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Research ArticleBRAIN
Open Access

Cortical Morphometric Subclassification of Frontotemporal Lobar Degeneration

O. Lindberg, P. Östberg, B.B. Zandbelt, J. Öberg, Y. Zhang, C. Andersen, J.C.L. Looi, N. Bogdanović and L.-O. Wahlund
American Journal of Neuroradiology June 2009, 30 (6) 1233-1239; DOI: https://doi.org/10.3174/ajnr.A1545
O. Lindberg
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P. Östberg
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B.B. Zandbelt
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J. Öberg
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Y. Zhang
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C. Andersen
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J.C.L. Looi
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N. Bogdanović
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L.-O. Wahlund
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  • Fig 1.
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    Fig 1.

    Cortical regions manually outlined on contiguous coronal sections. Note that only gray matter is included in all regions except the TEMP and the HIPP, where both gray and white matter is included.

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    Fig 2.

    Comparison between FTLD subtypes and controls. X-axis denotes volume of interest (VOI). Y-axis denotes VOI divided by intracranial volume normalized as z-scores. To illustrate the overall pattern of cortical atrophy, we connected the structures by a horizontal line. Vertical bars denote the 95% confidence interval. Plus sign indicates P < .01; number sign, P < .05; ampersand, P < .07 (close to significant); temp pole, temporal pole; L, left; R, Right.

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    Fig 3.

    Difference between left- and right-sided volume of interest (VOI) calculated in percentages. FTD versus PNFA: total laterality, P = .015. Insula P < .01. PNFA versus control insula, P = .025. Total indicates the total volume of all measured regions; temp, the volume of all measured temporal regions; temp pole, the volume of temporal pole; Insula, the volume of the insula; frontal, the volume of all frontal regions.

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    Fig 4.

    Scatterplots of the PLS-DA models of the comparisons of FTLD subtypes. This plot illustrates the degree of separation between groups. The horizontal scale refers to the first component (t[1]), whereas the vertical scale refers to second component (t[2]). A, Comparison between FTD and PNFA. B, Comparison between FTD and SD. C, Comparison between PNFA and SD.

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    Fig 5.

    The VIP plots denote the importance of each measured region for separation between the compared subtypes. A variable with a VIP value >1 (above the horizontal line) is of above average importance for the separation of the investigated groups. The x-axis denotes the regions included in the discriminant analysis. The y-axis denotes the VIP value. Temp pol indicates temporal pole; L, left; R, right.

  • Fig 6.
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    Fig 6.

    Comparison between FTLD subtypes. X-axis denotes the volume of interest. Y-axis denotes the volume of interest (VOI)/ICV as a ratio of control mean value of VOI/ICV. Control mean value is set to 0%. Vertical bars denote 95% confidence interval. To emphasis the pattern of atrophy, we connected the structures by a horizontal line. Plus sign indicates P < .01; number sign, P < .05; temp pole, temporal pole; L. left; R, right.

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    Table 1:

    Demographic features of patients and controls

    ControlFTDSDPNFA
    No.2712139
    Sex (M/F)7:203:105:93:6
    Age (yr)61.1 (53–78)59.5 (42–72)63.8 (52–77)64.9 (57–78)
    MMSE28.7 (25–30)20.8 (10–30)*†22.9 (5–29)*†22.5 (15–28)*‡
    Disease duration (yr)–1.7 (0.3–3.4)3.9 (1.3–7.7)*§3.6 (0.1–8.1)
    • Note:—MMSE indicates Mini-Mental State Examination; –, no data; Disease duration, duration between the appearance of the first symptom of the disease to scanning time; FTD, frontotemporal dementia; SD, semantic dementia; PNFA, progressive nonfluent aphasia.

    • * Kruskal-Wallis test.

    • † P <.01 compared with controls.

    • ‡ P <.05 compared with controls.

    • § P < .01 compared with FTD.

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    Table 2:

    FTLD subjects treated as one group compared with control subjects*

    FTLDLeft SideRight Side
    RACCP = .047P < .01
    DACCP = .0115
    • Note:—FTLD indiates frontotemporal lobar degeneration; RACC, rostral anterior cingulate gyrus; DACC, dorsal anterior cingulate gyrus.

    • * Compared by ttest with Bonferroni correction for multiple comparisons.

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    Table 3:

    The classification results of the PLS-DA discriminant analysis

    Group 1Group 2Q2*SensitivitySpecificity
    FTDPNFA0.25192% (11/12)89% (8/9)
    FTDSD0.788100% (12/12)100% (13/13)
    SDPNFA0.60586% (11/13)100% (9/9)
    • Note:—PLS-DA indicates partial least squares discriminant analysis.

    • * Q2 value >0.05 is regarded as significant value for a principal component.

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American Journal of Neuroradiology: 30 (6)
American Journal of Neuroradiology
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Cite this article
O. Lindberg, P. Östberg, B.B. Zandbelt, J. Öberg, Y. Zhang, C. Andersen, J.C.L. Looi, N. Bogdanović, L.-O. Wahlund
Cortical Morphometric Subclassification of Frontotemporal Lobar Degeneration
American Journal of Neuroradiology Jun 2009, 30 (6) 1233-1239; DOI: 10.3174/ajnr.A1545

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Cortical Morphometric Subclassification of Frontotemporal Lobar Degeneration
O. Lindberg, P. Östberg, B.B. Zandbelt, J. Öberg, Y. Zhang, C. Andersen, J.C.L. Looi, N. Bogdanović, L.-O. Wahlund
American Journal of Neuroradiology Jun 2009, 30 (6) 1233-1239; DOI: 10.3174/ajnr.A1545
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