Evidence map›Paper›PMID 38240769›Full record

ArticleNeuroradiology2024

Atrophy of the cholinergic regions advances from early to late mild cognitive impairment.

Ying-Liang Larry Lai, Fei-Ting Hsu, Shu-Yi Yeh, Yu-Tzu Kuo, Hui-Hsien Lin, Yi-Chun Lin, Li-Wei Kuo, Cheng-Yu Chen, Hua-Shan Liu, Alzheimer’s Disease Neuroimaging Initiative

Abstract read
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In one paragraph

Article in Neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 24% of its field
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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Practical Brain MRI Guidelines for Anti-Aβ Antibody Treatment in Early Symptomatic Alzheimer's Disease.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
    Guideline
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  3. Review
  4. Article
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

10 authors at 5 institutions in 2 countries.

Ying-Liang Larry LaiPh.D. Program in Medical Neuroscience, College of Medical Science and Technology, Taipei Medical University and National Health Research Institutes, Taipei, Taiwan.
Fei-Ting HsuDepartment of Biological Science and Technology, China Medical University, Taichung, Taiwan.
Shu-Yi YehSchool of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan.
Yu-Tzu KuoSchool of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan.
Hui-Hsien LinCT/MR Division, Rotary Trading CO., LTD, Taipei, Taiwan.
Yi-Chun LinSchool of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan.
Li-Wei KuoInstitute of Biomedical Engineering and Nanomedicine, National Health Research Institutes, Miaoli, Taiwan.
Cheng-Yu Chen *Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. sandy0932@gmail.com.
Hua-Shan Liu *School of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan. HeatherLiu2016@gmail.com.ORCID http://orcid.org/0000-0003-4453-746X
Alzheimer’s Disease Neuroimaging Initiative
Taipei Medical University · TWNational Health Research Institutes · TWChina Medical University · TWRotary International · USTaipei Medical University Hospital · TW

Funding

Ministry of Science and Technology, Taiwan MOST108-2221-E-038-007-MY2Taipei Medical University TMU110-F-011Taipei Medical University Hospital 105TMU-TMUH-05Taipei Medical University Hospital 106TMU-TMUH-21Taipei Medical University Hospital 107TMU-TMUH-09
6 · The paper itself

Abstract

purposeWe investigated the volumetric changes in the components of the cholinergic pathway for patients with early mild cognitive impairment (EMCI) and those with late mild cognitive impairment (LMCI). The effect of patients' apolipoprotein 4 (APOE-ε4) allele status on the structural changes were analyzed.

methodsStructural magnetic resonance imaging data were collected. Patients' demographic information, plasma data, and validated global cognitive composite scores were included. Relevant features were extracted for constructing machine learning models to differentiate between EMCI (n = 312) and LMCI (n = 541) and predict patients' neurocognitive function. The data were analyzed primarily through one-way analysis of variance and two-way analysis of covariance.

resultsConsiderable differences were observed in cholinergic structural changes between patients with EMCI and LMCI. Cholinergic atrophy was more prominent in the LMCI cohort than in the EMCI cohort (P < 0.05 family-wise error corrected). APOE-ε4 differentially affected cholinergic atrophy in the LMCI and EMCI cohorts. For LMCI cohort, APOE-ε4 carriers exhibited increased brain atrophy (left amygdala: P = 0.001; right amygdala: P = 0.006, and right Ch123, P = 0.032). EMCI and LCMI patients showed distinctive associations of gray matter volumes in cholinergic regions with executive (R

conclusionsOur data confirmed significant cholinergic atrophy differences between early and late stages of mild cognitive impairment. The impact of the APOE-ε4 allele on cholinergic atrophy varied between the LMCI and EMCI groups.

Indexed as

Alzheimer DiseaseCognitive DysfunctionApolipoproteins EAtrophyCholinergic AgentsHumansMagnetic Resonance ImagingApolipoproteins ECholinergic AgentsAPOE-ε4 allelecholinergic pathwayEarly mild cognitive impairment (EMCI)mild cognitive impairment (MCI)nucleus basalis of Meynert

Identifiers

PMID38240769
OpenAlexW4391034675

What Socratic holds

Textmetadata
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.