Longitudinal decrease in blood oxygenation level dependent response in cerebral amyloid angiopathy

Lower blood oxygenation level dependent (BOLD) signal changes in response to a visual stimulus in functional magnetic resonance imaging (fMRI) have been observed in cross-sectional studies of cerebral amyloid angiopathy (CAA), and are presumed to reflect impaired vascular reactivity. We used fMRI to...

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Main Authors: Aaron R. Switzer, Cheryl McCreary, Saima Batool, Randall B. Stafford, Richard Frayne, Bradley G. Goodyear, Eric E. Smith
Format: Article
Language:English
Published: Elsevier 2016-01-01
Series:NeuroImage: Clinical
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158216300419
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author Aaron R. Switzer
Cheryl McCreary
Saima Batool
Randall B. Stafford
Richard Frayne
Bradley G. Goodyear
Eric E. Smith
author_facet Aaron R. Switzer
Cheryl McCreary
Saima Batool
Randall B. Stafford
Richard Frayne
Bradley G. Goodyear
Eric E. Smith
author_sort Aaron R. Switzer
collection DOAJ
description Lower blood oxygenation level dependent (BOLD) signal changes in response to a visual stimulus in functional magnetic resonance imaging (fMRI) have been observed in cross-sectional studies of cerebral amyloid angiopathy (CAA), and are presumed to reflect impaired vascular reactivity. We used fMRI to detect a longitudinal change in BOLD responses to a visual stimulus in CAA, and to determine any correlations between these changes and other established biomarkers of CAA progression. Data were acquired from 22 patients diagnosed with probable CAA (using the Boston Criteria) and 16 healthy controls at baseline and one year. BOLD data were generated from the 200 most active voxels of the primary visual cortex during the fMRI visual stimulus (passively viewing an alternating checkerboard pattern). In general, BOLD amplitudes were lower at one year compared to baseline in patients with CAA (p = 0.01) but were unchanged in controls (p = 0.18). The longitudinal difference in BOLD amplitudes was significantly lower in CAA compared to controls (p < 0.001). White matter hyperintensity (WMH) volumes and number of cerebral microbleeds, both presumed to reflect CAA-mediated vascular injury, increased over time in CAA (p = 0.007 and p = 0.001, respectively). Longitudinal increases in WMH (rs = 0.04, p = 0.86) or cerebral microbleeds (rs = −0.18, p = 0.45) were not associated with the longitudinal decrease in BOLD amplitudes.
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spelling doaj.art-53eac7b536804183a05152605cf39ad92022-12-22T03:22:59ZengElsevierNeuroImage: Clinical2213-15822016-01-0111C46146710.1016/j.nicl.2016.02.020Longitudinal decrease in blood oxygenation level dependent response in cerebral amyloid angiopathyAaron R. Switzer0Cheryl McCreary1Saima Batool2Randall B. Stafford3Richard Frayne4Bradley G. Goodyear5Eric E. Smith6Neuroscience Graduate Program, University of Calgary, CanadaDepartment of Radiology, University of Calgary, CanadaDepartment of Clinical Neurosciences, University of Calgary, CanadaDepartment of Clinical Neurosciences, University of Calgary, CanadaNeuroscience Graduate Program, University of Calgary, CanadaNeuroscience Graduate Program, University of Calgary, CanadaNeuroscience Graduate Program, University of Calgary, CanadaLower blood oxygenation level dependent (BOLD) signal changes in response to a visual stimulus in functional magnetic resonance imaging (fMRI) have been observed in cross-sectional studies of cerebral amyloid angiopathy (CAA), and are presumed to reflect impaired vascular reactivity. We used fMRI to detect a longitudinal change in BOLD responses to a visual stimulus in CAA, and to determine any correlations between these changes and other established biomarkers of CAA progression. Data were acquired from 22 patients diagnosed with probable CAA (using the Boston Criteria) and 16 healthy controls at baseline and one year. BOLD data were generated from the 200 most active voxels of the primary visual cortex during the fMRI visual stimulus (passively viewing an alternating checkerboard pattern). In general, BOLD amplitudes were lower at one year compared to baseline in patients with CAA (p = 0.01) but were unchanged in controls (p = 0.18). The longitudinal difference in BOLD amplitudes was significantly lower in CAA compared to controls (p < 0.001). White matter hyperintensity (WMH) volumes and number of cerebral microbleeds, both presumed to reflect CAA-mediated vascular injury, increased over time in CAA (p = 0.007 and p = 0.001, respectively). Longitudinal increases in WMH (rs = 0.04, p = 0.86) or cerebral microbleeds (rs = −0.18, p = 0.45) were not associated with the longitudinal decrease in BOLD amplitudes.http://www.sciencedirect.com/science/article/pii/S2213158216300419Cerebral amyloid angiopathyFunctional magnetic resonance imaging
spellingShingle Aaron R. Switzer
Cheryl McCreary
Saima Batool
Randall B. Stafford
Richard Frayne
Bradley G. Goodyear
Eric E. Smith
Longitudinal decrease in blood oxygenation level dependent response in cerebral amyloid angiopathy
NeuroImage: Clinical
Cerebral amyloid angiopathy
Functional magnetic resonance imaging
title Longitudinal decrease in blood oxygenation level dependent response in cerebral amyloid angiopathy
title_full Longitudinal decrease in blood oxygenation level dependent response in cerebral amyloid angiopathy
title_fullStr Longitudinal decrease in blood oxygenation level dependent response in cerebral amyloid angiopathy
title_full_unstemmed Longitudinal decrease in blood oxygenation level dependent response in cerebral amyloid angiopathy
title_short Longitudinal decrease in blood oxygenation level dependent response in cerebral amyloid angiopathy
title_sort longitudinal decrease in blood oxygenation level dependent response in cerebral amyloid angiopathy
topic Cerebral amyloid angiopathy
Functional magnetic resonance imaging
url http://www.sciencedirect.com/science/article/pii/S2213158216300419
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