White matter lesions rather than amyloid-β burden are associated with cognitive decline in Alzheimer's disease.

IF 3.1 3区 医学 Q2 NEUROSCIENCES Journal of Alzheimer's Disease Pub Date : 2025-03-01 Epub Date: 2025-02-16 DOI:10.1177/13872877251316516
Hiroo Kasahara, Masaki Ikeda, Kouki Makioka, Takumi Nakamura, Ryoma Takahashi, Takeshi Kawarabayashi, Etsuko Sanada, Takayuki Suto, Tetsuya Higuchi, Yoshito Tsushima, Yoshio Ikeda
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Abstract

We assessed the severity of amyloid-β accumulation and white matter lesions (WML) in the brain, and their association with cognitive decline, in patients (n = 47) with Alzheimer's disease (AD). The mean cortical standardized uptake value ratio (mcSUVR) was derived from amyloid positron emission tomography, while the percentage of WML area relative to brain parenchymal area was determined using magnetic resonance imaging. Cognitive decline was positively correlated with WML severity (r = 0.50, p = 0.042) but not mcSUVR (Aβ accumulation). Managing vascular risk factors can prevent cognitive decline in patients with AD.

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与阿尔茨海默病的认知能力下降有关的是白质病变,而不是淀粉样蛋白-β负担。
我们评估了阿尔茨海默病(AD)患者(n = 47)大脑中淀粉样蛋白-β积累和白质病变(WML)的严重程度及其与认知能力下降的关系。平均皮质标准化摄取值比(mcSUVR)由淀粉样蛋白正电子发射断层扫描得出,而WML面积相对于脑实质面积的百分比由磁共振成像确定。认知能力下降与WML严重程度呈正相关(r = 0.50, p = 0.042),但与mcSUVR (Aβ积累)无关。控制血管危险因素可以预防AD患者的认知能力下降。
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来源期刊
Journal of Alzheimer's Disease
Journal of Alzheimer's Disease 医学-神经科学
CiteScore
6.40
自引率
7.50%
发文量
1327
审稿时长
2 months
期刊介绍: The Journal of Alzheimer''s Disease (JAD) is an international multidisciplinary journal to facilitate progress in understanding the etiology, pathogenesis, epidemiology, genetics, behavior, treatment and psychology of Alzheimer''s disease. The journal publishes research reports, reviews, short communications, hypotheses, ethics reviews, book reviews, and letters-to-the-editor. The journal is dedicated to providing an open forum for original research that will expedite our fundamental understanding of Alzheimer''s disease.
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