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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Egle, M; Hilal, S; Tuladhar, AM; Pirpamer, L; Hofer, E; Duering, M; Wason, J; Morris, RG; Dichgans, M; Schmidt, R; Tozer, D; Chen, C; de, Leeuw, FE; Markus, HS.
Prediction of dementia using diffusion tensor MRI measures: the OPTIMAL collaboration.
J Neurol Neurosurg Psychiatry. 2022; 93(1):14-23 Doi: 10.1136/jnnp-2021-326571
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Co-Autor*innen der Med Uni Graz
Hofer Edith
Pirpamer Lukas
Schmidt Reinhold

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OBJECTIVES: It has been suggested that diffusion tensor imaging (DTI) measures sensitive to white matter (WM) damage may predict future dementia risk not only in cerebral small vessel disease (SVD), but also in mild cognitive impairment. To determine whether DTI measures were associated with cognition cross-sectionally and predicted future dementia risk across the full range of SVD severity, we established the International OPtimising mulTImodal MRI markers for use as surrogate markers in trials of Vascular Cognitive Impairment due to cerebrAl small vesseL disease collaboration which included six cohorts. METHODS: Among the six cohorts, prospective data with dementia incidences were available for three cohorts. The associations between six different DTI measures and cognition or dementia conversion were tested. The additional contribution to prediction of other MRI markers of SVD was also determined. RESULTS: The DTI measure mean diffusivity (MD) median correlated with cognition in all cohorts, demonstrating the contribution of WM damage to cognition. Adding MD median significantly improved the model fit compared to the clinical risk model alone and further increased in all single-centre SVD cohorts when adding conventional MRI measures. Baseline MD median predicted dementia conversion. In a study with severe SVD (SCANS) change in MD median also predicted dementia conversion. The area under the curve was best when employing a multimodal MRI model using both DTI measures and other MRI measures. CONCLUSIONS: Our results support a central role for WM alterations in dementia pathogenesis in all cohorts. DTI measures such as MD median may be a useful clinical risk predictor. The contribution of other MRI markers varied according to disease severity.
Find related publications in this database (using NLM MeSH Indexing)
Cerebral Small Vessel Diseases - diagnostic imaging
Cognition - administration & dosage
Cognitive Dysfunction - diagnostic imaging
Cohort Studies - administration & dosage
Dementia - diagnostic imaging
Diffusion Tensor Imaging - methods
Humans - administration & dosage
Prospective Studies - administration & dosage
White Matter - diagnostic imaging

Find related publications in this database (Keywords)
alzheimer's disease
cerebrovascular disease
vascular dementia
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