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Neuroimaging in vascular cognitive impairment: a state-of-the-art review

Identifieur interne : 001B46 ( Ncbi/Merge ); précédent : 001B45; suivant : 001B47

Neuroimaging in vascular cognitive impairment: a state-of-the-art review

Auteurs : Wolf-Dieter Heiss [Allemagne] ; Gary A. Rosenberg [États-Unis] ; Alexander Thiel ; Rok Berlot [Slovénie] ; Jacques De Reuck [France]

Source :

RBID : PMC:5094143

Abstract

Imaging is critical in the diagnosis and treatment of dementia, particularly in vascular cognitive impairment, due to the visualization of ischemic and hemorrhagic injury of gray and white matter. Magnetic resonance imaging (MRI) and positron emission tomography (PET) provide structural and functional information. Clinical MRI is both generally available and versatile – T2-weighted images show infarcts, FLAIR shows white matter changes and lacunar infarcts, and susceptibility-weighted images reveal microbleeds. Diffusion MRI adds another dimension by showing graded damage to white matter, making it more sensitive to white matter injury than FLAIR. Regions of neuroinflammatory disruption of the blood–brain barrier with increased permeability can be quantified and visualized with dynamic contrast-enhanced MRI. PET shows metabolism of glucose and accumulation of amyloid and tau, which is useful in showing abnormal metabolism in Alzheimer’s disease. Combining MRI and PET allows identification of patients with mixed dementia, with MRI showing white matter injury and PET demonstrating regional impairment of glucose metabolism and deposition of amyloid. Excellent anatomical detail can be observed with 7.0-Tesla MRI. Imaging is the optimal method to follow the effect of treatments since changes in MRI scans are seen prior to those in cognition. This review describes the role of various imaging modalities in the diagnosis and treatment of vascular cognitive impairment.


Url:
DOI: 10.1186/s12916-016-0725-0
PubMed: 27806705
PubMed Central: 5094143

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PMC:5094143

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<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">BMC Med</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Med</journal-id>
<journal-title-group>
<journal-title>BMC Medicine</journal-title>
</journal-title-group>
<issn pub-type="epub">1741-7015</issn>
<publisher>
<publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27806705</article-id>
<article-id pub-id-type="pmc">5094143</article-id>
<article-id pub-id-type="publisher-id">725</article-id>
<article-id pub-id-type="doi">10.1186/s12916-016-0725-0</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Neuroimaging in vascular cognitive impairment: a state-of-the-art review</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Heiss</surname>
<given-names>Wolf-Dieter</given-names>
</name>
<address>
<email>wdh@sf.mpg.de</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rosenberg</surname>
<given-names>Gary A.</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thiel</surname>
<given-names>Alexander</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Berlot</surname>
<given-names>Rok</given-names>
</name>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Reuck</surname>
<given-names>Jacques</given-names>
</name>
<xref ref-type="aff" rid="Aff5">5</xref>
</contrib>
<aff id="Aff1">
<label>1</label>
Max Planck Institute for Metabolism Research, Gleueler str. 50, D-50931 Cologne, Germany</aff>
<aff id="Aff2">
<label>2</label>
Department of Neurology, UNM Memory and Aging Center, MSC 11 6035, University of New Mexico, Albuquerque, NM 87131 USA</aff>
<aff id="Aff3">
<label>3</label>
Department of Neurology & Neurosurgery, McGill University at SMBD Jewish General Hospital and Lady Davis Institute for Medical Research, Montreal, H3T 1E2 Québec Canada</aff>
<aff id="Aff4">
<label>4</label>
Department of Neurology (R.B.), University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia</aff>
<aff id="Aff5">
<label>5</label>
INSERM U1171, Degenerative and Vascular Cognitive Disorders, Université Lille 2, Lille, France</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>3</day>
<month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>3</day>
<month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection">
<year>2016</year>
</pub-date>
<volume>14</volume>
<elocation-id>174</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>5</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>10</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s). 2016</copyright-statement>
<license license-type="OpenAccess">
<license-p>
<bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1">
<p>Imaging is critical in the diagnosis and treatment of dementia, particularly in vascular cognitive impairment, due to the visualization of ischemic and hemorrhagic injury of gray and white matter. Magnetic resonance imaging (MRI) and positron emission tomography (PET) provide structural and functional information. Clinical MRI is both generally available and versatile – T2-weighted images show infarcts, FLAIR shows white matter changes and lacunar infarcts, and susceptibility-weighted images reveal microbleeds. Diffusion MRI adds another dimension by showing graded damage to white matter, making it more sensitive to white matter injury than FLAIR. Regions of neuroinflammatory disruption of the blood–brain barrier with increased permeability can be quantified and visualized with dynamic contrast-enhanced MRI. PET shows metabolism of glucose and accumulation of amyloid and tau, which is useful in showing abnormal metabolism in Alzheimer’s disease. Combining MRI and PET allows identification of patients with mixed dementia, with MRI showing white matter injury and PET demonstrating regional impairment of glucose metabolism and deposition of amyloid. Excellent anatomical detail can be observed with 7.0-Tesla MRI. Imaging is the optimal method to follow the effect of treatments since changes in MRI scans are seen prior to those in cognition. This review describes the role of various imaging modalities in the diagnosis and treatment of vascular cognitive impairment.</p>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Neuroimaging</kwd>
<kwd>CT</kwd>
<kwd>MRI</kwd>
<kwd>PET</kwd>
<kwd>Vascular cognitive impairment</kwd>
<kwd>Cerebral small vessel disease</kwd>
<kwd>Molecular imaging</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>France</li>
<li>Slovénie</li>
<li>États-Unis</li>
</country>
<region>
<li>District de Cologne</li>
<li>Hauts-de-France</li>
<li>Nord-Pas-de-Calais</li>
<li>Nouveau-Mexique</li>
<li>Rhénanie-du-Nord-Westphalie</li>
</region>
<settlement>
<li>Cologne</li>
<li>Lille</li>
</settlement>
<orgName>
<li>Université Lille 2</li>
</orgName>
</list>
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<name sortKey="Berlot, Rok" sort="Berlot, Rok" uniqKey="Berlot R" first="Rok" last="Berlot">Rok Berlot</name>
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<name sortKey="De Reuck, Jacques" sort="De Reuck, Jacques" uniqKey="De Reuck J" first="Jacques" last="De Reuck">Jacques De Reuck</name>
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</country>
</tree>
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</record>

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