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Journal of Alzheimer’s Disease 22 (2010) 1–3 1 IOS Press Supplementary Data Longitudinal Changes in Fiber Tract Integrity in Healthy Aging and Mild Cognitive Impairment: A DTI Follow-Up Study Stefan J. Teipel a,b,* , Thomas Meindl c , Maximilian Wagner d , Bram Stieltjes e , Sigrid Reuter a,b , Karl-Heinz Hauenstein f , Massimo Filippi g , Ulrike Ernemann h , Maximilian F. Reiser c and Harald Hampel d,i,j a Department of Psychiatry, University Rostock, Rostock, Germany b DZNE, German Center for Neurodegenerative Diseases, Rostock, Germany c Institute for Clinical Radiology, Ludwig-Maximilian University, Munich, Germany d Department of Psychiatry, Ludwig-Maximilian University, Munich, Germany e Division of Radiology, German Cancer Research Center, Heidelberg, Germany f Department of Radiology, University Rostock, Rostock, Germany g Institute of Experimental Neurology, Scientific Institute and University Hospital San Raffaele, Milan, Italy h Department of Diagnostic and Interventional Neuroradiology, University Hospital T¨ ubingen, Germany i Discipline of Psychiatry and Trinity College Institute of Neuroscience (TCIN), Trinity College Dublin, The Adelaide and Meath Hospital incorporating the National Children’s Hospital (AMiNCH), Dublin, Ireland j Department of Psychiatry, University of Frankfurt, Frankfurt/Main, Germany Handling Associate Editor: Uwe Friese Accepted 2 July 2010 * Correspondence to: Stefan J. Teipel, M.D., Department of Psy- chiatry and Psychotherapy, University Rostock, Gehlsheimer Str. 20, 18147 Rostock, Germany. Tel.: +49 01149 381 494 9610; Fax: +49 01149 381 494 9682; E-mail: [email protected]. ISSN 1387-2877/10/$27.50 2010 – IOS Press and the authors. All rights reserved

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Page 1: Longitudinal Changes in Fiber Tract Integrity in Healthy ... · Longitudinal Changes in Fiber Tract Integrity in Healthy Aging and Mild Cognitive Impairment: A DTI Follow-Up Study

Journal of Alzheimer’s Disease 22 (2010) 1–3 1IOS Press

Supplementary Data

Longitudinal Changes in Fiber Tract Integrityin Healthy Aging and Mild CognitiveImpairment: A DTI Follow-Up Study

Stefan J. Teipela,b,∗, Thomas Meindlc, Maximilian Wagnerd, Bram Stieltjese, Sigrid Reutera,b,Karl-Heinz Hauensteinf, Massimo Filippig, Ulrike Ernemannh, Maximilian F. Reiserc andHarald Hampeld,i,j

aDepartment of Psychiatry, University Rostock, Rostock, GermanybDZNE, German Center for Neurodegenerative Diseases, Rostock, GermanycInstitute for Clinical Radiology, Ludwig-Maximilian University, Munich, GermanydDepartment of Psychiatry, Ludwig-Maximilian University,Munich, GermanyeDivision of Radiology, German Cancer Research Center, Heidelberg, GermanyfDepartment of Radiology, University Rostock, Rostock, GermanygInstitute of Experimental Neurology, Scientific Instituteand University Hospital San Raffaele, Milan, ItalyhDepartment of Diagnostic and Interventional Neuroradiology, University Hospital T̈ubingen, GermanyiDiscipline of Psychiatry and Trinity College Institute of Neuroscience(TCIN), Trinity College Dublin, TheAdelaide and Meath Hospital incorporating the National Children’s Hospital(AMiNCH), Dublin, IrelandjDepartment of Psychiatry, University of Frankfurt, Frankfurt/Main, Germany

Handling Associate Editor: Uwe Friese

Accepted 2 July 2010

∗Correspondence to: Stefan J. Teipel, M.D., Department of Psy-chiatry and Psychotherapy, University Rostock, Gehlsheimer Str. 20,18147 Rostock, Germany. Tel.: +49 01149 381 494 9610; Fax: +4901149 381 494 9682; E-mail: [email protected].

ISSN 1387-2877/10/$27.50 2010 – IOS Press and the authors. All rights reserved

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2 S.J. Teipel et al. / Longitudinal DTI in Aging and MCI

Supplementary Table 1

Cognitive changes in controls and MCI subjects (CERAD subtests)

time (F 1

23) diagnosis (F 1

23) time by diagnosis (F 1

23)

MMSE n.s. 53.44∗∗∗ n.s.Verbal fluency 5.23∗ 10.56∗∗ n.s.Boston naming n.s. n.s. 4.37∗

Word learning n.s. 13.51∗∗∗ n.s.Word recall n.s. 18.97∗∗∗ n.s.Word recognition n.s. 7.38∗ n.s.Drawing n.s. n.s. n.s.Drawing recall n.s. 12.08∗∗ n.s.Clock drawing test n.s. 57.49∗∗∗ n.s.

F-values with 1 denominator and 23 nominator degrees of freedom for the maineffects of time and diagnosis and the interaction effect of time by diagnosis. Thedirection of the significant differences always indicates higher performance levelsin controls.n.s.- not significant;∗p < 0.05;∗∗p < 0.01;∗∗∗p < 0.001.

Supplementary Figure 1. Projection of FA decline and grey matter atrophy in controls. Cluster of significant decline of grey matter (red) and FAdecline (green) projected on the group specific anatomical MRI scan in MNI standard space. Axial slices go from MNI (Talairach-Tournoux)coordinate z= 0 to z = 45 and are 5 mm apart. Please note: The maximum t-value for thetime effect on grey matter and FA values wascomparable with t24 = 7 for grey matter and 6 for FA. For the combined depiction of atrophy and fiber tract changes both measures werethresholded at an uncorrected level of p< 0.001. Left of image is left of brain.

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S.J. Teipel et al. / Longitudinal DTI in Aging and MCI 3

Supplementary Figure 2. Projection of FA decline and grey matter atrophy in MCI subjects. Cluster of significant declineof grey matter (red) andFA decline (green) projected on the group specific anatomical MRI scan in MNI standard space. Axial slices go from MNI (Talairach-Tournoux)coordinate z= 0 to z = 35 and are 5 mm apart. Please note: The maximum t-value for thetime effect on grey matter and FA values wascomparable with t24 = 9 for grey matter and 7 for FA. For the combined depiction of atrophy and fiber tract changes both measures werethresholded at an uncorrected level ofp < 0.001. Left of image is left of brain.