Investigation of cerebral iron deposition in aged patients with ischemic cerebrovascular disease using susceptibility-weighted imaging

Yin Liu, Jun Liu, Huanghui Liu, Yunjie Liao, Lu Cao, Bin Ye, Wei Wang Department of Radiology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China Objective: The aim of this study was to investigate focal iron deposition level in the brain in...

Full description

Bibliographic Details
Main Authors: Liu Y, Liu J, Liu H, Liao Y, Cao L, Ye B, Wang W
Format: Article
Language:English
Published: Dove Medical Press 2016-08-01
Series:Therapeutics and Clinical Risk Management
Subjects:
Online Access:https://www.dovepress.com/investigation-of-cerebral-iron-deposition-in-aged-patients-with-ischem-peer-reviewed-article-TCRM
_version_ 1830199984523313152
author Liu Y
Liu J
Liu H
Liao Y
Cao L
Ye B
Wang W,
author_facet Liu Y
Liu J
Liu H
Liao Y
Cao L
Ye B
Wang W,
author_sort Liu Y
collection DOAJ
description Yin Liu, Jun Liu, Huanghui Liu, Yunjie Liao, Lu Cao, Bin Ye, Wei Wang Department of Radiology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China Objective: The aim of this study was to investigate focal iron deposition level in the brain in patients with ischemic cerebrovascular disease and its correlation with cerebral small vessel disease imaging markers.Patients and methods: Seventy-four patients with first-ever transient ischemic attack (median age: 69 years; 30 males and 44 females) and 77 patients with positive ischemic stroke history (median age: 72 years; 43 males and 34 females) were studied retrospectively. On phase image of susceptibility-weighted imaging and regions of interest were manually drawn at the bilateral head of the caudate nucleus, lenticular nucleus (LN), thalamus (TH), frontal white matter, and occipital white matter. The correlation between iron deposition level and the clinical and imaging variables was also investigated.Results: Iron deposition level at LN was significantly higher in patients with previous stroke history. It linearly correlated with the presence and number of cerebral microbleeds (CMBs) but not with white matter hyperintensity and lacunar infarct. Multiple linear regression analysis showed that deep structure CMBs were the most relevant in terms of iron deposition at LN.Conclusion: Iron deposition at LN may increase in cases of more severe ischemia in aged patients with transient ischemic attack, and it may be an imaging marker for CMB of ischemic origin. Keywords: cerebral microbleed, ischemia, susceptibility-weighted imaging, iron, lenticular nucleus
first_indexed 2024-12-18T02:25:46Z
format Article
id doaj.art-afc7945dcaaa4e52a84888d046a8f73b
institution Directory Open Access Journal
issn 1178-203X
language English
last_indexed 2024-12-18T02:25:46Z
publishDate 2016-08-01
publisher Dove Medical Press
record_format Article
series Therapeutics and Clinical Risk Management
spelling doaj.art-afc7945dcaaa4e52a84888d046a8f73b2022-12-21T21:24:03ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2016-08-01Volume 121239124728438Investigation of cerebral iron deposition in aged patients with ischemic cerebrovascular disease using susceptibility-weighted imagingLiu YLiu JLiu HLiao YCao LYe BWang W,Yin Liu, Jun Liu, Huanghui Liu, Yunjie Liao, Lu Cao, Bin Ye, Wei Wang Department of Radiology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China Objective: The aim of this study was to investigate focal iron deposition level in the brain in patients with ischemic cerebrovascular disease and its correlation with cerebral small vessel disease imaging markers.Patients and methods: Seventy-four patients with first-ever transient ischemic attack (median age: 69 years; 30 males and 44 females) and 77 patients with positive ischemic stroke history (median age: 72 years; 43 males and 34 females) were studied retrospectively. On phase image of susceptibility-weighted imaging and regions of interest were manually drawn at the bilateral head of the caudate nucleus, lenticular nucleus (LN), thalamus (TH), frontal white matter, and occipital white matter. The correlation between iron deposition level and the clinical and imaging variables was also investigated.Results: Iron deposition level at LN was significantly higher in patients with previous stroke history. It linearly correlated with the presence and number of cerebral microbleeds (CMBs) but not with white matter hyperintensity and lacunar infarct. Multiple linear regression analysis showed that deep structure CMBs were the most relevant in terms of iron deposition at LN.Conclusion: Iron deposition at LN may increase in cases of more severe ischemia in aged patients with transient ischemic attack, and it may be an imaging marker for CMB of ischemic origin. Keywords: cerebral microbleed, ischemia, susceptibility-weighted imaging, iron, lenticular nucleushttps://www.dovepress.com/investigation-of-cerebral-iron-deposition-in-aged-patients-with-ischem-peer-reviewed-article-TCRMCerebral microbleedIschemiaSusceptibility weighted imagingIronLenticular nucleus
spellingShingle Liu Y
Liu J
Liu H
Liao Y
Cao L
Ye B
Wang W,
Investigation of cerebral iron deposition in aged patients with ischemic cerebrovascular disease using susceptibility-weighted imaging
Therapeutics and Clinical Risk Management
Cerebral microbleed
Ischemia
Susceptibility weighted imaging
Iron
Lenticular nucleus
title Investigation of cerebral iron deposition in aged patients with ischemic cerebrovascular disease using susceptibility-weighted imaging
title_full Investigation of cerebral iron deposition in aged patients with ischemic cerebrovascular disease using susceptibility-weighted imaging
title_fullStr Investigation of cerebral iron deposition in aged patients with ischemic cerebrovascular disease using susceptibility-weighted imaging
title_full_unstemmed Investigation of cerebral iron deposition in aged patients with ischemic cerebrovascular disease using susceptibility-weighted imaging
title_short Investigation of cerebral iron deposition in aged patients with ischemic cerebrovascular disease using susceptibility-weighted imaging
title_sort investigation of cerebral iron deposition in aged patients with ischemic cerebrovascular disease using susceptibility weighted imaging
topic Cerebral microbleed
Ischemia
Susceptibility weighted imaging
Iron
Lenticular nucleus
url https://www.dovepress.com/investigation-of-cerebral-iron-deposition-in-aged-patients-with-ischem-peer-reviewed-article-TCRM
work_keys_str_mv AT liuy investigationofcerebralirondepositioninagedpatientswithischemiccerebrovasculardiseaseusingsusceptibilityweightedimaging
AT liuj investigationofcerebralirondepositioninagedpatientswithischemiccerebrovasculardiseaseusingsusceptibilityweightedimaging
AT liuh investigationofcerebralirondepositioninagedpatientswithischemiccerebrovasculardiseaseusingsusceptibilityweightedimaging
AT liaoy investigationofcerebralirondepositioninagedpatientswithischemiccerebrovasculardiseaseusingsusceptibilityweightedimaging
AT caol investigationofcerebralirondepositioninagedpatientswithischemiccerebrovasculardiseaseusingsusceptibilityweightedimaging
AT yeb investigationofcerebralirondepositioninagedpatientswithischemiccerebrovasculardiseaseusingsusceptibilityweightedimaging
AT wangw investigationofcerebralirondepositioninagedpatientswithischemiccerebrovasculardiseaseusingsusceptibilityweightedimaging