TY  - JOUR
A1  - Lombardi, Jolina
A1  - Mayer, Benjamin
A1  - Semler, Elisa
A1  - Anderl‐Straub, Sarah
A1  - Uttner, Ingo
A1  - Kassubek, Jan
A1  - Diehl‐Schmid, Janine
A1  - Danek, Adrian
A1  - Levin, Johannes
A1  - Fassbender, Klaus
A1  - Fliessbach, Klaus
A1  - Schneider, Anja
A1  - Huppertz, Hans‐Jürgen
A1  - Jahn, Holger
A1  - Volk, Alexander
A1  - Kornhuber, Johannes
A1  - Landwehrmeyer, Bernhard
A1  - Lauer, Martin
A1  - Prudlo, Johannes
A1  - Wiltfang, Jens
A1  - Schroeter, Matthias L.
A1  - Ludolph, Albert
A1  - Otto, Markus
T1  - Quantifying progression in primary progressive aphasia with structural neuroimaging
JF  - Alzheimer's & Dementia
N2  - Introduction
The term primary progressive aphasia (PPA) sums up the non‐fluent (nfv), the semantic (sv), and the logopenic (lv) variant. Up to now, there is only limited data available concerning magnetic resonance imaging volumetry to monitor disease progression.
Methods
Structural brain imaging and an extensive assessment were applied at baseline and up to 4‐year(s) follow‐up in 269 participants. With automated atlas‐based volumetry 56 brain regions were assessed. Atrophy progression served to calculate sample sizes for therapeutic trials.
Results
At baseline highest atrophy appeared in parts of the left frontal lobe for nfvPPA (–17%) and of the left temporal lobe for svPPA (–34%) and lvPPA (–24%). Severest progression within 1‐year follow‐up occurred in the basal ganglia in nfvPPA (–7%), in the hippocampus/amygdala in svPPA (–9%), and in (medial) temporal regions in lvPPA (–6%).
Conclusion
PPA presents as a left‐dominant, mostly gray matter sensitive disease with considerable atrophy at baseline that proceeds variant‐specific.
KW  - atlas‐based volumetry
KW  - disease progression
KW  - frontotemporal dementia
KW  - longitudinal magnetic resonance imaging
KW  - primary progressive aphasia
KW  - sample size calculation
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-262605
VL  - 17
IS  - 10
SP  - 1595
EP  - 1609
ER  -