Linking cortical atrophy to white matter hyperintensities of presumed vascular origin
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Linking cortical atrophy to white matter hyperintensities of presumed vascular origin. / Mayer, Carola; Frey, Benedikt M; Schlemm, Eckhard; Petersen, Marvin; Engelke, Kristin; Hanning, Uta; Jagodzinski, Annika; Borof, Katrin; Fiehler, Jens; Gerloff, Christian; Thomalla, Götz; Cheng, Bastian.
in: J CEREBR BLOOD F MET, Jahrgang 41, Nr. 7, 07.2021, S. 1682-1691.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Linking cortical atrophy to white matter hyperintensities of presumed vascular origin
AU - Mayer, Carola
AU - Frey, Benedikt M
AU - Schlemm, Eckhard
AU - Petersen, Marvin
AU - Engelke, Kristin
AU - Hanning, Uta
AU - Jagodzinski, Annika
AU - Borof, Katrin
AU - Fiehler, Jens
AU - Gerloff, Christian
AU - Thomalla, Götz
AU - Cheng, Bastian
PY - 2021/7
Y1 - 2021/7
N2 - We examined the relationship between white matter hyperintensities (WMH) and cortical neurodegeneration in cerebral small vessel disease (CSVD) by investigating whether cortical thickness is a remote effect of WMH through structural fiber tract connectivity in a population at increased risk of CSVD. We measured cortical thickness on T1-weighted images and segmented WMH on FLAIR images in 930 participants of a population-based cohort study at baseline. DWI-derived whole-brain probabilistic tractography was used to define WMH connectivity to cortical regions. Linear mixed-effects models were applied to analyze the relationship between cortical thickness and connectivity to WMH. Factors associated with cortical thickness (age, sex, hemisphere, region, individual differences in cortical thickness) were added as covariates. Median age was 64 [IQR 46-76] years. Visual inspection of surface maps revealed distinct connectivity patterns of cortical regions to WMH. WMH connectivity to the cortex was associated with reduced cortical thickness (p = 0.009) after controlling for covariates. This association was found for periventricular WMH (p = 0.001) only. Our results indicate an association between WMH and cortical thickness via connecting fiber tracts. The results imply a mechanism of secondary neurodegeneration in cortical regions distant, yet connected to subcortical vascular lesions, which appears to be driven by periventricular WMH.
AB - We examined the relationship between white matter hyperintensities (WMH) and cortical neurodegeneration in cerebral small vessel disease (CSVD) by investigating whether cortical thickness is a remote effect of WMH through structural fiber tract connectivity in a population at increased risk of CSVD. We measured cortical thickness on T1-weighted images and segmented WMH on FLAIR images in 930 participants of a population-based cohort study at baseline. DWI-derived whole-brain probabilistic tractography was used to define WMH connectivity to cortical regions. Linear mixed-effects models were applied to analyze the relationship between cortical thickness and connectivity to WMH. Factors associated with cortical thickness (age, sex, hemisphere, region, individual differences in cortical thickness) were added as covariates. Median age was 64 [IQR 46-76] years. Visual inspection of surface maps revealed distinct connectivity patterns of cortical regions to WMH. WMH connectivity to the cortex was associated with reduced cortical thickness (p = 0.009) after controlling for covariates. This association was found for periventricular WMH (p = 0.001) only. Our results indicate an association between WMH and cortical thickness via connecting fiber tracts. The results imply a mechanism of secondary neurodegeneration in cortical regions distant, yet connected to subcortical vascular lesions, which appears to be driven by periventricular WMH.
U2 - 10.1177/0271678X20974170
DO - 10.1177/0271678X20974170
M3 - SCORING: Journal article
C2 - 33259747
VL - 41
SP - 1682
EP - 1691
JO - J CEREBR BLOOD F MET
JF - J CEREBR BLOOD F MET
SN - 0271-678X
IS - 7
ER -