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Research ArticleBrain
Open Access

Evaluation of a Practical Visual MRI Rating Scale of Brain White Matter Hyperintensities for Clinicians Based on Largest Lesion Size Regardless of Location

K.S. King, R.M. Peshock, M.W. Warren, L. Alhilali, K. Hulsey, R. McColl, M.F. Weiner, C. Ayers and A. Whittemore
American Journal of Neuroradiology April 2013, 34 (4) 797-801; DOI: https://doi.org/10.3174/ajnr.A3283
K.S. King
aFrom the Department of Radiology (K.S.K., A.W., R.M.P., K.H., R.M.)
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R.M. Peshock
aFrom the Department of Radiology (K.S.K., A.W., R.M.P., K.H., R.M.)
bDepartment of Internal Medicine (R.M.P.)
cReynolds Cardiovascular Clinical Research Center (C.A., R.M.P.), University of Texas Southwestern Medical Center, Dallas, Texas
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M.W. Warren
eDepartments of Psychiatry and Neurology (M.F.W., M.W.W.), University of Texas Southwestern Medical Center at Dallas.
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L. Alhilali
dDepartment of Radiology (L.A.), University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
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K. Hulsey
aFrom the Department of Radiology (K.S.K., A.W., R.M.P., K.H., R.M.)
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R. McColl
aFrom the Department of Radiology (K.S.K., A.W., R.M.P., K.H., R.M.)
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M.F. Weiner
eDepartments of Psychiatry and Neurology (M.F.W., M.W.W.), University of Texas Southwestern Medical Center at Dallas.
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C. Ayers
cReynolds Cardiovascular Clinical Research Center (C.A., R.M.P.), University of Texas Southwestern Medical Center, Dallas, Texas
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A. Whittemore
aFrom the Department of Radiology (K.S.K., A.W., R.M.P., K.H., R.M.)
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    Table 1:

    Age and WMH volume by automated measurement for given WMH grade, n = 559

    GradeNumberPercentAgeWMH (ml)
    MeanSDRangeMedianQ1-Q3Range
    024143.1%46.78.825–720.650.43–0.910.14–2.20
    125545.6%51.48.927–711.010.71–1.420.13–5.51
    2498.8%58.67.937–722.161.42–3.380.55–9.69
    3142.5%64.2557–7213.977.15–30.184.53–83.18
    • View popup
    Table 2:

    Association between measures of WMH and cognitive function using MoCA cutoffs for cognitive deficit as originally published and as established in our cohort

    Normal (MoCA>25)Deficit (MoCA≤25)P ValueNormal (MoCA>19)Deficit (MoCA≤19)P Value
    N (%)210 (41.2)300 (58.8)441 (86.5)69 (13.5)
    Visual Scalea
    Absent (%)1031170.050199210.001
    Minimal (%)9214320431
    Moderate (%)12302913
    Advanced (%)31094
    Automated Volumeb (mL), median (range)0.815 (0.14–39.64)0.95 (0.13–83.18)0.0140.90 (0.13–83.18)1.05 (0.14–45.48)0.091
    • ↵a Pearson χ-square

    • ↵b Mann-Whitney U test

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American Journal of Neuroradiology: 34 (4)
American Journal of Neuroradiology
Vol. 34, Issue 4
1 Apr 2013
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K.S. King, R.M. Peshock, M.W. Warren, L. Alhilali, K. Hulsey, R. McColl, M.F. Weiner, C. Ayers, A. Whittemore
Evaluation of a Practical Visual MRI Rating Scale of Brain White Matter Hyperintensities for Clinicians Based on Largest Lesion Size Regardless of Location
American Journal of Neuroradiology Apr 2013, 34 (4) 797-801; DOI: 10.3174/ajnr.A3283

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Evaluation of a Practical Visual MRI Rating Scale of Brain White Matter Hyperintensities for Clinicians Based on Largest Lesion Size Regardless of Location
K.S. King, R.M. Peshock, M.W. Warren, L. Alhilali, K. Hulsey, R. McColl, M.F. Weiner, C. Ayers, A. Whittemore
American Journal of Neuroradiology Apr 2013, 34 (4) 797-801; DOI: 10.3174/ajnr.A3283
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