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Microstructural white matter damage on MRI is associated with disease severity in Dutch-type cerebral amyloid angiopathy

Title: Microstructural white matter damage on MRI is associated with disease severity in Dutch-type cerebral amyloid angiopathy
Authors: Rasing,Ingeborg; Vlegels, Naomi; Schipper,Manon R.; Voigt,Sabine; Koemans,Emma A.; Kaushik,Kanishk; van Dort,Rosemarie; van Harten,Thijs W.; De Luca, Alberto; van Etten,Ellis S.; van Zwet,Erik W.; van Buchem,Mark A.; Middelkoop,Huub A.M.; Biessels, Geert Jan; Terwindt,Gisela M.; van Osch,Matthias J.P.; van Walderveen,Marianne A.A.; Wermer,Marieke J.H.; Projectafdeling VCI; Beeldverwerking ISI; Brain; Cancer; Neurologen; Circulatory Health
Publication Year: 2024
Subject Terms: Cerebral amyloid angiopathy; cognitive impairment; diffusion magnetic resonance imaging; Dutch-type hereditary cerebral amyloid angiopathy; MRI CAA-small vessel disease burden; Neurology; Clinical Neurology; Cardiology and Cardiovascular Medicine
Description: Peak width of skeletonized mean diffusivity (PSMD) is an emerging diffusion-MRI based marker to study subtle early alterations to white matter microstructure. We assessed PSMD over the clinical continuum in Dutch-type hereditary CAA (D-CAA) and its association with other CAA-related MRI-markers and cognitive symptoms. We included (pre)symptomatic D-CAA mutation-carriers and calculated PSMD from diffusion-MRI data. Associations between PSMD-levels, cognitive performance and CAA-related MRI-markers were assessed with linear regression models. We included 59 participants (25/34 presymptomatic/symptomatic; mean age 39/58 y). PSMD-levels increased with disease severity and were higher in symptomatic D-CAA mutation-carriers (median [range] 4.90 [2.77–9.50]mm2/s × 10−4) compared with presymptomatic mutation-carriers (2.62 [1.96–3.43]mm2/s × 10−4) p =
Document Type: article in journal/newspaper
File Description: text/plain
Language: English
ISSN: 0271-678X
Relation: https://dspace.library.uu.nl/handle/1874/458015
Availability: https://dspace.library.uu.nl/handle/1874/458015
Rights: info:eu-repo/semantics/OpenAccess
Accession Number: edsbas.5D6C0E33
Database: BASE