社区居住老年受试者海马体的定量多模态磁共振成像与认知能力
Quantitative multi-modal MRI of the Hippocampus and cognitive ability in community-dwelling older subjects.
作者信息
Aribisala Benjamin S, Royle Natalie A, Maniega Susana Muñoz, Valdés Hernández Maria C, Murray Catherine, Penke Lars, Gow Alan, Starr John M, Bastin Mark E, Deary Ian J, Wardlaw Joanna M
机构信息
Brain Research Imaging Centre, University of Edinburgh, Edinburgh, UK; Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK; Scottish Imaging Network, A Platform for Scientific Excellence (SINAPSE), Edinburgh, UK; Department of Computer Science, Lagos State University, Lagos, Nigeria.
Brain Research Imaging Centre, University of Edinburgh, Edinburgh, UK; Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK; Scottish Imaging Network, A Platform for Scientific Excellence (SINAPSE), Edinburgh, UK.
出版信息
Cortex. 2014 Apr;53(100):34-44. doi: 10.1016/j.cortex.2013.12.012. Epub 2013 Dec 31.
Hippocampal structural integrity is commonly quantified using volumetric measurements derived from brain magnetic resonance imaging (MRI). Previously reported associations with cognitive decline have not been consistent. We investigate hippocampal integrity using quantitative MRI techniques and its association with cognitive abilities in older age. Participants from the Lothian Birth Cohort 1936 underwent brain MRI at mean age 73 years. Longitudinal relaxation time (T1), magnetization transfer ratio (MTR), fractional anisotropy (FA) and mean diffusivity (MD) were measured in the hippocampus. General factors of fluid-type intelligence (g), cognitive processing speed (speed) and memory were obtained at age 73 years, as well as childhood IQ test results at age 11 years. Amongst 565 older adults, multivariate linear regression showed that, after correcting for ICV, gender and age 11 IQ, larger left hippocampal volume was significantly associated with better memory ability (β = .11, p = .003), but not with speed or g. Using quantitative MRI and after correcting for multiple testing, higher T1 and MD were significantly associated with lower scores of g (β range = -.11 to -.14, p < .001), speed (β range = -.15 to -.20, p < .001) and memory (β range = -.10 to -.12, p < .001). Higher MTR and FA in the hippocampus were also significantly associated with higher scores of g (β range = .17 to .18, p < .0001) and speed (β range = .10 to .15, p < .0001), but not memory. Quantitative multi-modal MRI assessments were more sensitive at detecting cognition-hippocampal integrity associations than volumetric measurements, resulting in stronger associations between MRI biomarkers and age-related cognition changes.
海马体结构完整性通常通过源自脑磁共振成像(MRI)的体积测量来量化。先前报道的与认知衰退的关联并不一致。我们使用定量MRI技术研究海马体完整性及其与老年人认知能力的关联。来自1936年洛锡安出生队列的参与者在平均年龄73岁时接受了脑部MRI检查。测量了海马体的纵向弛豫时间(T1)、磁化传递率(MTR)、分数各向异性(FA)和平均扩散率(MD)。在73岁时获得了流体智力(g)、认知处理速度(速度)和记忆的一般因素,以及11岁时的儿童智商测试结果。在565名老年人中,多变量线性回归显示,在校正颅内体积(ICV)、性别和11岁时的智商后,左侧海马体体积较大与更好的记忆能力显著相关(β = 0.11,p = 0.003),但与速度或g无关。使用定量MRI并校正多次检验后,较高的T1和MD与较低的g得分(β范围 = -0.11至 -0.14,p < 0.001)、速度(β范围 = -0.15至 -0.20,p < 0.001)和记忆(β范围 = -0.10至 -0.12,p < 0.001)显著相关。海马体中较高的MTR和FA也与较高的g得分(β范围 = 0.17至0.18,p < 0.0001)和速度(β范围 = 0.10至0.15,p < 0.0001)显著相关,但与记忆无关。定量多模态MRI评估在检测认知 - 海马体完整性关联方面比体积测量更敏感,导致MRI生物标志物与年龄相关认知变化之间的关联更强。