Journal
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
Volume 24, Issue 8, Pages 798-808Publisher
JOHN WILEY & SONS LTD
DOI: 10.1002/gps.2185
Keywords
Positron Emission Tomography (PET); glucose metabolism; depression; aging
Categories
Funding
- NCRR NIH HHS [M01 RR018535] Funding Source: Medline
- NIMH NIH HHS [MH57078, R01 MH064823-06, MH 64823, MH01621, R01 MH057078, MH49936, K02 MH001621, R01 MH064823, K02 MH001621-12] Funding Source: Medline
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Objective Positron Emission Tomography (PET) studies of cerebral glucose metabolism have demonstrated sensitivity in evaluating the functional neuroanatomy of treatment response variability in depression, as well as in the early detection of functional changes associated with incipient cognitive decline. The evaluation of cerebral glucose metabolism in late life depression may have implications for understanding treatment response variability, as well as evaluating the neurobiological basis of depression in late life as a risk factor for dementia. Methods Sixteen patients with geriatric depression and 13 comparison subjects underwent resting PET studies of cerebral glucose metabolism, as well as magnetic resonance (MR) imaging scans to evaluate brain structure. Results Cerebral glucose metabolism was elevated in geriatric depressed patients relative to comparison subjects in anterior (right and left superior frontal gyrus) and posterior (precuneus, inferior parietal lobule) cortical regions. Cerebral atrophy (increased cerebrospinal fluid [CSF] and decreased grey and white matter volumes) were observed in some of these regions, as well. Regional cerebral metabolism was positively correlated with severity of depression and anxiety symptoms. Conclusions In contrast to decreased metabolism observed in normal aging and neurodegenerative conditions such as Alzheimer's disease, cortical glucose metabolism was increased in geriatric depressed patients relative to demographically matched controls, particularly in brain regions in which cerebral atrophy was observed, which may represent a compensatory response. Copyright (C) 2009 John Wiley & Sons, Ltd.
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