单位:[1]Department of Cognitive Disorder, Beijing Tiantan Hospital, Capital Medical University, Beijing, China,首都医科大学附属天坛医院[2]China National Clinical Research Center for Neurological Diseases, Beijing, China,[3]Medical School, Xizang Minzu University, Xianyang, China,[4]Department of Neurology, China-Japan Friendship Hospital, Beijing, China
Objectives: Cerebral small vessel disease (CSVD) is the most common vascular cause of dementia, and mild cognitive impairment (MCI) is an intermediate state between dementia and normal cognitive aging. The present study investigated the main imaging features of CSVD on different MCI subtypes in memory clinics. Methods: A total of 236 patients with MCI and 85 healthy controls were included. One hundred nine amnestic MCI-multiple domains (amMCI), 38 amnestic MCI-single domain (asMCI), 36 non-amnestic MCI-multiple domains (namMCI), and 53 non-amnestic MCI-single domain (nasMCI) patients were diagnosed. All participants were evaluated with the cognitive assessments and imaging features including white matter hyperintensity (WMH), enlarged perivascular spaces (EPVS), cerebral microbleeds (CMBs), and cerebral atrophy according to a standard procedure. Results: The patients with amMCI, namMCI, and nasMCI had more high-grade basal ganglia EPVS compared with healthy controls, while the percentages of high-grade basal ganglia EPVS in the patients with amMCI were also more than those in patients with asMCI, namMCI, and nasMCI. There were more high-grade centrum semiovale EPVS in patients with amMCI in comparison with all other groups. The patients with amMCI and namMCI had more percentages of severe deep and periventricular WMH and deep CMBs compared with healthy controls. All MCI groups had higher scores of the medial temporal lobe atrophy than healthy controls, whereas the scores of the amMCI group were also higher than those of the namMCI and nasMCI groups. Conclusions: There were varied neuroimaging features of CSVD including cerebral atrophy in different MCI groups, which meant that vascular mechanism contributed to the prodromal stage of dementia.
基金:
Key Projects of Strategic International Cooperation in Scientific and Technological Innovation in the National Key Research and Development Program [2018YFE0203600]; Key Area in Research and Development Program of Guangdong Province [2018B030336001]; personnel development funding projects of Beijing Dongcheng District [DCQYYRC-791-01-DR]
第一作者单位:[1]Department of Cognitive Disorder, Beijing Tiantan Hospital, Capital Medical University, Beijing, China,[2]China National Clinical Research Center for Neurological Diseases, Beijing, China,
通讯作者:
通讯机构:[1]Department of Cognitive Disorder, Beijing Tiantan Hospital, Capital Medical University, Beijing, China,[2]China National Clinical Research Center for Neurological Diseases, Beijing, China,
推荐引用方式(GB/T 7714):
Xudong Li,Miaoxin Shen,Yi Jin,et al.The Effect of Cerebral Small Vessel Disease on the Subtypes of Mild Cognitive Impairment[J].FRONTIERS in PSYCHIATRY.2021,12:doi:10.3389/fpsyt.2021.685965.
APA:
Xudong Li,Miaoxin Shen,Yi Jin,Shuhong Jia,Zhi Zhou...&Jinsong Jiao.(2021).The Effect of Cerebral Small Vessel Disease on the Subtypes of Mild Cognitive Impairment.FRONTIERS in PSYCHIATRY,12,
MLA:
Xudong Li,et al."The Effect of Cerebral Small Vessel Disease on the Subtypes of Mild Cognitive Impairment".FRONTIERS in PSYCHIATRY 12.(2021)