Background:Dementia with Lewy bodies (DLB) is a common cause of dementia in the elderly population
after Alzheimer's disease (AD), and at early stages differential diagnosis between DLB
and AD might be difficult due to their symptomatic overlap, e.g. cognitive and memory
impairments. We aimed to investigate functional brain differences between both diseases
in patients recently diagnosed.Methods:We investigated regional functional synchronizations using regional homogeneity (ReHo)
in patients clinically diagnosed with DLB (n = 19) and AD
(n = 18), and for comparisons we also included healthy controls (HC,
n = 16). Patient groups were matched by age, education, and by the
level of cognitive impairment (MMSE p-value = 0.36). Additionally,
correlations between ReHo values and clinical scores were investigated.Results:The DLB group showed lower ReHo in sensory-motor cortices and higher ReHo in left
middle temporal gyrus when compared with HCs (p-value < 0.001
uncorrected). The AD group demonstrated lower ReHo in the cerebellum and higher ReHo in
the left/right lingual gyri, precuneus cortex, and other occipital and parietal regions
(p-value < 0.001 uncorrected).Conclusions:Our results agree with previous ReHo investigations in Parkinson's disease (PD),
suggesting that functional alterations in motor-related regions might be a
characteristic of the Lewy body disease spectrum. However, our results in AD contradict
previously reported findings for this disease and ReHo, which we speculate are a
reflection of compensatory brain responses at early disease stages. ReHo differences
between patient groups were at regions related to the default mode and sensory-motor
resting state networks which might reflect the aetiological divergences in the
underlying disease processes between AD and DLB.