Browsing by Autor "Juan J. Copajira Adrian"

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P2‐108: USING COMPUTED TOMOGRAPHY TO ASSESS BRAIN VOLUMETRICS IN AGING
(Wiley, 2019) Andrei Irimia; Hillard Kaplan; Ben C. Trumble; Juan J. Copajira Adrian; Alexander S. Maher; Kenneth A. Rostowsky; Nahian F. Chowdhury; M. Linda Sutherland; James D. Sutherland; Adel H. Allam
Although magnetic resonance imaging (MRI) remains the gold standard for the noninvasive evaluation of white matter (WM), gray matter (GM) and cerebrospinal fluid (CSF) volumes in the aging brain, CT continues to be used widely for brain imaging, particularly when MRI is unavailable or contraindicated. In developing countries, CT is often the only imaging modality available for evaluation of brain atrophy in patients with mild cognitive impairment (MCI) or Alzheimer's disease (AD). This has renewed interest in the development of approaches to use head CT to estimate brain volumetrics. A brain segmentation approach was developed to delineate WM, GM and CSF from head CT using probabilistic, atlas-based classification. Feasibility and utility were evaluated by comparing MRI-only to CT-only segmentations in 10 older adults [mean (μ) ± standard deviation (σ) of age = 65 ± 7 yrs; 5 females] from whom both MRI and CT scans were acquired within an eight-week period. Segmentation similarity was quantified using the Dice coefficient (DC), a robust measure of inter-modality tissue classification agreement. Comparison of MRI vs. CT segmentations yielded normally-distributed DCs [μ ± σ across participants: 85.5% ± 4.6% (WM), 86.7% ± 5.6% (GM) and 91.3% ± 2.8% (CSF)], indicating satisfactory ability to calculate brain volumetrics from the CT scans of the participants, relative to MRI measurements. For this sample, bootstrapping suggests that the tissue classification method is sufficiently sensitive to estimate WM, GM and CSF volumes within ∼5%, ∼4% and ∼3% of their MRI-based values, respectively. Compared to MRI, volumes computed from CT displayed no evidence of systematic over- or under-estimation [t (9) = 0.89, p > 0.80]. Our contribution broadens the ability to integrate CT imaging findings with other research on brain aging in health and disease, and complements other methodologies for the study of brain volumetrics in neurodegenerative diseases, including AD.
P3‐134: APOE GENOTYPE AND COGNITIVE PERFORMANCE IN TSIMANE AND MOSETEN OF BOLIVIA
(Wiley, 2019) Margaret Gatz; Hillard Kaplan; Ben C. Trumble; Randall C. Thompson; Juan J. Copajira Adrian; M. Linda Sutherland; James D. Sutherland; Helena C. Chui; Daniel Eid Rodriguez; Raúl Quispe Gutierrez
The ε4 allele of the apolipoprotein gene (APOE) is an established risk factor for Alzheimer's disease (AD), with evidence predominantly from Caucasian populations. Results are mixed whether non-demented older adult ε4 carriers perform more poorly on cognitive tests. Some evidence indicates that APOE influences AD risk through episodic memory. We therefore hypothesized ε4 carriers would show lower episodic memory scores. Participants were indigenous lowland Bolivians practicing subsistence level horticulture (469 Tsimane; 86 Moseten) aged ≥55 (mean 66, range 55-96), with data from both cognitive testing and APOE genotyping from PCR. Culturally/linguistically adapted cognitive tests included episodic memory, digit span forward, semantic fluency, visual scan, and visuoconstructional ability. Episodic memory included immediate memory (average of 3 learning trials for an 8-word list), and delayed recall assessed after 10 minutes. General linear modelling evaluated whether memory scores were associated with carrying the ε4 allele. Distribution of APOE genotypes was not significantly different between Tsimane and Moseten populations: unadjusted 21% ε3/ε4 heterozygotes; 1% ε4/ε4 homozygotes. Controlling for population, age, gender, and education, there was a significant effect for delayed recall: those carrying an ε4 allele scored significantly lower, b = −0.705, SE = 0.203, p = .0006, ηP2 = 0.024. Neither immediate memory nor any other cognitive test showed a significant ε4 effect. There were no significant interactions between APOE and population, age, gender, or education. Within each population, controlling for age, gender, and education, the ε4 main effect was significant on delayed recall for both Tsimane, b = −0.527, SE = 0.212, p = .0131, ηP2 = 0.0132, and Moseten, b = −0.935, SE = 0.427, p = .0316, ηP2 = 0.0558, with a trend for Moseten on immediate memory, b = −0.589, SE = 0.240, p = .0163, ηP2 = 0.0692.