Publications by authors named "Sara Stampacchia"

Episodic autobiographical memory (EAM) is a building block of self-consciousness, involving recollection and subjective re-experiencing of personal past experiences. Any life episode is originally encoded by a subject within a body. This raises the possibility that memory encoding is shaped by bodily self-consciousness (BSC), a basic form of self-consciousness arising from the multisensory and sensorimotor perceptual signals from the body.

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Functional connectivity patterns in the human brain, like the friction ridges of a fingerprint, can uniquely identify individuals. Does this "brain fingerprint" remain distinct even during Alzheimer's disease (AD)? Using fMRI data from healthy and pathologically ageing subjects, we find that individual functional connectivity profiles remain unique and highly heterogeneous during mild cognitive impairment and AD. However, the patterns that make individuals identifiable change with disease progression, revealing a reconfiguration of the brain fingerprint.

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Article Synopsis
  • - Episodic memory (EM) helps us remember personal past experiences and is connected to specific brain activity involving the cortex and hippocampus during memory encoding.
  • - The study tested the relationship between our sense of agency (SoA) and EM using technology like immersive virtual reality and fMRI, finding that stronger memory recall happens when SoA is preserved.
  • - Results show a connection between the hippocampus and premotor cortex during memory retrieval, indicating that how we perceive our bodily self at the time of encoding is relevant for retrieving memories and maintaining our sense of self over time.
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Background: The key Alzheimer's disease (AD) biomarkers are traditionally measured with techniques/exams that are either expensive (amyloid-positron emission tomography (PET) and tau-PET), invasive (cerebrospinal fluid Aβ and p-tau), or poorly specific (atrophy on MRI and hypometabolism on fluorodeoxyglucose-PET). Recently developed plasma biomarkers could significantly enhance the efficiency of the diagnostic pathway in memory clinics and improve patient care. This study aimed to: (1) confirm the correlations between plasma and traditional AD biomarkers, (2) assess the diagnostic accuracy of plasma biomarkers as compared with traditional biomarkers, and (3) estimate the proportion of traditional exams potentially saved thanks to the use of plasma biomarkers.

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  • Dopaminergic scintigraphic imaging is crucial for diagnosing dementia with Lewy bodies, and a systematic review was conducted to evaluate its clinical impact.
  • The review analyzed 59 studies, focusing on diagnostic performance, distinguishing dementia with Lewy bodies from other dementias, and correlating dopamine transporter loss with clinical outcomes.
  • The findings reveal variability in study methodologies and highlight the predominance of the radioligand [123I]N‑ω‑fluoropropyl‑2β‑carbomethoxy‑3β‑(4‑iodophenyl) nortropane (I-FP-CIT) in the imaging studies analyzed.
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  • Semantic control helps us focus on important knowledge even when challenged by other competing information; it involves several brain regions, particularly in the left prefrontal and posterior temporal areas.
  • The study compared two groups of patients with semantic aphasia (one with temporoparietal cortex damage and another with prefrontal cortex damage) to see how their abilities differ in semantic control.
  • Results indicate that both groups exhibit similar semantic impairments, suggesting that damage across the broader semantic control network, rather than just prefrontal areas, plays a role in their deficits.
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  • Alzheimer's disease (AD) involves key changes in the brain including amyloid deposition and neurodegeneration, which may be evaluated using dual-phase amyloid-PET scans that assess both Aβ accumulation and brain function.
  • The study analyzed 166 subjects with varying cognitive abilities, using early-phase amyloid-PET (eFBP or eFMM) and F-FDG-PET scans to compare their ability to identify patients along the AD continuum.
  • Results showed strong positive correlations between early-phase amyloid-PET and F-FDG-PET results, allowing for effective differentiation between AD patients and healthy controls, with F-FDG-PET showing slightly better discriminative power.
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We conducted a cross-sectional pilot study to explore the biological substrate of the Motoric Cognitive Risk (MCR) syndrome in a Memory Clinic cohort, using a multimodal imaging approach. Twenty participants were recruited and classified as MCR+/-. Amyloid- and tau-PET uptakes, temporal atrophy, white matter hyperintensities, lateral ventricular volume (LVV), and diffusion tensor parameters were compared between groups.

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Recent insights show that increased motivation can benefit executive control, but this effect has not been explored in relation to semantic cognition. Patients with deficits of controlled semantic retrieval in the context of semantic aphasia (SA) after stroke may benefit from this approach since 'semantic control' is considered an executive process. Deficits in this domain are partially distinct from the domain-general deficits of cognitive control.

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Background: Alzheimer's disease (AD) pathology impacts the response to treatment in patients with idiopathic normal pressure hydrocephalus (iNPH), possibly through changes in resting-state functional connectivity (rs-FC).

Objective: To explore the relationship between cerebrospinal fluid biomarkers of AD and the default mode network (DMN)/hippocampal rs-FC in iNPH patients, based on their outcome after cerebrospinal fluid tap test (CSFTT), and in patients with AD.

Methods: Twenty-six iNPH patients (mean age: 79.

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Semantic therapy in post-stroke aphasia typically focusses on strengthening links between conceptual representations and their lexical-articulatory forms to aid word retrieval. However, research has shown that semantic deficits in this group can affect both verbal and non-verbal tasks, particularly in patients with deregulated retrieval as opposed to degraded knowledge. This study, therefore, aimed to facilitate semantic cognition in a sample of such patients with post-stroke semantic aphasia (SA) by training the identification of both strong and weak semantic associations and providing explicit pictorial feedback that demonstrated both common and more unusual ways of linking concepts together.

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Purpose: Assess the individual and combined diagnostic value of amyloid-PET and tau-PET in a memory clinic population.

Methods: Clinical reports of 136 patients were randomly assigned to two diagnostic pathways: AMY-TAU, amyloid-PET is presented before tau-PET; and TAU-AMY, tau-PET is presented before amyloid-PET. Two neurologists independently assessed all reports with a balanced randomized design, and expressed etiological diagnosis and diagnostic confidence (50-100%) three times: (i) at baseline based on the routine diagnostic workup, (ii) after the first exam (amyloid-PET for the AMY-TAU pathway, and tau-PET for the TAU-AMY pathway), and (iii) after the remaining exam.

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Semantic Aphasia (SA) patients have difficulty accessing semantic knowledge in both verbal and non-verbal tasks appropriately for the current context. Automatically activated semantic knowledge overwhelms the system, because it is no longer able to inhibit interference from dominant meanings in order to select weaker alternatives. Episodic memory, like semantic memory, requires control to select relevant memories amongst competing episodes.

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Visuo-spatial context and emotional valence are powerful cues to episodic retrieval, but the contribution of these inputs to semantic cognition has not been widely investigated. We examined the impact of visuo-spatial, facial emotion and prosody cues and miscues on the retrieval of dominant and subordinate meanings of ambiguous words. Cue photographs provided relevant visuo-spatial or emotional information, consistent with the interpretation of the ambiguous word being probed, while miscues were consistent with an alternative interpretation.

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Patients with multimodal semantic deficits following stroke ('semantic aphasia') have largely intact knowledge, yet difficulty controlling conceptual retrieval to suit the circumstances. Although conceptual representations are thought to be largely distinct from episodic representations of recent events, controlled retrieval processes may overlap across semantic and episodic memory domains. We investigated this possibility by examining item familiarity and source memory for recent events in semantic aphasia following infarcts affecting left inferior frontal gyrus.

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Semantic cognition is supported by two interactive components: semantic representations and mechanisms that regulate retrieval (cf. 'semantic control'). Neuropsychological studies have revealed a clear dissociation between semantic and episodic memory.

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Repetition improves retrieval from memory; however, under some circumstances, it can also impair performance. Separate literatures have investigated this phenomenon, including studies showing subjective loss of meaning following 'semantic satiation', slowed naming and categorisation when semantically related items are repeated and semantic 'access deficits' in aphasia. Such effects have been variously explained in terms of habituation of repeatedly accessed representations, increased interference from strongly activated competitors and long-term weight changes reflecting the suppression of non-targets on earlier trials (i.

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