Advances in cerebral amyloid angiopathy imaging

Cerebral amyloid angiopathy (CAA) is a cerebral small vessel disease caused by β -amyloid (Aβ) deposition at the leptomeningeal vessel walls. It is a common cause of spontaneous intracerebral hemorrhage and a frequent comorbidity in Alzheimer’s disease. The high recurrent hemorrhage rate in CAA make...

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Main Authors: Szu-Ju Chen, Hsin-Hsi Tsai, Li-Kai Tsai, Sung-Chun Tang, Bo-Chin Lee, Hon-Man Liu, Ruoh-Fang Yen, Jiann-Shing Jeng
Format: Article
Language:English
Published: SAGE Publishing 2019-05-01
Series:Therapeutic Advances in Neurological Disorders
Online Access:https://doi.org/10.1177/1756286419844113
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author Szu-Ju Chen
Hsin-Hsi Tsai
Li-Kai Tsai
Sung-Chun Tang
Bo-Chin Lee
Hon-Man Liu
Ruoh-Fang Yen
Jiann-Shing Jeng
author_facet Szu-Ju Chen
Hsin-Hsi Tsai
Li-Kai Tsai
Sung-Chun Tang
Bo-Chin Lee
Hon-Man Liu
Ruoh-Fang Yen
Jiann-Shing Jeng
author_sort Szu-Ju Chen
collection DOAJ
description Cerebral amyloid angiopathy (CAA) is a cerebral small vessel disease caused by β -amyloid (Aβ) deposition at the leptomeningeal vessel walls. It is a common cause of spontaneous intracerebral hemorrhage and a frequent comorbidity in Alzheimer’s disease. The high recurrent hemorrhage rate in CAA makes it very important to recognize this disease to avoid potential harmful medication. Imaging studies play an important role in diagnosis and research of CAA. Conventional computed tomography and magnetic resonance imaging (MRI) methods reveal anatomical alterations, and remains as the most reliable tool in identifying CAA according to modified Boston criteria. The vascular injuries of CAA result in both hemorrhagic and ischemic manifestations and related structural changes on MRI, including cerebral microbleeds, cortical superficial siderosis, white matter hyperintensity, MRI-visible perivascular spaces, and cortical microinfarcts. As imaging techniques advance, not only does the resolution of conventional imaging improve, but novel skills in functional and molecular imaging studies also enable in vivo analysis of vessel physiological changes and underlying pathology. These modern tools help in early detection of CAA and may potentially serve as sensitive outcome markers in future clinical trials. In this article, we reviewed past studies of CAA focusing on utilization of various conventional and novel imaging techniques in both research and clinical aspects.
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spelling doaj.art-e2ccd36617be4d8b8bbe6e7edf3e42e22022-12-21T23:04:02ZengSAGE PublishingTherapeutic Advances in Neurological Disorders1756-28642019-05-011210.1177/1756286419844113Advances in cerebral amyloid angiopathy imagingSzu-Ju ChenHsin-Hsi TsaiLi-Kai TsaiSung-Chun TangBo-Chin LeeHon-Man LiuRuoh-Fang YenJiann-Shing JengCerebral amyloid angiopathy (CAA) is a cerebral small vessel disease caused by β -amyloid (Aβ) deposition at the leptomeningeal vessel walls. It is a common cause of spontaneous intracerebral hemorrhage and a frequent comorbidity in Alzheimer’s disease. The high recurrent hemorrhage rate in CAA makes it very important to recognize this disease to avoid potential harmful medication. Imaging studies play an important role in diagnosis and research of CAA. Conventional computed tomography and magnetic resonance imaging (MRI) methods reveal anatomical alterations, and remains as the most reliable tool in identifying CAA according to modified Boston criteria. The vascular injuries of CAA result in both hemorrhagic and ischemic manifestations and related structural changes on MRI, including cerebral microbleeds, cortical superficial siderosis, white matter hyperintensity, MRI-visible perivascular spaces, and cortical microinfarcts. As imaging techniques advance, not only does the resolution of conventional imaging improve, but novel skills in functional and molecular imaging studies also enable in vivo analysis of vessel physiological changes and underlying pathology. These modern tools help in early detection of CAA and may potentially serve as sensitive outcome markers in future clinical trials. In this article, we reviewed past studies of CAA focusing on utilization of various conventional and novel imaging techniques in both research and clinical aspects.https://doi.org/10.1177/1756286419844113
spellingShingle Szu-Ju Chen
Hsin-Hsi Tsai
Li-Kai Tsai
Sung-Chun Tang
Bo-Chin Lee
Hon-Man Liu
Ruoh-Fang Yen
Jiann-Shing Jeng
Advances in cerebral amyloid angiopathy imaging
Therapeutic Advances in Neurological Disorders
title Advances in cerebral amyloid angiopathy imaging
title_full Advances in cerebral amyloid angiopathy imaging
title_fullStr Advances in cerebral amyloid angiopathy imaging
title_full_unstemmed Advances in cerebral amyloid angiopathy imaging
title_short Advances in cerebral amyloid angiopathy imaging
title_sort advances in cerebral amyloid angiopathy imaging
url https://doi.org/10.1177/1756286419844113
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AT bochinlee advancesincerebralamyloidangiopathyimaging
AT honmanliu advancesincerebralamyloidangiopathyimaging
AT ruohfangyen advancesincerebralamyloidangiopathyimaging
AT jiannshingjeng advancesincerebralamyloidangiopathyimaging