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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Am+Heart+Assoc
2017 ; 6
(9
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Topography and Determinants of Magnetic Resonance Imaging (MRI)-Visible
Perivascular Spaces in a Large Memory Clinic Cohort
#MMPMID28939709
Shams S
; Martola J
; Charidimou A
; Larvie M
; Granberg T
; Shams M
; Kristoffersen-Wiberg M
; Wahlund LO
J Am Heart Assoc
2017[Sep]; 6
(9
): ä PMID28939709
show ga
BACKGROUND: Magnetic resonance imaging-visible perivascular spaces (PVS) are
related to interstitial fluid clearance pathways (including amyloid-?) in the
brain and are suggested to be a marker of cerebral small vessel disease. We
investigated the role, topography, and possible implications of PVS in cognitive
impairment. METHODS AND RESULTS: A total of 1504 patients undergoing memory
clinic investigation and an associated brain magnetic resonance imaging scan were
included in this cross-sectional study. Magnetic resonance images were assessed
for markers of small vessel disease. Additionally, 1039 patients had
cerebrospinal fluid analysis of amyloid-? 42, total tau (T-tau), and
phosphorylated tau (P-tau); 520 patients had apoE genotyping done. Results were
analyzed with generalized linear models. A total of 289 (19%; 95% confidence
interval, 17-21) had a high-grade PVS in the centrum semiovale (CSO) and 65 (4%;
95% confidence interval: 3%-5%) in the basal ganglia (BG). Centrum semiovale- and
BG-PVS were both associated with high age (P<0.001), hypertension (P<0.001),
probable cerebral amyloid angiopathy (P<0.05), moderate-to-severe white matter
hyperintensities (P<0.001), cortical superficial siderosis (P<0.001), cerebral
microbleeds (P<0.001), and PVS. centrum semiovale-PVS was separately associated
with strictly lobar cerebral microbleeds (P=0.057). BG-PVS was associated with
strictly deep cerebral microbleeds (P<0.001), lacunes (P<0.001), and vascular
dementia (P=0.04). BG-PVS showed a tendency to be associated with high
cerebrospinal fluid tau (B=0.002, P=0.04) in the whole cohort and in Alzheimer's
disease (B=0.005; P=0.02). No other associations with cerebrospinal fluid or the
apoE e4 allele was observed. CONCLUSIONS: Centrum semiovale-PVS and BG-PVS have
different underlying etiology, being associated with cerebral amyloid angiopathy
and hypertensive vasculopathy, respectively, although a significant overlap
between these pathologies is likely to exist.
|*Cognition
[MESH]
|*Magnetic Resonance Imaging
[MESH]
|*Memory
[MESH]
|*Outpatient Clinics, Hospital
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Amyloid beta-Peptides/cerebrospinal fluid
[MESH]
|Apolipoproteins E/genetics
[MESH]
|Biomarkers/cerebrospinal fluid
[MESH]
|Brain Mapping/*methods
[MESH]
|Cerebral Small Vessel Diseases/cerebrospinal fluid/*diagnostic
imaging/genetics/psychology
[MESH]