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1
Tractography of supplementary motor area projections in progressive speech apraxia and aphasia
In: Neuroimage Clin (2022)
Abstract: Progressive apraxia of speech (AOS) is a motor speech disorder affecting the ability to produce phonetically or prosodically normal speech. Progressive AOS can present in isolation or co-occur with agrammatic aphasia and is associated with degeneration of the supplementary motor area. We aimed to assess breakdowns in structural connectivity from the supplementary motor area in patients with any combination of progressive AOS and/or agrammatic aphasia to determine which supplementary motor area tracts are specifically related to these clinical symptoms. Eighty-four patients with progressive AOS or progressive agrammatic aphasia were recruited by the Neurodegenerative Research Group and underwent neurological, speech/language, and neuropsychological testing, as well as 3 T diffusion magnetic resonance imaging. Of the 84 patients, 36 had apraxia of speech in isolation (primary progressive apraxia of speech, PPAOS), 40 had apraxia of speech and agrammatic aphasia (AOS-PAA), and eight had agrammatic aphasia in isolation (progressive agrammatic aphasia, PAA). Tractography was performed to identify 5 distinct tracts connecting to the supplementary motor area. Fractional anisotropy and mean diffusivity were assessed at 10 positions along the length of the tracts to construct tract profiles, and median profiles were calculated for each tract. In a case-control comparison, decreased fractional anisotropy and increased mean diffusivity were observed along the supplementary motor area commissural fibers in all three groups compared to controls. PPAOS also had abnormal diffusion in tracts from the supplementary motor area to the putamen, prefrontal cortex, Broca’s area (frontal aslant tract) and motor cortex, with greatest abnormalities observed closest to the supplementary motor area. The AOS-PAA group showed abnormalities in the same set of tracts, but with greater involvement of the supplementary motor area to prefrontal tract compared to PPAOS. PAA showed abnormalities in the left prefrontal and frontal aslant tracts compared to both other groups, with PAA showing greatest abnormalities furthest from the supplementary motor area. Severity of AOS correlated with tract metrics in the supplementary motor area commissural and motor cortex tracts. Severity of aphasia correlated with the frontal aslant and prefrontal tracts. These findings provide insight into how AOS and agrammatism are differentially related to disrupted diffusivity, with progressive AOS associated with abnormalities close to the supplementary motor area, and the frontal aslant and prefrontal tracts being particularly associated with agrammatic aphasia.
Keyword: Regular Article
URL: https://doi.org/10.1016/j.nicl.2022.102999
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987652/
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2
Posterior cortical atrophy phenotypic heterogeneity revealed by decoding (18)F-FDG-PET
In: Brain Commun (2021)
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3
Changing the face of neuroimaging research: Comparing a new MRI de-facing technique with popular alternatives
In: Neuroimage (2021)
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4
A molecular pathology, neurobiology, biochemical, genetic and neuroimaging study of progressive apraxia of speech
In: Nat Commun (2021)
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5
Longitudinal neuroimaging biomarkers differ across Alzheimer’s disease phenotypes
In: Brain (2020)
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6
Association of amyloid angiopathy with microbleeds in logopenic progressive aphasia: an imaging-pathology study
In: Eur J Neurol (2020)
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7
Longitudinal anatomic, functional, and molecular characterization of Pick disease phenotypes
In: Neurology (2020)
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8
An Evaluation of the Progressive Supranuclear Palsy Speech/Language Variant
In: Mov Disord Clin Pract (2019)
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9
Clinical and Neuroimaging Characteristics of Clinically Unclassifiable Primary Progressive Aphasia
In: Brain Lang (2019)
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10
The influence of β-amyloid on [(18)F]AV-1451 in semantic variant of primary progressive aphasia
Whitwell, Jennifer L.; Martin, Peter R.; Duffy, Joseph R.. - : Lippincott Williams & Wilkins, 2019
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11
Patterns of Neuropsychological Dysfunction and Cortical Volume Changes in Logopenic Aphasia
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12
[18F]AV-1451 tau-PET and primary progressive aphasia
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13
Tau Uptake in Agrammatic Primary Progressive Aphasia with and without Apraxia of Speech
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14
Disrupted functional connectivity in primary progressive apraxia of speech
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15
Tau-PET imaging with [18F]AV-1451 in Primary Progressive Apraxia of Speech
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16
Prosodic and Phonetic Subtypes of Primary Progressive Apraxia of Speech
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17
Predicting clinical decline in progressive agrammatic aphasia and apraxia of speech
Whitwell, Jennifer L.; Weigand, Stephen D.; Duffy, Joseph R.. - : Lippincott Williams & Wilkins, 2017
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18
Varying degrees of temporoparietal hypometabolism on FDG-PET reveal amyloid-positive logopenic primary progressive aphasia is not a homogeneous clinical entity
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19
Association Between Anticholinergic Medication Use and Cognition, Brain Metabolism, and Brain Atrophy in Cognitively Normal Older Adults
In: PMC (2016)
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20
Tracking the Development of Agrammatic Aphasia: a Tensor-Based Morphometry Study
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