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SINAPSE experts from around Scotland have developed ten online modules designed to explain medical imaging. They are freely available and are intended for non-specialists.


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Online Short Courses

5-(123)I-A-85380 binding to the alpha4beta2-nicotinic receptor in mild cognitive impairment

Author(s): E. Terriere, M. F. Dempsey, L. L. Herrmann, K. M. Tierney, J. A. Lonie, R. E. O'Carroll, S. Pimlott, D. J. Wyper, K. Herholz, K. P. Ebmeier

Abstract:
Treatments currently licensed for Alzheimer's dementia target cholinergic brain systems. In vivo nicotinic receptor binding may provide an early marker of illness and treatment suitability. In this pilot, we examined nine patients with amnestic mild cognitive impairment (MCI) and 10 age and education matched healthy volunteers with high resolution SPECT and the nicotinic receptor ligand 5-(123)I-A-85380. Uptake data were analysed using voxel-based techniques for group comparisons and regression analyses with cognitive impairment as covariates. MCI patients had discrete reductions in uptake in medial temporal cortex. Correlations with cognitive impairment were found in left temporo-parietal areas (Addenbrooke's Cognitive Examination) and bilateral temporo-limbic areas (Rey Auditory Verbal Learning Test), and right parahippocampal gyrus (Rey Complex Figure Test) within the patient group. In vivo nicotinic receptor binding appears to be sensitive to brain changes in MCI. Larger scale explorations of patients undergoing treatment will be necessary to evaluate its use in predicting or monitoring treatment response.

Full version: Available here

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ISBN: 1558-1497 (Electronic) 0197-4580 (Linking)
Publication Year: 2010
Periodical: Neurobiol Aging
Periodical Number: 11
Volume: 31
Pages: 1885-93
Author Address: Division of Psychiatry, University of Edinburgh, UK.