NIH Clinical Research Studies

Protocol Number: 02-M-0095

Active Accrual, Protocols Recruiting New Patients

Title:
MRI Contrast Imaging in the Evaluation and Follow-up of Patients with Memory Disorder and Healthy Controls
Number:
02-M-0095
Summary:
The purpose of this study is to examine how a part of the brain called the hippocampus contributes to memory changes that occur with aging and Alzheimer's disease (AD).

Memory problems are the most important early symptoms of AD. The hippocampal region of the brain may be responsible for many age- and AD-related memory disorders. This study will use magnetic resonance imaging (MRI) scans to examine the structure, chemical composition, and function of the hippocampus in participants with AD, participants with mild memory problems, participants who are healthy but are at risk for AD, and healthy volunteers.

Participants in this study will undergo MRI scans of the brain. During the MRI, participants will perform memory tests to demonstrate hippocampal functioning.

Sponsoring Institute:
National Institute of Mental Health (NIMH)
Recruitment Detail
Type: Active Accrual Of New Subjects
Gender: Male & Female
Referral Letter Required: No
Population Exclusion(s): None

Eligibility Criteria:
INCLUSION CRITERIA:

Patients will be referred through the GPB screening protocol 95-M-0096:

Subjects will include:

1. AD patients, diagnosis based on DSM-IV (APA Press, 1994) criteria,

2. Individuals over the age of 50 who are "at-risk" for AD on the basis of having first-degree relatives with AD and who tested within the normal range on a battery of cognitive tests at the time of initial inclusion,

3. Individuals with mild cognitive impairment (memory problems significant enough to concern the individual or members of the individual's family who do not meet the criteria for AD),

4. Control subjects, individuals without a positive family history of dementia in their first degree relatives and who test within the normal range on the battery of cognitive tests. As part of this screening process subjects who medical histories significant for any medical condition that would make it unsafe to perform MRI scans will be excluded.

EXLCUSION CRITERIA:

The same exclusion criteria used in those protocols for structural MRI and delineated under Hazards and Precautions would again be used.

All subjects participating in functional MRI scans will be required to be off prescription medications which could effect these scans, such as medications with anticholinergic effects, for two weeks-to one month prior to PET scan, and off psychotropic medication for one month. Withdrawal from psychotropic medications for purposes of participation in this protocol would only be considered for individuals already involved in the Longitudinal Study Protocol 95-M-0096.

Subjects will be cautioned not to consume alcohol, marijuana, or psychotropic drugs while on the study, nor to smoke, use caffeinated beverages, or take over-the counter medications such as cold medications (i.e.: benadryl, sudafed) for at least 12 hours prior to the functional MRI scans.

Pregnancy test will be conducted prior to MRI scans on women of childbearing age.

Special Instructions: Currently Not Provided
Keywords:
Alzheimer's Disease
Spectroscopy
Longitudinal
Perfusion
Hippocampus
N-acetylaspartic Acid
Cerebral Blood Flow
Aging
Dementia
Recruitment Keywords:
Alzheimer's Disease
Alzheimer's
Memory Disorder
Memory
Healthy Volunteer
HV
Normal Control
Conditions:
Alzheimer Disease
Dementia
Memory Disorder
Healthy
Investigational Drug(s):
None
Investigational Device(s):
None

Contacts:
Patient Recruitment and Public Liaison Office
Building 61
10 Cloister Court
Bethesda, Maryland 20892-4754
Toll Free: 1-800-411-1222
TTY: 301-594-9774 (local),1-866-411-1010 (toll free)
Fax: 301-480-9793

Electronic Mail:prpl@mail.cc.nih.gov

Citations:
Alsop DC, Detre JA, Grossman M Assessment of cerebral blood flow in Alzheimer's disease by spin-labeled magnetic resonance imaging Ann Neurol 2000 Jan;47(1):93-100 PMID: 10632106

Alsop DC, Detre JA Reduced transit-time sensitivity in noninvasive magnetic resonance imaging of human cerebral blood flow J Cereb Blood Flow Metab 1996 Nov;16(6):1236-49 PMID: 8898697

Alvarez R Angiotensin converting enzyme and endothelial nitric oxide synthase DNA polymorphisms and late onset Alzheimer's disease J Neurol Neurosurg Psychiatry 1999 Dec;67(6):733-6PMID: 10567488

Active Accrual, Protocols Recruiting New Patients

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