Regional MRI Perfusion Measures Predict Motor/Executive Function in Patients with Clinically Isolated Syndrome

Background. Patients with clinically isolated syndrome (CIS) demonstrate brain hemodynamic changes and also suffer from difficulties in processing speed, memory, and executive functions. Objective. To explore whether brain hemodynamic disturbances in CIS patients correlate with executive functions....

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Main Authors: Efrosini Z. Papadaki, Panagiotis G. Simos, Vasileios C. Mastorodemos, Theodora Panou, Thomas G. Maris, Apostolos H. Karantanas, Andreas Plaitakis
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2014/252419
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author Efrosini Z. Papadaki
Panagiotis G. Simos
Vasileios C. Mastorodemos
Theodora Panou
Thomas G. Maris
Apostolos H. Karantanas
Andreas Plaitakis
author_facet Efrosini Z. Papadaki
Panagiotis G. Simos
Vasileios C. Mastorodemos
Theodora Panou
Thomas G. Maris
Apostolos H. Karantanas
Andreas Plaitakis
author_sort Efrosini Z. Papadaki
collection DOAJ
description Background. Patients with clinically isolated syndrome (CIS) demonstrate brain hemodynamic changes and also suffer from difficulties in processing speed, memory, and executive functions. Objective. To explore whether brain hemodynamic disturbances in CIS patients correlate with executive functions. Methods. Thirty CIS patients and forty-three healthy subjects, matched for age, gender, education level, and FSIQ, were administered tests of visuomotor learning and set shifting ability. Cerebral blood volume (CBV), cerebral blood flow (CBF), and mean transit time (MTT) values were estimated in normal-appearing white matter (NAWM) and normal-appearing deep gray Matter (NADGM) structures, using a perfusion MRI technique. Results. CIS patients showed significantly elevated reaction time (RT) on both tasks, while their CBV and MTT values were globally increased, probably due to inflammatory vasodilation. Significantly, positive correlation coefficients were found between error rates on the inhibition condition of the visuomotor learning task and CBV values in occipital, periventricular NAWM and both thalami. On the set shifting condition of the respective task significant, positive associations were found between error rates and CBV values in the semioval center and periventricular NAWM bilaterally. Conclusion. Impaired executive function in CIS patients correlated positively with elevated regional CBV values thought to reflect inflammatory processes.
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spelling doaj-art-53d439bb40934f2f84eb356eb097a07d2025-08-20T02:05:25ZengWileyBehavioural Neurology0953-41801875-85842014-01-01201410.1155/2014/252419252419Regional MRI Perfusion Measures Predict Motor/Executive Function in Patients with Clinically Isolated SyndromeEfrosini Z. Papadaki0Panagiotis G. Simos1Vasileios C. Mastorodemos2Theodora Panou3Thomas G. Maris4Apostolos H. Karantanas5Andreas Plaitakis6Department of Radiology, Faculty of Medicine, University of Crete, University Hospital, Heraklion, 71110 Stavrakia, GreeceDepartment of Psychiatry, Faculty of Medicine, University of Crete, University Hospital, Heraklion, 71110 Stavrakia, GreeceDepartment of Neurology, Faculty of Medicine, University of Crete, University Hospital, Heraklion, 71110 Stavrakia, GreeceDepartment of Neurology, Faculty of Medicine, University of Crete, University Hospital, Heraklion, 71110 Stavrakia, GreeceDepartment of Medical Physics, Faculty of Medicine, University of Crete, University Hospital, Heraklion, 71110 Stavrakia, GreeceDepartment of Radiology, Faculty of Medicine, University of Crete, University Hospital, Heraklion, 71110 Stavrakia, GreeceDepartment of Neurology, Faculty of Medicine, University of Crete, University Hospital, Heraklion, 71110 Stavrakia, GreeceBackground. Patients with clinically isolated syndrome (CIS) demonstrate brain hemodynamic changes and also suffer from difficulties in processing speed, memory, and executive functions. Objective. To explore whether brain hemodynamic disturbances in CIS patients correlate with executive functions. Methods. Thirty CIS patients and forty-three healthy subjects, matched for age, gender, education level, and FSIQ, were administered tests of visuomotor learning and set shifting ability. Cerebral blood volume (CBV), cerebral blood flow (CBF), and mean transit time (MTT) values were estimated in normal-appearing white matter (NAWM) and normal-appearing deep gray Matter (NADGM) structures, using a perfusion MRI technique. Results. CIS patients showed significantly elevated reaction time (RT) on both tasks, while their CBV and MTT values were globally increased, probably due to inflammatory vasodilation. Significantly, positive correlation coefficients were found between error rates on the inhibition condition of the visuomotor learning task and CBV values in occipital, periventricular NAWM and both thalami. On the set shifting condition of the respective task significant, positive associations were found between error rates and CBV values in the semioval center and periventricular NAWM bilaterally. Conclusion. Impaired executive function in CIS patients correlated positively with elevated regional CBV values thought to reflect inflammatory processes.http://dx.doi.org/10.1155/2014/252419
spellingShingle Efrosini Z. Papadaki
Panagiotis G. Simos
Vasileios C. Mastorodemos
Theodora Panou
Thomas G. Maris
Apostolos H. Karantanas
Andreas Plaitakis
Regional MRI Perfusion Measures Predict Motor/Executive Function in Patients with Clinically Isolated Syndrome
Behavioural Neurology
title Regional MRI Perfusion Measures Predict Motor/Executive Function in Patients with Clinically Isolated Syndrome
title_full Regional MRI Perfusion Measures Predict Motor/Executive Function in Patients with Clinically Isolated Syndrome
title_fullStr Regional MRI Perfusion Measures Predict Motor/Executive Function in Patients with Clinically Isolated Syndrome
title_full_unstemmed Regional MRI Perfusion Measures Predict Motor/Executive Function in Patients with Clinically Isolated Syndrome
title_short Regional MRI Perfusion Measures Predict Motor/Executive Function in Patients with Clinically Isolated Syndrome
title_sort regional mri perfusion measures predict motor executive function in patients with clinically isolated syndrome
url http://dx.doi.org/10.1155/2014/252419
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