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Research ArticleAdult Brain

Pulsatility Index in the Basal Ganglia Arteries Increases with Age in Elderly with and without Cerebral Small Vessel Disease

V. Perosa, T. Arts, A. Assmann, H. Mattern, O. Speck, J. Oltmer, H.-J. Heinze, E. Düzel, S. Schreiber and J.J.M. Zwanenburg
American Journal of Neuroradiology April 2022, 43 (4) 540-546; DOI: https://doi.org/10.3174/ajnr.A7450
V. Perosa
aFrom the Department of Neurology (V.P., A.A., J.O., H.-J.H., S.S.)
dGerman Center for Neurodegenerative Diseases (V.P., O.S., H.-J.H., E.D., S.S.), Magdeburg, Germany
eJ. Philip Kistler Stroke Research Center (V.P.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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T. Arts
fDepartment of Radiology (T.A., J.J.M.Z.), University Medical Center Utrecht, Utrecht, the Netherlands
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A. Assmann
aFrom the Department of Neurology (V.P., A.A., J.O., H.-J.H., S.S.)
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H. Mattern
bInstitute of Physics (H.M.)
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O. Speck
dGerman Center for Neurodegenerative Diseases (V.P., O.S., H.-J.H., E.D., S.S.), Magdeburg, Germany
gLeibniz-Institute for Neurobiology (O.S., H.-J.H.), Magdeburg, Germany
hCenter for Behavioral Brain Sciences (O.S., H.-J.H., E.D.), Magdeburg, Germany
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J. Oltmer
aFrom the Department of Neurology (V.P., A.A., J.O., H.-J.H., S.S.)
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H.-J. Heinze
aFrom the Department of Neurology (V.P., A.A., J.O., H.-J.H., S.S.)
dGerman Center for Neurodegenerative Diseases (V.P., O.S., H.-J.H., E.D., S.S.), Magdeburg, Germany
gLeibniz-Institute for Neurobiology (O.S., H.-J.H.), Magdeburg, Germany
hCenter for Behavioral Brain Sciences (O.S., H.-J.H., E.D.), Magdeburg, Germany
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E. Düzel
cInstitute of Cognitive Neurology and Dementia Research (E.D.), Ottovon-Guericke University, Magdeburg, Germany
dGerman Center for Neurodegenerative Diseases (V.P., O.S., H.-J.H., E.D., S.S.), Magdeburg, Germany
hCenter for Behavioral Brain Sciences (O.S., H.-J.H., E.D.), Magdeburg, Germany
iInstitute of Cognitive Neuroscience (E.D.), University College London, London, UK
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S. Schreiber
aFrom the Department of Neurology (V.P., A.A., J.O., H.-J.H., S.S.)
dGerman Center for Neurodegenerative Diseases (V.P., O.S., H.-J.H., E.D., S.S.), Magdeburg, Germany
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J.J.M. Zwanenburg
fDepartment of Radiology (T.A., J.J.M.Z.), University Medical Center Utrecht, Utrecht, the Netherlands
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  • FIG 1.
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    FIG 1.

    Image processing. Section position of the 2D phase-contrast acquisition through the BG was planned on the T1-weighted sequence (A). Mean magnitude image and determination of the ROI in which vessel detection was performed (B). Circles mark detected perforating vessels in the ROI, distinguishing between upward (blue) and downward (red) blood flow directions. Only vessels with an upward flow direction were considered (C), to ascertain inclusion of arteries only (no veins). V indicates velocity.

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    FIG 2.

    Blood flow velocity curves. Mean blood flow velocity curves (solid lines) over the cardiac cycle (from 0% to 100%, starting at end-diastole) are shown for participants with CAA (red) and HA (purple), compared with healthy controls (blue). The dashed lines represent 1 SD. Blood flow velocity at each of the 14 available cardiac timeframes was averaged over the group. The blood flow velocity curve of patients with HA shows a slightly different pattern than in the other groups.

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    FIG 3.

    Association between the PI and age. The PI was positively correlated with age in each subgroup, independent of the presence or subtype of CSVD. The Spearman correlation was used.

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    Table 1:

    Demographics of subjects and vascular risk factorsa

    CAA (n = 8)HA (n = 12)Controls (n = 28)Group Difference
    Age (mean) (yr)69.6 (SD, 7.3)71.4 (SD, 9.8)71.6 (SD, 8.0)P = .94
    Female (%)50.075.053.6P = .79
    Arterial hypertension (%)100.083.350.0CAA > controls P = .016b
    Diabetes mellitus (%)12.533.310.7P = .92
    Hyperlipidemia (%)50.075.039.3P = .65
    BMI (mean) (SD) (kg/m2)26.8 (SD, 2.4)26.9 (SD, 3.9)24.9 (SD, 2.3)P = .08
    • Note:—BMI indicates body mass index

    • ↵a The table reports the characteristics of the study participants showing mean (SD) and percentage (%), differentiating between participants with CAA and HA and controls. Differences between groups were assessed using the Kruskal-Wallis and Mann-Whitney U tests as post hoc tests.

    • ↵b Significant differences between groups.

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    Table 2:

    Neuroimaging markers of CSVDa

    Neuroimaging Marker of CSVDCAA (n = 8)HA (n = 12)
    Strictly lobar MBs70
    Strictly deep MBs02
    Mixed (deep/lobar) MBs010
    Presence of cSS30
    ICH lobar30
    ICH deep01
    Lacunes deep28
    EPVS (BG)47
    Peri-BG WMH24
    • ↵a Reported is the number of subjects in which the relative marker of CSVD was observed.

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American Journal of Neuroradiology: 43 (4)
American Journal of Neuroradiology
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1 Apr 2022
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V. Perosa, T. Arts, A. Assmann, H. Mattern, O. Speck, J. Oltmer, H.-J. Heinze, E. Düzel, S. Schreiber, J.J.M. Zwanenburg
Pulsatility Index in the Basal Ganglia Arteries Increases with Age in Elderly with and without Cerebral Small Vessel Disease
American Journal of Neuroradiology Apr 2022, 43 (4) 540-546; DOI: 10.3174/ajnr.A7450

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Pulsatility Index in the Basal Ganglia Arteries Increases with Age in Elderly with and without Cerebral Small Vessel Disease
V. Perosa, T. Arts, A. Assmann, H. Mattern, O. Speck, J. Oltmer, H.-J. Heinze, E. Düzel, S. Schreiber, J.J.M. Zwanenburg
American Journal of Neuroradiology Apr 2022, 43 (4) 540-546; DOI: 10.3174/ajnr.A7450
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