Small-World Properties in Mild Cognitive Impairment and Early Alzheimer’s Disease: A Cortical Thickness MRI Study

BACKGROUND: Small-world network consists of networks with local specialization and global integration. Our objective is to detect small-world properties alteration based on cortical thickness in mild cognitive impairment (MCI) including stables and converters, and early Alzheimer’s disease (AD) compared to controls. METHODS: MRI scans of 13 controls, 10 MCI, and 10 with early AD were retrospectively analyzed; 11 MCI converters, 11 MCI stables, and 10 controls from the ADNI website were also included. RESULTS: There were significantly decreased local efficiencies in patients with MCI and AD compared to controls; and MCI patients showed increased global efficiency compared to AD and controls. The MCI converters experience the worst local efficiency during the converting period to AD; the stables, however, have highest local and global efficiency. CONCLUSIONS: The abnormal cortical thickness-based small-world properties in MCI and AD as well as the distinct patterns between two MCI subtypes suggest that small-world network analysis has the potential to better differentiate different stages of early dementia.