Abstract Archives of the RSNA, 2007


LL-NR4054-H08

Effects of Hypertension in Normal Aging, Mild Cognitive Impairment, and Alzheimer’s Disease Evaluated with Arterial Spin Labeled MRI

Scientific Posters

Presented on November 27, 2007
Presented as part of LL-NR-H: Neuroradiology/Head and Neck

Participants

Cyrus Raji BS, BA, Presenter: Nothing to Disclose
Charles Lee MD, Abstract Co-Author: Nothing to Disclose
Weiying Dai PhD, Abstract Co-Author: Nothing to Disclose
Oscar L. Lopez MD, Abstract Co-Author: Nothing to Disclose
James T. Becker PhD, Abstract Co-Author: Nothing to Disclose
Lewis H. Kuller MD, Abstract Co-Author: Nothing to Disclose
H. Michael Gach PhD, Abstract Co-Author: Nothing to Disclose
et al, Abstract Co-Author: Nothing to Disclose
et al, Abstract Co-Author: Nothing to Disclose

PURPOSE

Alzheimer disease (AD) is a neurodegenerative process affecting memory and cognition in the elderly. Hypertension (HTN), another disease that increases in prevalence with aging, is hypothesized to mediate decreased cerebral perfusion in AD. We investigated this question using arterial spin labeled (ASL) MRI.

METHOD AND MATERIALS

48 control normals (38 no HTN:10 with) and , 20 AD (10 with/without), and 20 MCI (10 with/without) were recruited from the CHS-CS (Cardiovascular Health Study—Cognition Study) and were scanned with T1W MR and ASL at 1.5 T. All scans were voxel warped to a standard colin27 brain. Statistical parametric mapping (SPM2—Wellcome Boroughs) analyzed rCBF on a voxel per voxel basis to evaluate for rCBF deviation in regions involved with memory and cognition.

RESULTS

rCBF is substantially decreased in patients with HTN compared to those without in CN, AD, and MCI groups. Overall rCBF is lowest in AD with HTN (34.8 ml/100g/min) compared to CN with HTN (41.43) and MCI with HTN (47.75). Most notably decreased flow in AD occurs in the posterior cingulate (35.9), prefrontal cortex (29.5), and the thalamus (28.9).

CONCLUSION

Presence of HTN, treated or untreated, is associated with decreased cerebral perfusion in CN, AD, and MCI groups. Magnitude of perfusion decrease was largest in AD. These data suggest that HTN could contribute to the pathology of AD through affects on rCBF.

CLINICAL RELEVANCE/APPLICATION

HTN can be linked to changes in rCBF in AD. This phenomenon can be studied using ASL, a non-invasive technique that uses no external contrast and is cost effective relative to other modalities.

Cite This Abstract

Raji, C, Lee, C, Dai, W, Lopez, O, Becker, J, Kuller, L, Gach, H, et al, , et al, , Effects of Hypertension in Normal Aging, Mild Cognitive Impairment, and Alzheimer’s Disease Evaluated with Arterial Spin Labeled MRI.  Radiological Society of North America 2007 Scientific Assembly and Annual Meeting, November 25 - November 30, 2007 ,Chicago IL. http://archive.rsna.org/2007/5011039.html