Mild Cognitive Impairment Clinical Trial
Official title:
A Composite MR Neuroimaging Marker for Alzheimer's Disease
The purpose of this study is to use a functional MRI (fMRI) index to compare the brain
activity of healthy volunteers to that of people with mild cognitive impairment (MCI) and
Alzheimer's disease. The ultimate goal is to develop an early diagnostic tool for
Alzheimer's disease.
The study hypotheses are:
1. The fMRI index will differentiate between Alzheimer's disease, non-Alzheimer's
dementia, and healthy volunteers;
2. The fMRI index will distinguish participants with MCI who convert to Alzheimer's
disease from those who convert to a non-Alzheimer's dementia and those who remain
stable;
3. MCI participants with a lower fMRI index at baseline who convert will progress to
Alzheimer's sooner than those with a higher fMRI index, and MCI participants with a
faster rate of fMRI index decline who convert will have an earlier onset of Alzheimer's
disease.
The onset of Alzheimer's disease is insidious and the boundary between normal aging and
Alzheimer's disease is blurred. In order to prevent and treat Alzheimer's disease, the
investigators must be able to mark its preclinical stage, before brain damage becomes
irreversible. There is a substantial body of research dealing with predictive markers of
Alzheimer's disease in individuals with mild cognitive impairment (MCI). Despite these
advances, however, researchers have not had enough evidence to recommend specific techniques
that mark preclinical Alzheimer's disease. This new functional MRI (fMRI) index may fill
this gap.
Participants will have two visits, one for memory testing and neurological examination, and
one for an MRI scan. Each visit will take approximately 1½ hours. For volunteers who wish to
do so, all study procedures may be completed in a single visit. Participants with MCI will
be followed annually.
The investigators are currently enrolling healthy volunteers, as well as individuals with
MCI (memory loss that does not significantly affect normal daily activities), Alzheimer's
disease, and frontotemporal dementia (includes primary progressive aphasia).
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Observational Model: Case Control, Time Perspective: Prospective
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