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10.1161/JAHA.117.006279

http://scihub22266oqcxt.onion/10.1161/JAHA.117.006279
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suck abstract from ncbi


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pmid28939709
      J+Am+Heart+Assoc 2017 ; 6 (9 ): ä
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  • 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]
  • |Cognitive Dysfunction/cerebrospinal fluid/*diagnostic imaging/genetics/psychology [MESH]
  • |Cross-Sectional Studies [MESH]
  • |Female [MESH]
  • |Genotype [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Peptide Fragments/cerebrospinal fluid [MESH]
  • |Phosphorylation [MESH]
  • |Predictive Value of Tests [MESH]


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