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Total Small Vessel Disease Score in Neurologically Healthy Japanese Adults in the Kashima Scan Study

Yakushiji, Y; Charidimou, A; Noguchi, T; Nishihara, M; Eriguchi, M; Nanri, Y; Kawaguchi, A; ... Hara, H; + view all (2017) Total Small Vessel Disease Score in Neurologically Healthy Japanese Adults in the Kashima Scan Study. Internal Medicine , 57 (2) pp. 189-196. 10.2169/internalmedicine.8393-16. Green open access

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Abstract

OBJECTIVE: We explored the association between the total small vessel disease (SVD) score obtained with magnetic resonance imaging and risk factors and outcomes in the Japanese population. METHODS: The presence of SVD features, including lacunes, cerebral microbleeds, white matter changes, and basal ganglia perivascular spaces on MRI, was summed to obtain a "total SVD score" (range 0-4). Ordinal and multinomial logistic regression analyses were performed to investigate the association of higher total SVD scores with vascular risk factors, the Mini Mental State Examination (MMSE) score, and cerebral atrophy. RESULTS: We included 1,451 neurologically healthy adults (mean age, 57.1 years; 47% male). A multivariate ordinal logistic regression analysis showed that the total SVD score was associated with aging, hypertension, blood pressure (BP), diabetes mellitus, MMSE score, and deep cerebral atrophy, but the equal slopes assumption between scores did not hold. A multivariate multinomial logistic regression analysis (total SVD score 0=reference) showed that aging, hypertension, and BP were positively associated with scores of 1, 2, or ≥3. These effects, presented as odds ratios (ORs), increased as the score increased and were strongest with a score of ≥3 (aging [per 10-year increment], OR 4.00, 95% confidence interval [CI] 2.47-6.46; hypertension, OR 5.68, 95% CI 2.52-12.80; systolic BP [per standard deviation increase], OR 1.96, 95% CI 1.41-2.74, respectively). Diabetes mellitus and deep cerebral atrophy tended to be associated with the SVD scores. The MMSE score showed no consistent associations. CONCLUSION: The total SVD score may be a promising tool for indexing SVD, even in the Japanese population.

Type: Article
Title: Total Small Vessel Disease Score in Neurologically Healthy Japanese Adults in the Kashima Scan Study
Location: Japan
Open access status: An open access version is available from UCL Discovery
DOI: 10.2169/internalmedicine.8393-16
Publisher version: http://doi.org/10.2169/internalmedicine.8393-16
Language: English
Additional information: An Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: Cerebral atrophy, Cerebral small vessel disease, Cognitive impairment, Diabetes Mellitus, Hypertension
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation
URI: https://discovery.ucl.ac.uk/id/eprint/10026141
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