Table 2.
Atrophy patterns included in the current diagnostic criteria of selected neurodegenerative dementias. Only changes in T1-weighted MRI sequence are included in the MRI signature column. The MRI signatures described are supportive features for the diagnosis unless otherwise stated. PPA primary progressive aphasia. FTD frontotemporal dementia
| Disease | Diagnostic criteria | MRI signature |
|---|---|---|
| Alzheimer’s disease | McKhann et al. [110] | Disproportionate atrophy in the medial, basal and lateral temporal lobe and medial parietal cortex |
| Posterior cortical atrophy | Crutch et al. [111] | Predominant occipito-parietal or occipito-temporal atrophya |
| Logopenic variant PPA | Gorno-Tempini et al. [112] | Predominant left posterior perisylvian or parietal atrophy |
| Behavioural variant FTD | Rascovsky et al. [113] | Frontal and/or anterior temporal atrophy |
| Semantic variant PPA | Gorno-Tempini et al. [112] | Predominant anterior temporal lobe atrophy |
| Non-fluent variant PPA | Gorno-Tempini et al. [112] | Predominant left posterior fronto-insular atrophy |
| Dementia with Lewy bodies | McKeith et al. [114] | Relative preservation of the medial temporal lobe structuresb |
| Multiple system atrophy | Gilman et al. [115] | Atrophy of the putamen, middle cerebellar peduncle, pons or cerebellum |
| Progressive supranuclear palsy | Höglinger et al. [116] | Atrophy predominant in the midbrain relative to pons |
aCore neuroimaging feature of the PCA clinico-radiological syndrome; bnon-specific biomarker for DLB, but useful to differentiate from AD