摘要
To investigate the difference in the morphologic expression of frontotemporal dementia (FTD) and Alzheimer's disease (AD) in patients carrying and not carrying the g align=center border=0 SRC=/images/glyphs/CDE.GIF>4 allele of APOE, MR images of 26 controls, 18 AD patients (11 carrying the g align=center border=0 SRC=/images/glyphs/CDE.GIF>4 allele, seven non-carriers), and eight FTD (two carriers, six non-carriers) were compared using voxel by voxel analysis. Greater atrophy was found in the disease-specific regions of the g align=center border=0 SRC=/images/glyphs/CDE.GIF>4 carriers vs the non-carriers at P<0.05 corrected: medial temporal atrophy was greater in the AD carrying the g align=center border=0 SRC=/images/glyphs/CDE.GIF>4 allele, right ventral striatal atrophy in the FTD carrying the allele. The non-carriers did not have atrophic regions compared to the carriers. The g align=center border=0 SRC=/images/glyphs/CDE.GIF>4 allele of the APOE might modulate the expression of degenerative dementias by enhancing the specific effects of neurodegenerative diseases on the brain.