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Xiaoping P. Hu

Publications and source records attributed to Xiaoping P. Hu.

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Associations between iron and mean kurtosis in iron-rich grey matter nuclei in aging

Elevated kurtosis values have been observed in subcortical grey matter structures of patients with neurodegenerative diseases. Here we tested whether these elevated values are related to iron content, which generate magnetic fields that add to the diffusion encoding gradients. Multi-shell diffusion and multi-echo gradient echo acquisitions were used to derive mean kurtosis and iron measures (R2* and magnetic susceptibility), respectively, in subcortical grey matter nuclei and white matter tracts in a discovery cohort (110 older and 63 younger adults) and replication cohort (72 healthy older adults). Iron-rich grey matter regions exhibited higher mean kurtosis, R2*, and magnetic susceptibility and white matter regions had lower mean kurtosis in the older adult group. In both cohorts, mean kurtosis was significantly correlated with R2* and magnetic susceptibility in iron-rich grey matter nuclei. No association was seen between signal-to-noise ratio and mean kurtosis in any grey matter region, indicating that the increase in mean kurtosis was not due to reduced signal-to-noise. Finally, a phantom experiment found higher mean kurtosis as iron concentrations increased. Our findings indicate that kurtosis is associated with iron-sensitive metrics in iron-rich grey matter structures, suggesting that kurtosis may be sensitive to iron deposits.

physics.med-ph

Accounting for iron-related off-target binding effects of 18F-AV1451 PET in the evaluation of cognition and microstructure in APOE-e4+ MCI

The pathology of Alzheimer's disease (AD) and mild cognitive impairment (MCI) is characterized by the presence of beta-amyloid extracellular plaques and neurofibrillary tangles containing hyper-phosphorylated tau. Individuals carrying the apolipoprotein E-e4 (APOE-e4) allele are at increased risk of cognitive decline and developing AD pathology. The development of positron emission tomography (PET) radioligands sensitive to tau neurofibrillary tangles, such as 18F-AV1451, has allowed for visualization and assessment of AD pathology in vivo. The radioligand used in 18F-AV1451 binds with iron in addition to tau neurofibrillary tangles. We employ multimodal neuroimaging analyses, combining iron-sensitive measures from MRI with 18F-AV1451 PET, to examine off-target binding effects in cohorts of 20 APOE-e4 negative, 20 APOE-e4 positive MCI, and 29 control participants. Increased tau pathology, after controlling for tissue susceptibility, was found in the temporal lobe and hippocampus of APOE-e4+ MCI participants as compared to APOE-e4 negative MCI and control participants. Tau pathology in the hippocampus was significantly related to memory, but only in APOE-e4+ participants. Correlations between hippocampal 18F-AV1451 PET uptake and cognitive correlations did not significantly differ when correcting for the influence of iron on 18F-AV1451 PET signal. However, controlling for susceptibility was found to influence correlations between tau-PET uptake and diffusion metrics and the change in this interaction may be due to the influence of iron on diffusivity. Taken together, these results suggest that iron does not need to be accounted for in group comparisons of tau-PET uptake or correlations between cognitive measures and tau-PET SUVR. However, iron should be taken into account in correlations between diffusion measures and tau-PET uptake.

physics.med-ph

Nigral diffusivity, but not free water, correlates with iron content in Parkinson's disease

The loss of melanized neurons in the substantia nigra pars compacta is a primary feature in Parkinson's disease (PD). Iron deposition occurs in conjunction with this loss. Loss of nigral neurons should remove barriers for diffusion and increase diffusivity of water molecules in regions undergoing this loss. In metrics from single-compartment diffusion tensor imaging models, these changes should manifest as increases in mean diffusivity and the free water compartment as well as and reductions in fractional anisotropy. However, studies examining nigral diffusivity changes from PD with single-compartment models have yielded inconclusive results and emerging evidence in control subjects indicates that iron corrupts diffusivity metrics derived from single-compartment models. Iron-sensitive data and diffusion data were analyzed in two cohorts. The effect of iron on diffusion measures from single- and bi-compartment models was assessed in both cohorts. Measures sensitive to the free water compartment and iron content were found to increase in substantia nigra of the PD group in both cohorts. However, diffusion markers derived from the single-compartment model were not replicated across cohorts. Correlations were seen between single-compartment diffusion measures and iron markers in the discovery cohort and validation cohort but no correlation was observed between a measure from the bi-compartment model related to the free water compartment and iron markers in either cohort. The variability of single-compartment nigral diffusion metrics in PD may be attributed to competing influences of increased iron content, which drives diffusivity down, and increases in the free water compartment, which drives diffusivity up. In contrast to diffusion metrics derived from the single-compartment model, no relationship was seen between iron and the free water compartment in substantia nigra.

physics.med-ph

Impact of locus coeruleus and its projections on memory and aging

Introduction: Locus coeruleus (LC) is the primary source of norepinephrine to the brain and its efferent projections innervate many brain regions, including the thalamus. LC degrades with normal aging, but not much is known regarding whether its structural connectivity evolves with age or predicts aspects of cognition. Methods: Here, we use high-resolution diffusion tensor imaging (DTI)-based tractography to examine structural connectivity between LC and the thalamus in younger and older adults. Results: We found LC projections to be bundled in a fiber tract anatomically consistent with the central tegmental tract (CTT) and branch from this tract into the thalamus. The older cohort exhibited a significant reduction in mean and radial diffusivity within CTT as compared to the young cohort. We also observed a significant correlation between CTT mean, axial, and radial diffusivities and memory performance (delayed recall) in the older adult cohort. Discussion: These observations suggest that although LC projections degrade with age, the degree of degradation is associated with cognitive abilities in older adults.

physics.med-ph