospital Bern, Bern, Switzerland.
Kuangyu ShiDepartment of Nuclear Medicine, Inselspital, University Hospital Bern, Bern, Switzerland.
Alzheimer’s Disease Neuroimaging Initiative

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
National Natural Science Foundation of China 61603236National Natural Science Foundation of China 81671239NIA NIH HHS U01 AG024904
6 · The paper itself

Abstract

purposePositron emission tomography (PET) with

methodsFDG-PET data consisting of 50 healthy controls, 332 patients with stable MCI, 178 MCI patients progressing to AD, and 50 AD patients were recruited from ADNI database. Each individual's metabolic brain network was ascertained using the KLSE method. We compared intra- and intergroup similarity and difference between the KLSE matrix and group-level matrix, and then evaluated the network stability and inter-individual variation of KLSE. The multivariate Cox proportional hazards model and Harrell's concordance index (C-index) were employed to assess the prediction performance of KLSE and other clinical characteristics.

resultsThe KLSE method captures more pathological connectivity in the parietal and temporal lobes relative to the typical group-level method, and yields detailed individual information, while possessing greater stability of network organization (within-group similarity coefficient, 0.789 for sMCI and 0.731 for pMCI). Metabolic connectome expression was a superior predictor of conversion than were other clinical assessments (hazard ratio (HR) = 3.55; 95% CI, 2.77-4.55; P < 0.001). The predictive performance improved further upon combining clinical variables in the Cox model, i.e., C-indices 0.728 (clinical), 0.730 (group-level pattern model), 0.750 (imaging connectome), and 0.794 (the combined model).

conclusionThe KLSE indicator identifies abnormal brain networks predicting an individual's risk of conversion from MCI to AD, thus potentially constituting a clinically applicable imaging biomarker.

Indexed as

Alzheimer DiseaseCognitive DysfunctionConnectomeBrainDisease ProgressionFluorodeoxyglucose F18HumansPositron-Emission TomographyTomography, X-Ray ComputedFluorodeoxyglucose F18Alzheimer’s diseaseConnectomeConversion predictionFDG PETMild cognitive impairment

Identifiers

PMID32318784
PMCPMC7567735

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.