Distinctive Oculomotor Behaviors in Alzheimer's Disease and Frontotemporal Dementia

Oculomotor behavior can provide insight into the integrity of widespread cortical networks, which may contribute to the differential diagnosis between Alzheimer's disease and frontotemporal dementia. Three groups of patients with Alzheimer's disease, behavioral variant of frontotemporal de...

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Autores: Lage, Carmen|||0000-0003-1703-121X, López-García, Sara, Bejanin, Alexandre|||0000-0002-9958-0951, Kazimierczak, Martha, Aracil-Bolaños, Ignacio|||0000-0002-8246-5025, Calvo-Córdoba, Alberto, Pozueta, Ana, García-Martínez, María, Fernández-Rodríguez, Andrea, Bravo-González, María, Jiménez-Bonilla, Julio, Banzo, Ignacio, Irure-Ventura, Juan, Pegueroles, Jordi|||0000-0002-3554-2446, Illán-Gala, Ignacio|||0000-0002-5418-2052, Fortea, Juan|||0000-0002-1340-638X, Rodríguez-Rodríguez, Eloy|||0000-0001-7742-677X, Lleó, Alberto|||0000-0002-2568-5478, García-Cena, Cecilia E., Sánchez-Juan, Pascual|||0000-0002-6081-8037
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:255304
Acceso en línea:https://ddd.uab.cat/record/255304
https://dx.doi.org/urn:doi:10.3389/fnagi.2020.603790
Access Level:acceso abierto
Palabra clave:Oculomotor
Alzheimer's disease
Frontotemporal dementia
Biomarkers
Antisaccade
Smooth pursuit
Semantic dementia
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network_name_str España
repository_id_str
dc.title.none.fl_str_mv Distinctive Oculomotor Behaviors in Alzheimer's Disease and Frontotemporal Dementia
title Distinctive Oculomotor Behaviors in Alzheimer's Disease and Frontotemporal Dementia
spellingShingle Distinctive Oculomotor Behaviors in Alzheimer's Disease and Frontotemporal Dementia
Lage, Carmen|||0000-0003-1703-121X
Oculomotor
Alzheimer's disease
Frontotemporal dementia
Biomarkers
Antisaccade
Smooth pursuit
Semantic dementia
title_short Distinctive Oculomotor Behaviors in Alzheimer's Disease and Frontotemporal Dementia
title_full Distinctive Oculomotor Behaviors in Alzheimer's Disease and Frontotemporal Dementia
title_fullStr Distinctive Oculomotor Behaviors in Alzheimer's Disease and Frontotemporal Dementia
title_full_unstemmed Distinctive Oculomotor Behaviors in Alzheimer's Disease and Frontotemporal Dementia
title_sort Distinctive Oculomotor Behaviors in Alzheimer's Disease and Frontotemporal Dementia
dc.creator.none.fl_str_mv Lage, Carmen|||0000-0003-1703-121X
López-García, Sara
Bejanin, Alexandre|||0000-0002-9958-0951
Kazimierczak, Martha
Aracil-Bolaños, Ignacio|||0000-0002-8246-5025
Calvo-Córdoba, Alberto
Pozueta, Ana
García-Martínez, María
Fernández-Rodríguez, Andrea
Bravo-González, María
Jiménez-Bonilla, Julio
Banzo, Ignacio
Irure-Ventura, Juan
Pegueroles, Jordi|||0000-0002-3554-2446
Illán-Gala, Ignacio|||0000-0002-5418-2052
Fortea, Juan|||0000-0002-1340-638X
Rodríguez-Rodríguez, Eloy|||0000-0001-7742-677X
Lleó, Alberto|||0000-0002-2568-5478
García-Cena, Cecilia E.
Sánchez-Juan, Pascual|||0000-0002-6081-8037
author Lage, Carmen|||0000-0003-1703-121X
author_facet Lage, Carmen|||0000-0003-1703-121X
López-García, Sara
Bejanin, Alexandre|||0000-0002-9958-0951
Kazimierczak, Martha
Aracil-Bolaños, Ignacio|||0000-0002-8246-5025
Calvo-Córdoba, Alberto
Pozueta, Ana
García-Martínez, María
Fernández-Rodríguez, Andrea
Bravo-González, María
Jiménez-Bonilla, Julio
Banzo, Ignacio
Irure-Ventura, Juan
Pegueroles, Jordi|||0000-0002-3554-2446
Illán-Gala, Ignacio|||0000-0002-5418-2052
Fortea, Juan|||0000-0002-1340-638X
Rodríguez-Rodríguez, Eloy|||0000-0001-7742-677X
Lleó, Alberto|||0000-0002-2568-5478
García-Cena, Cecilia E.
Sánchez-Juan, Pascual|||0000-0002-6081-8037
author_role author
author2 López-García, Sara
Bejanin, Alexandre|||0000-0002-9958-0951
Kazimierczak, Martha
Aracil-Bolaños, Ignacio|||0000-0002-8246-5025
Calvo-Córdoba, Alberto
Pozueta, Ana
García-Martínez, María
Fernández-Rodríguez, Andrea
Bravo-González, María
Jiménez-Bonilla, Julio
Banzo, Ignacio
Irure-Ventura, Juan
Pegueroles, Jordi|||0000-0002-3554-2446
Illán-Gala, Ignacio|||0000-0002-5418-2052
Fortea, Juan|||0000-0002-1340-638X
Rodríguez-Rodríguez, Eloy|||0000-0001-7742-677X
Lleó, Alberto|||0000-0002-2568-5478
García-Cena, Cecilia E.
Sánchez-Juan, Pascual|||0000-0002-6081-8037
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Oculomotor
Alzheimer's disease
Frontotemporal dementia
Biomarkers
Antisaccade
Smooth pursuit
Semantic dementia
topic Oculomotor
Alzheimer's disease
Frontotemporal dementia
Biomarkers
Antisaccade
Smooth pursuit
Semantic dementia
description Oculomotor behavior can provide insight into the integrity of widespread cortical networks, which may contribute to the differential diagnosis between Alzheimer's disease and frontotemporal dementia. Three groups of patients with Alzheimer's disease, behavioral variant of frontotemporal dementia (bvFTD) and semantic variant of primary progressive aphasia (svPPA) and a sample of cognitively unimpaired elders underwent an eye-tracking evaluation. All participants in the discovery sample, including controls, had a biomarker-supported diagnosis. Oculomotor correlates of neuropsychology and brain metabolism evaluated with 18F-FDG PET were explored. Machine-learning classification algorithms were trained for the differentiation between Alzheimer's disease, bvFTD and controls. A total of 93 subjects (33 Alzheimer's disease, 24 bvFTD, seven svPPA, and 29 controls) were included in the study. Alzheimer's disease was the most impaired group in all tests and displayed specific abnormalities in some visually-guided saccade parameters, as pursuit error and horizontal prosaccade latency, which are theoretically closely linked to posterior brain regions. BvFTD patients showed deficits especially in the most cognitively demanding tasks, the antisaccade and memory saccade tests, which require a fine control from frontal lobe regions. SvPPA patients performed similarly to controls in most parameters except for a lower number of correct memory saccades. Pursuit error was significantly correlated with cognitive measures of constructional praxis and executive function and metabolism in right posterior middle temporal gyrus. The classification algorithms yielded an area under the curve of 97.5% for the differentiation of Alzheimer's disease vs. controls, 96.7% for bvFTD vs. controls, and 92.5% for Alzheimer's disease vs. bvFTD. In conclusion, patients with Alzheimer's disease, bvFTD and svPPA exhibit differentiating oculomotor patterns which reflect the characteristic neuroanatomical distribution of pathology of each disease, and therefore its assessment can be useful in their diagnostic work-up. Machine learning approaches can facilitate the applicability of eye-tracking in clinical practice.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/255304
https://dx.doi.org/urn:doi:10.3389/fnagi.2020.603790
url https://ddd.uab.cat/record/255304
https://dx.doi.org/urn:doi:10.3389/fnagi.2020.603790
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI08/0139
Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI12/02288
Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI16/01652
Ministerio de Ciencia e Innovación https://doi.org/10.13039/501100004837 PI11/03028
Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 CM17/00074
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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spelling Distinctive Oculomotor Behaviors in Alzheimer's Disease and Frontotemporal DementiaLage, Carmen|||0000-0003-1703-121XLópez-García, SaraBejanin, Alexandre|||0000-0002-9958-0951Kazimierczak, MarthaAracil-Bolaños, Ignacio|||0000-0002-8246-5025Calvo-Córdoba, AlbertoPozueta, AnaGarcía-Martínez, MaríaFernández-Rodríguez, AndreaBravo-González, MaríaJiménez-Bonilla, JulioBanzo, IgnacioIrure-Ventura, JuanPegueroles, Jordi|||0000-0002-3554-2446Illán-Gala, Ignacio|||0000-0002-5418-2052Fortea, Juan|||0000-0002-1340-638XRodríguez-Rodríguez, Eloy|||0000-0001-7742-677XLleó, Alberto|||0000-0002-2568-5478García-Cena, Cecilia E.Sánchez-Juan, Pascual|||0000-0002-6081-8037OculomotorAlzheimer's diseaseFrontotemporal dementiaBiomarkersAntisaccadeSmooth pursuitSemantic dementiaOculomotor behavior can provide insight into the integrity of widespread cortical networks, which may contribute to the differential diagnosis between Alzheimer's disease and frontotemporal dementia. Three groups of patients with Alzheimer's disease, behavioral variant of frontotemporal dementia (bvFTD) and semantic variant of primary progressive aphasia (svPPA) and a sample of cognitively unimpaired elders underwent an eye-tracking evaluation. All participants in the discovery sample, including controls, had a biomarker-supported diagnosis. Oculomotor correlates of neuropsychology and brain metabolism evaluated with 18F-FDG PET were explored. Machine-learning classification algorithms were trained for the differentiation between Alzheimer's disease, bvFTD and controls. A total of 93 subjects (33 Alzheimer's disease, 24 bvFTD, seven svPPA, and 29 controls) were included in the study. Alzheimer's disease was the most impaired group in all tests and displayed specific abnormalities in some visually-guided saccade parameters, as pursuit error and horizontal prosaccade latency, which are theoretically closely linked to posterior brain regions. BvFTD patients showed deficits especially in the most cognitively demanding tasks, the antisaccade and memory saccade tests, which require a fine control from frontal lobe regions. SvPPA patients performed similarly to controls in most parameters except for a lower number of correct memory saccades. Pursuit error was significantly correlated with cognitive measures of constructional praxis and executive function and metabolism in right posterior middle temporal gyrus. The classification algorithms yielded an area under the curve of 97.5% for the differentiation of Alzheimer's disease vs. controls, 96.7% for bvFTD vs. controls, and 92.5% for Alzheimer's disease vs. bvFTD. In conclusion, patients with Alzheimer's disease, bvFTD and svPPA exhibit differentiating oculomotor patterns which reflect the characteristic neuroanatomical distribution of pathology of each disease, and therefore its assessment can be useful in their diagnostic work-up. Machine learning approaches can facilitate the applicability of eye-tracking in clinical practice.Universitat Autònoma de Barcelona 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/255304https://dx.doi.org/urn:doi:10.3389/fnagi.2020.603790reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengInstituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI08/0139Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI12/02288Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI16/01652Ministerio de Ciencia e Innovación https://doi.org/10.13039/501100004837 PI11/03028Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 CM17/00074open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2553042026-06-06T12:50:31Z
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