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Research ArticleBrain
Open Access

Regional Cerebral Arterial Transit Time Hemodynamics Correlate with Vascular Risk Factors and Cognitive Function in Men with Coronary Artery Disease

B.J. MacIntosh, W. Swardfager, A.D. Robertson, E. Tchistiakova, M. Saleem, P.I. Oh, N. Herrmann, B. Stefanovic and K.L. Lanctôt
American Journal of Neuroradiology February 2015, 36 (2) 295-301; DOI: https://doi.org/10.3174/ajnr.A4094
B.J. MacIntosh
aFrom the Canadian Partnership for Stroke Recovery (B.J.M., W.S., A.D.R., E.T., N.H., B.S., K.L.L.)
bPhysical Sciences (B.J.M., B.S.)
dDepartments of Medical Biophysics (B.J.M., E.T., B.S.,)
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W. Swardfager
aFrom the Canadian Partnership for Stroke Recovery (B.J.M., W.S., A.D.R., E.T., N.H., B.S., K.L.L.)
cNeuropsychopharmacology Research Group (W.S., M.S., N.H., K.L.L.), Sunnybrook Research Institute, Toronto, Ontario, Canada
ePharmacology/Toxicology (K.L.L., W.S.)
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A.D. Robertson
aFrom the Canadian Partnership for Stroke Recovery (B.J.M., W.S., A.D.R., E.T., N.H., B.S., K.L.L.)
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E. Tchistiakova
aFrom the Canadian Partnership for Stroke Recovery (B.J.M., W.S., A.D.R., E.T., N.H., B.S., K.L.L.)
dDepartments of Medical Biophysics (B.J.M., E.T., B.S.,)
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M. Saleem
cNeuropsychopharmacology Research Group (W.S., M.S., N.H., K.L.L.), Sunnybrook Research Institute, Toronto, Ontario, Canada
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P.I. Oh
gToronto Rehabilitation Institute (P.I.O., K.L.L.), Toronto, Ontario, Canada.
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N. Herrmann
aFrom the Canadian Partnership for Stroke Recovery (B.J.M., W.S., A.D.R., E.T., N.H., B.S., K.L.L.)
cNeuropsychopharmacology Research Group (W.S., M.S., N.H., K.L.L.), Sunnybrook Research Institute, Toronto, Ontario, Canada
fPsychiatry (N.H., K.L.L.), University of Toronto, Toronto, Ontario, Canada
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B. Stefanovic
aFrom the Canadian Partnership for Stroke Recovery (B.J.M., W.S., A.D.R., E.T., N.H., B.S., K.L.L.)
bPhysical Sciences (B.J.M., B.S.)
dDepartments of Medical Biophysics (B.J.M., E.T., B.S.,)
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K.L. Lanctôt
aFrom the Canadian Partnership for Stroke Recovery (B.J.M., W.S., A.D.R., E.T., N.H., B.S., K.L.L.)
cNeuropsychopharmacology Research Group (W.S., M.S., N.H., K.L.L.), Sunnybrook Research Institute, Toronto, Ontario, Canada
ePharmacology/Toxicology (K.L.L., W.S.)
fPsychiatry (N.H., K.L.L.), University of Toronto, Toronto, Ontario, Canada
gToronto Rehabilitation Institute (P.I.O., K.L.L.), Toronto, Ontario, Canada.
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  • Fig 1.
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    Fig 1.

    The top row of images shows cerebral blood flow (intensity-normalized units), arterial transit time, large-artery transit time, and arterial blood volume (arbitrary units) from a representative participant. In the ATT image, the posterior circulation tends to have a longer ATT compared with the middle cerebral artery vascular territory. LATT and arterial blood volume are macrovascular measures that are estimated from voxels containing large-artery/intravascular ASL signal. The bottom row shows 4 lobe-based regions of interest chosen for ATT (and CBF) analysis, while a middle cerebral artery/insula region of interest was chosen the LATT analysis.

  • Fig 2.
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    Fig 2.

    Voxelwise results from the regression analyses in which the vascular model (“pressor” and “obesity” factor) was used as an independent factor that influences ATT. The obesity factor produced a negative association with ATT, in the sense that the higher the BMI and/or body fat, the shorter the ATT. Significant voxels in red and yellow are corrected for multiple comparison (pcorrected = .05).

  • Fig 3.
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    Fig 3.

    Voxelwise results from the regression analyses, in which the cognitive model was used as an independent factor that influences ATT. The first cognitive factor (ie, characterized by poor cognitive performance) was positively associated with ATT, in the sense that a lower cognitive score was associated with a shorter ATT. Significant voxels in blue and cyan are corrected for multiple comparison (pcorrected = .05).

Tables

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    Table 1:

    Patient demographics (N = 29)

    DemographicMean (SD)MinimumMaximum
    Age (yr)65 (7)5578
    BMI (kg/m2)28.2 (3.9)20.535.3
    Body fat (%)26.0 (5.9)13.338.7
    SBP (mm Hg)124 (15.4)94.0152.0
    PP (mm Hg)51 (13.0)24.080.0
    • Note:—PP indicates pulse pressure.

    • View popup
    Table 2:

    Vascular risk and cognitive model details

    Correlation Coefficient (r)
    Component 1Component 2Component 3
    Vascular model
        Age (yr)−0.650.320.69
        BMI (kg/m2)0.230.91−0.06
        Body fat (%)0.240.91−0.10
        SBP (mm Hg)−0.900.18−0.32
        PP (mm Hg)−0.940.06−0.21
    Percentage of variance (%)
        Explained variance0.450.360.13
        Cumulative variance0.450.810.94
    Cognitive model
        Age (yr)0.480.76−0.39
        CVLT-LDFR−0.73−0.37−0.50
        Digit symbol-coding−0.700.530.30
        Stroop0.85−0.06−0.16
        TMT B0.82−0.260.21
    Percentage of variance (%)
        Explained variance0.530.210.11
    • Note:—TMT indicates Trail-Making Test; PP, pulse pressure.

    • View popup
    Table 3:

    Summary of voxelwise findings

    No. of VoxelsMNI Coordinates
    XYZ
    Vascular model
        1) Lateral occipital, R540−33−7830
        2) Lateral occipital, L3839−6927
        3) Middle temporal gyrus, R3654−576
        4) Precuneus130−6060
        5) Frontal pole, L11−364518
        6) Angular gyrus, L11−39−5142
        7) Lateral occipital, L4−27−6348
    Cognitive model
        1) Precuneus1890−6642
    • Note:—MNI indicates Montreal Neurological Institute; R, right; L, left.

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American Journal of Neuroradiology: 36 (2)
American Journal of Neuroradiology
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1 Feb 2015
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Cite this article
B.J. MacIntosh, W. Swardfager, A.D. Robertson, E. Tchistiakova, M. Saleem, P.I. Oh, N. Herrmann, B. Stefanovic, K.L. Lanctôt
Regional Cerebral Arterial Transit Time Hemodynamics Correlate with Vascular Risk Factors and Cognitive Function in Men with Coronary Artery Disease
American Journal of Neuroradiology Feb 2015, 36 (2) 295-301; DOI: 10.3174/ajnr.A4094

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Regional Cerebral Arterial Transit Time Hemodynamics Correlate with Vascular Risk Factors and Cognitive Function in Men with Coronary Artery Disease
B.J. MacIntosh, W. Swardfager, A.D. Robertson, E. Tchistiakova, M. Saleem, P.I. Oh, N. Herrmann, B. Stefanovic, K.L. Lanctôt
American Journal of Neuroradiology Feb 2015, 36 (2) 295-301; DOI: 10.3174/ajnr.A4094
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