Age-related normative changes in cerebral perfusion: Data from The Irish Longitudinal Study on Ageing (TILDA)

Objective: To establish normative reference values for total grey matter cerebral blood flow (CBFGM) measured using pseudo-continuous arterial spin labelling (pCASL) MRI in a large cohort of community-dwelling adults aged 54 years and older. Background: Quantitative assessment of CBFGM may provide a...

Full description

Bibliographic Details
Main Authors: Caoilfhionn Ní Leidhin, Jason McMorrow, Daniel Carey, Louise Newman, Wilby Williamson, Andrew J. Fagan, Michael A. Chappell, Rose Anne Kenny, James F. Meaney, Silvin P. Knight
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:NeuroImage
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1053811921000185
_version_ 1818416199659159552
author Caoilfhionn Ní Leidhin
Jason McMorrow
Daniel Carey
Louise Newman
Wilby Williamson
Andrew J. Fagan
Michael A. Chappell
Rose Anne Kenny
James F. Meaney
Silvin P. Knight
author_facet Caoilfhionn Ní Leidhin
Jason McMorrow
Daniel Carey
Louise Newman
Wilby Williamson
Andrew J. Fagan
Michael A. Chappell
Rose Anne Kenny
James F. Meaney
Silvin P. Knight
author_sort Caoilfhionn Ní Leidhin
collection DOAJ
description Objective: To establish normative reference values for total grey matter cerebral blood flow (CBFGM) measured using pseudo-continuous arterial spin labelling (pCASL) MRI in a large cohort of community-dwelling adults aged 54 years and older. Background: Quantitative assessment of CBFGM may provide an imaging biomarker for the early detection of those at risk of neurodegenerative diseases, such as Alzheimer's and dementia. However, the use of this method to differentiate normal age-related decline in CBFGM from pathological reduction has been hampered by the lack of reference values for cerebral perfusion. Methods: The study cohort comprised a subset of wave 3 (2014–2015) participants from The Irish Longitudinal Study on Ageing (TILDA), a large-scale prospective cohort study of individuals aged 50 and over. Of 4309 participants attending for health centre assessment, 578 individuals returned for 3T multi-parametric MRI brain examinations. In total, CBFGM data acquired from 468 subjects using pCASL-MRI were included in this analysis. Normative values were estimated using Generalised Additive Models for Location Shape and Scale (GAMLSS) and are presented as percentiles, means and standard deviations. Results: The mean age of the cohort was 68.2 ± 6.9 years and 51.7% were female. Mean CBFGM for the cohort was 36.5 ± 8.2 ml/100 g/min. CBFGM decreased by 0.2 ml/100 g/min for each year increase in age (95% CI = −0.3, −0.1; p ≤ 0.001) and was 3.1 ml/100 g/min higher in females (95% CI = 1.6, 4.5; p ≤ 0.001). Conclusions: This study is by far the largest single-site study focused on an elderly community-dwelling cohort to present normative reference values for CBFGM measured at 3T using pCASL-MRI. Significant age- and sex-related differences exist in CBFGM.
first_indexed 2024-12-14T11:47:06Z
format Article
id doaj.art-560a05057ded40d1a480ea27d9a13c16
institution Directory Open Access Journal
issn 1095-9572
language English
last_indexed 2024-12-14T11:47:06Z
publishDate 2021-04-01
publisher Elsevier
record_format Article
series NeuroImage
spelling doaj.art-560a05057ded40d1a480ea27d9a13c162022-12-21T23:02:33ZengElsevierNeuroImage1095-95722021-04-01229117741Age-related normative changes in cerebral perfusion: Data from The Irish Longitudinal Study on Ageing (TILDA)Caoilfhionn Ní Leidhin0Jason McMorrow1Daniel Carey2Louise Newman3Wilby Williamson4Andrew J. Fagan5Michael A. Chappell6Rose Anne Kenny7James F. Meaney8Silvin P. Knight9School of Medicine, Trinity College Dublin, Ireland; The National Centre for Advanced Medical Imaging (CAMI), St. James's Hospital, Dublin, IrelandSchool of Medicine, Trinity College Dublin, Ireland; The National Centre for Advanced Medical Imaging (CAMI), St. James's Hospital, Dublin, IrelandSchool of Medicine, Trinity College Dublin, Ireland; The Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, IrelandSchool of Medicine, Trinity College Dublin, Ireland; The Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, IrelandSchool of Medicine, Trinity College Dublin, Ireland; The Global Brain Health Institute (GBHI), Trinity College Dublin, IrelandDepartment of Radiology, Mayo Clinic, Rochester, MN, USARadiological Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom; Sir Peter Mansfield Imaging Center, School of Medicine, University of Nottingham, Nottingham, United Kingdom; Nottingham Biomedical Research Centre, Queens Medical Centre, University of Nottingham, Nottingham, United Kingdom; Wellcome Centre for Integrative Neuroimaging, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United KingdomSchool of Medicine, Trinity College Dublin, Ireland; The Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Ireland; The Global Brain Health Institute (GBHI), Trinity College Dublin, Ireland; Mercer's Institute for Successful Ageing, St. James's Hospital, Dublin, IrelandSchool of Medicine, Trinity College Dublin, Ireland; The National Centre for Advanced Medical Imaging (CAMI), St. James's Hospital, Dublin, IrelandSchool of Medicine, Trinity College Dublin, Ireland; The Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Ireland; Corresponding author at: The Irish Longitudinal Study on Ageing (TILDA), Trinity Central, 152-160 Pearse St, Dublin 2 D02 R590, Republic of Ireland.Objective: To establish normative reference values for total grey matter cerebral blood flow (CBFGM) measured using pseudo-continuous arterial spin labelling (pCASL) MRI in a large cohort of community-dwelling adults aged 54 years and older. Background: Quantitative assessment of CBFGM may provide an imaging biomarker for the early detection of those at risk of neurodegenerative diseases, such as Alzheimer's and dementia. However, the use of this method to differentiate normal age-related decline in CBFGM from pathological reduction has been hampered by the lack of reference values for cerebral perfusion. Methods: The study cohort comprised a subset of wave 3 (2014–2015) participants from The Irish Longitudinal Study on Ageing (TILDA), a large-scale prospective cohort study of individuals aged 50 and over. Of 4309 participants attending for health centre assessment, 578 individuals returned for 3T multi-parametric MRI brain examinations. In total, CBFGM data acquired from 468 subjects using pCASL-MRI were included in this analysis. Normative values were estimated using Generalised Additive Models for Location Shape and Scale (GAMLSS) and are presented as percentiles, means and standard deviations. Results: The mean age of the cohort was 68.2 ± 6.9 years and 51.7% were female. Mean CBFGM for the cohort was 36.5 ± 8.2 ml/100 g/min. CBFGM decreased by 0.2 ml/100 g/min for each year increase in age (95% CI = −0.3, −0.1; p ≤ 0.001) and was 3.1 ml/100 g/min higher in females (95% CI = 1.6, 4.5; p ≤ 0.001). Conclusions: This study is by far the largest single-site study focused on an elderly community-dwelling cohort to present normative reference values for CBFGM measured at 3T using pCASL-MRI. Significant age- and sex-related differences exist in CBFGM.http://www.sciencedirect.com/science/article/pii/S1053811921000185Cerebral blood flowCerebral perfusionArterial spin labelling magnetic resonance imagingASL MRIAgeingNormative values
spellingShingle Caoilfhionn Ní Leidhin
Jason McMorrow
Daniel Carey
Louise Newman
Wilby Williamson
Andrew J. Fagan
Michael A. Chappell
Rose Anne Kenny
James F. Meaney
Silvin P. Knight
Age-related normative changes in cerebral perfusion: Data from The Irish Longitudinal Study on Ageing (TILDA)
NeuroImage
Cerebral blood flow
Cerebral perfusion
Arterial spin labelling magnetic resonance imaging
ASL MRI
Ageing
Normative values
title Age-related normative changes in cerebral perfusion: Data from The Irish Longitudinal Study on Ageing (TILDA)
title_full Age-related normative changes in cerebral perfusion: Data from The Irish Longitudinal Study on Ageing (TILDA)
title_fullStr Age-related normative changes in cerebral perfusion: Data from The Irish Longitudinal Study on Ageing (TILDA)
title_full_unstemmed Age-related normative changes in cerebral perfusion: Data from The Irish Longitudinal Study on Ageing (TILDA)
title_short Age-related normative changes in cerebral perfusion: Data from The Irish Longitudinal Study on Ageing (TILDA)
title_sort age related normative changes in cerebral perfusion data from the irish longitudinal study on ageing tilda
topic Cerebral blood flow
Cerebral perfusion
Arterial spin labelling magnetic resonance imaging
ASL MRI
Ageing
Normative values
url http://www.sciencedirect.com/science/article/pii/S1053811921000185
work_keys_str_mv AT caoilfhionnnileidhin agerelatednormativechangesincerebralperfusiondatafromtheirishlongitudinalstudyonageingtilda
AT jasonmcmorrow agerelatednormativechangesincerebralperfusiondatafromtheirishlongitudinalstudyonageingtilda
AT danielcarey agerelatednormativechangesincerebralperfusiondatafromtheirishlongitudinalstudyonageingtilda
AT louisenewman agerelatednormativechangesincerebralperfusiondatafromtheirishlongitudinalstudyonageingtilda
AT wilbywilliamson agerelatednormativechangesincerebralperfusiondatafromtheirishlongitudinalstudyonageingtilda
AT andrewjfagan agerelatednormativechangesincerebralperfusiondatafromtheirishlongitudinalstudyonageingtilda
AT michaelachappell agerelatednormativechangesincerebralperfusiondatafromtheirishlongitudinalstudyonageingtilda
AT roseannekenny agerelatednormativechangesincerebralperfusiondatafromtheirishlongitudinalstudyonageingtilda
AT jamesfmeaney agerelatednormativechangesincerebralperfusiondatafromtheirishlongitudinalstudyonageingtilda
AT silvinpknight agerelatednormativechangesincerebralperfusiondatafromtheirishlongitudinalstudyonageingtilda