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老年非裔美国人横向弛豫率(R)的变化与认知变化

Change in transverse relaxation rates (R) and change in cognition for older African Americans.

作者信息

Lamar Melissa, Arfanakis Konstantinos, Capuano Ana W, Zhang Shengwei, Fleischman Debra A, Han S Duke, Poole Victoria N, Leurgans Sue E, Bennett David A, Barnes Lisa L

机构信息

Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, USA.

Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, Illinois, USA.

出版信息

Hum Brain Mapp. 2025 Jan;46(1):e26794. doi: 10.1002/hbm.26794.

Abstract

Despite transverse relaxation rate (R) being one of the fundamental contrasts in MRI, most investigations of brain R and cognition have been cross-sectional and conducted in predominantly non-Latino White adults. We investigated the profile of R as related to cognition in 212 older African Americans (~75 years of age) with longitudinal 3T MRI scans and cognitive test data to determine how changes in R are associated with changes in cognition. For each participant, the slopes of global cognitive and five cognitive domain scores were each separately combined with voxel-specific slopes of R in whole brain voxelwise analyses. Participants with less negative rates of R change within left basal ganglia and centrum semiovale, bilateral hippocampal complex and temporal gyri, parietooccipital white matter, as well as posterior cingulate displayed less negative slopes in global cognition. Similar associations were seen for regional R change and episodic memory (most robustly within bilateral hippocampi) as well as semantic memory (left greater than right hemisphere involvement). Results suggest a relatively wide distribution of regional associations between rates of changes in R and changes in global cognition for older African Americans; a profile that became more regionally specific when considering individual cognitive domains. Relative preservation of tissue integrity across grey and white matter, and in key regions associated with specific cognitive domains, is associated with slower cognitive decline for older African Americans. These results may lay the foundation for more directed work to support healthy brain aging in older African Americans.

摘要

尽管横向弛豫率(R)是磁共振成像(MRI)的基本对比度之一,但大多数关于脑R与认知的研究都是横断面研究,且主要在非拉丁裔白人成年人中进行。我们对212名老年非裔美国人(约75岁)进行了纵向3T MRI扫描和认知测试数据,以研究R与认知的关系,从而确定R的变化如何与认知变化相关联。在全脑体素分析中,对于每位参与者,将整体认知和五个认知领域分数的斜率分别与R的体素特异性斜率相结合。在左侧基底神经节和半卵圆中心、双侧海马复合体和颞回、顶枕白质以及后扣带回中,R变化率为负性较小的参与者在整体认知方面的负性斜率也较小。区域R变化与情景记忆(在双侧海马中最为显著)以及语义记忆(左侧半球比右侧半球受累更明显)之间也存在类似关联。结果表明,老年非裔美国人中R变化率与整体认知变化之间的区域关联分布相对广泛;在考虑个体认知领域时,这种关联在区域上变得更加具体。跨灰质和白质以及与特定认知领域相关的关键区域的组织完整性相对保留,与老年非裔美国人认知衰退较慢有关。这些结果可能为更有针对性的工作奠定基础,以支持老年非裔美国人的健康脑老化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f785/11683048/25e01b17b5b9/HBM-46-e26794-g002.jpg

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