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Three <jats:styled-content style=\"fixed-case\">MC<\/jats:styled-content>s were symptomatic and seven were presymptomatic (pre\u2010<jats:styled-content style=\"fixed-case\">MC<\/jats:styled-content>s).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Whole\u2010brain <jats:styled-content style=\"fixed-case\">GM<\/jats:styled-content> volume as well as fractional anisotropy (<jats:styled-content style=\"fixed-case\">FA<\/jats:styled-content>) and mean diffusivity (<jats:styled-content style=\"fixed-case\">MD<\/jats:styled-content>) using voxel\u2010based morphometry and tract\u2010based spatial statistics analyses, respectively, were compared between <jats:styled-content style=\"fixed-case\">MC<\/jats:styled-content>s and <jats:styled-content style=\"fixed-case\">NC<\/jats:styled-content>s. <jats:styled-content style=\"fixed-case\">FA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">MD<\/jats:styled-content> maps were obtained from diffusion tensor imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A significant increase in <jats:styled-content style=\"fixed-case\">MD<\/jats:styled-content> was found in the left inferior longitudinal fasciculus, cingulum and bilateral superior longitudinal fasciculus in pre\u2010<jats:styled-content style=\"fixed-case\">MC<\/jats:styled-content>s compared with <jats:styled-content style=\"fixed-case\">NC<\/jats:styled-content>s. After inclusion of the three symptomatic <jats:styled-content style=\"fixed-case\">MC<\/jats:styled-content>s in the analysis, the regions became wider. The mean <jats:styled-content style=\"fixed-case\">MD<\/jats:styled-content> of these regions showed significant negative correlation with the <jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content> level of A\u03b242, and positive correlations with P\u2010tau<jats:sub>181p<\/jats:sub> and T\u2010tau. No differences were observed in <jats:styled-content style=\"fixed-case\">GM<\/jats:styled-content> volume and <jats:styled-content style=\"fixed-case\">FA<\/jats:styled-content> between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results of this study suggest that <jats:styled-content style=\"fixed-case\">FAD<\/jats:styled-content> gene mutations affect <jats:styled-content style=\"fixed-case\">WM<\/jats:styled-content> diffusivity before changes in <jats:styled-content style=\"fixed-case\">GM<\/jats:styled-content> volume can be detected. The <jats:styled-content style=\"fixed-case\">WM<\/jats:styled-content> changes observed were related to changes in the <jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content>, with similar patterns previously observed in sporadic Alzheimer's disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joim.12352","type":"journal-article","created":{"date-parts":[[2015,1,31]],"date-time":"2015-01-31T06:52:36Z","timestamp":1422687156000},"page":"211-218","source":"Crossref","is-referenced-by-count":35,"title":["White matter changes in familial Alzheimer's disease"],"prefix":"10.1111","volume":"278","author":[{"given":"X.","family":"Li","sequence":"first","affiliation":[{"name":"Karolinska Institutet Department of Neurobiology, Care Science and Society (NVS) Division of Clinical Geriatrics Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Westman","sequence":"additional","affiliation":[{"name":"Karolinska Institutet Department of Neurobiology, Care Science and Society (NVS) Division of Clinical Geriatrics Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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