Correlation of Lobar Cerebral Microbleeds with Amyloid, Perfusion, and Metabolism in Alzheimer's Disease.
Sajjadi, S Ahmad
Priest, Andrew N
Gillard, Jonathan H
Journal of Alzheimer's disease : JAD
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Sheikh-Bahaei, N., Manavaki, R., Sajjadi, S. A., Priest, A. N., O'Brien, J., & Gillard, J. H. (2019). Correlation of Lobar Cerebral Microbleeds with Amyloid, Perfusion, and Metabolism in Alzheimer's Disease.. Journal of Alzheimer's disease : JAD, 68 (4), 1489-1497. https://doi.org/10.3233/jad-180443
BACKGROUND: Despite the well-documented relationship between lobar cerebral microbleeds (lCMB) and Alzheimer's disease (AD), there is limited knowledge about the role of lCMB in AD pathology. OBJECTIVE: To understand the nature of this relationship, we investigated the association between lCMB, amyloid load, perfusion, and metabolism. METHODS: Participants with AD, mild cognitive impairment (MCI), and healthy controls were recruited and scanned with 11C-Pittsburg-Compound B (PiB), Fluorodeoxyglucose (FDG) PET, and susceptibility-weighted MRI. Early PiB-PET frames were used to estimate perfusion. The association between lCMB and PET uptake in each anatomical lobe was measured using multiple regression models. RESULTS: The presence of lCMB predicted increased total (p < 0.001) and regional (p = 0.0002) PiB uptake, as well as decreased cerebral perfusion (p = 0.03). Cases with lCMB had hypometabolism in their temporal lobe (p = 0.04). CONCLUSION: There are significant relationships between lCMBs and various markers of AD pathology. lCMB has a spatial association with Aβ load and a complex effect on perfusion and metabolism.
Brain, Humans, Cerebral Hemorrhage, Alzheimer Disease, Fluorodeoxyglucose F18, Positron-Emission Tomography, Magnetic Resonance Imaging, Aged, Aged, 80 and over, Female, Male, Amyloid beta-Peptides, Cognitive Dysfunction
Cambridge University Hospitals NHS Foundation Trust (CUH) (unknown)
External DOI: https://doi.org/10.3233/jad-180443
This record's URL: https://www.repository.cam.ac.uk/handle/1810/291527
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