Cerebral perfusion and the risk of cognitive decline and dementia in community dwelling older people

Autor: H Abdulrahman, M Hafdi, HJMM Mutsaerts, J Petr, WA van Gool, E Richard, J van Dalen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Cerebral Circulation - Cognition and Behavior, Vol 3, Iss , Pp 100125- (2022)
Druh dokumentu: article
ISSN: 2666-2450
DOI: 10.1016/j.cccb.2022.100125
Popis: Background: The arterial spin labeling-spatial coefficient of variation (sCoV) is a new vascular magnetic resonance imaging (MRI) parameter that could be a more sensitive marker for dementia-associated cerebral microvascular disease than the commonly used MRI markers cerebral blood flow (CBF) and white matter hyperintensity volume (WMHV). Methods: 195 community-dwelling older people with hypertension were invited to undergo MRI twice, with a three-year interval. Cognition was evaluated every two years for 6-8 years using the mini-mental state examination (MMSE). We assessed relations of sCoV, CBF and WMHV with cognitive decline during follow-up. We also registered dementia diagnoses, up to 9 years after the first scan. In an additional analysis, we compared these MRI parameters between participants that did and did not develop dementia. Results: 136/195 completed the second scan. sCoV and CBF were not associated with MMSE changes during 6-8 years of follow-up. Higher WMHV was associated with declining MMSE scores (-0.02 points/year/ml, 95%CI=-0.03 to -0.00). ScOv and CBF did not differ between participants who did (n=15) and did not (n=180) develop dementia, whereas higher WMHV was reported in participants who developed dementia after the first MRI (13.3 vs 6.1mL, p
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