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. 2018 Dec 2;2018:7301530. doi: 10.1155/2018/7301530

Table 3.

COT BOLD activations and connectivity.

Study Design Sample Intervention conditions fMRI protocol cognitive measure Post-intervention fMRI comparisons Direction of FMRI fMRI results after intervention fMRI and cognitive tasks
Rosen et al. [14] RCT double-blind 12 MCIs Auditory processing training Computer-based activities Auditory verbal task RBANS COT MCI Increasing L hippocampus L hippocampus activation correlated with changes in memory performance on RBANS (r = 0.49)
CCI MCI Decreased L hippocampus

Belleville et al. [17] CGT single-blind 15 HC 15 MCI Mnemonic strategy training Word list memory encoding and retrieval and word list recall test ENCODING HC Decreased R/L basal ganglia, R/L cingulate gyrus, R inferior frontal gyrus, R inferior and superior parietal cortex, R inferior, medial and superior frontal gyrus, L prefrontal cortex, L precentral gyrus, and R hippocampus HC performance on immediate word recall was correlated with activation in L inferior frontal gyrus during retrieval (r = 0.521)
MCI Increased L superior temporal gyrus, L thalamus, putamen and globus pallidus, R inferior parietal cortex, R superior frontal gyrus, and R cerebellum
RETRIEVAL HC Increased R middle temporal gyrus, thalamus, R superior temporal gyrus, R putamen, R/L precuneus, L superior temporal gyrus, L inferior frontal gyrus, and R hippocampus
MCI Increased L postcentral gyrus, L inferior parietal lobule, L inferior and supramarginal gyrus, R/L posterior cingulate, R/L superior temporal gyrus, R insula, and L middle frontal gyrus MCI performance on delayed word recall was correlated with activation in R inferior parietal lobule during encoding (r = 0.538)
COT MCI post > pre encoding Cingulate and medial frontal gyri (p < 0.001) and R inferior parietal lobule (p < 0.01)
Retrieval L middle frontal gyrus (p < 0.01) R superior Parietal lobule (p < 0.05)

Hampstead et al. [18] Case control 6 MCI Face name associative training Face name Associative encoding and off-scan recognition task TS > US Increased R/L medial frontal cortex; medial parietal cortex, precuneus, medial occipital cortex, L frontal operculum, L temporoparietal junction, and L temporal cortex
U S > TS Increased L middle occipital gyrus
U S > RS Increased L occipital cortex, L inferior frontal cortex and R/L inferior parietal cortex. The activations on inferior frontal gyrus, inferior frontal sulcus, superior middle occipital gyrus and fusiform area could be related to attempts to generalize the trained strategies
Connectivity analysis Effective connectivity on L middle temporal gyrus

Hampstead et al. [20] RCT single-blind 16 HC 18 MCI Object location Associative training
Stimuli exposition
Object location associative encoding and retrieval task ENCODING COT MCI Increased L hippocampal body (TS + US)
RETRIEVAL COT HC Increased L hippocampal tail and R hippocampal head (US)
COT MCI Increased R/L hippocampal body and tail (TS)
Increased L hippocampal body and tail (US)
COT HC + CCI MCI Decreased R hippocampal body (TS)
COT MCI > CCI MCI Increased L hippocampal body and R hippocampus (TS)
Increased R hippocampal body (US)

Balardin et al. [21] CGT Single Blind 17 MCI 18 HC Semantic encoding strategy orientation SR and UR Word Lists memory encoding with off-scan free recall HC Increased L middle frontal gyrus, inferior frontal gyrus, dorsal premotor cortex, posterior parietal cortex, angular gyrus within intraparietal sulcus borders Performance on encoding the SR list was correlated with activations in orbitofrontal cortex, medial prefrontal cortex, and anterior cingulate HC - higher performance correlated with greater decrease on activations (r = −0.734) MCI - higher performance correlated with greater increase on activations (r = 0.339)
Decreased R superior frontal gyrus, vmPFC, L inferior Parietal Cortex, infero-lateral Temporal cortex, posterior cingulate and precuneus
MCI Increased L middle frontal gyrus, inferior frontal gyrus, dorsal premotor cortex, posterior parietal cortex, angular gyrus within intraparietal sulcus borders
Decreased Parietooccipital cortex
Changes on activations HC Decreased L middle frontal gyrus
Decreased R superior frontal gyrus
MCI Increased R superior frontal gyrus

Lin et al. [15] RCT 21 MCI Visual Resting Connectivity Improvement
Single-blind Speed of processing and attention training
Computer-based activities
State Analysis COT MCI of connectivity on CEN (p = 0.02)
CCI MCI Trend to poor connectivity strength in DMN (p = 0.07)
COT MCI > CCI MCI COT MCI showed increased connectivity in DMN compared to CCI MCI (p = 0.004, η2 = 0.62)

De Marco et al. [16] RCT single-blind 23 MCI Cognitive training Social engagement Resting state and CCRI DMN connectivity analysis COT MCI Increased in DMN connectivity on precuneus - cuneus and increased connectivity on R/L parietal cortices Connectivity on parietal DMN were associated with the CCRI (r = 0.409)
CCI MCI Decreased connectivity in R/L parietal cortices

RCT: randomized controlled trial; CGT: controlled group trial; COT: cognitive oriented treatment; CCI: control condition intervention; MCI: mild cognitive impairment; HC: healthy controls; fMRI: functional magnetic resonance imaging; TS: trained stimulus; US: untrained stimulus; SR: semantic related; UR: unrelated; R: right; L: left; vmPFC: ventromedial prefrontal cortex; r: Pearson correlation coefficient; CCRI: cognitive change ratio index; DMN: default mode network.