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Cerebral blood flow in Alzheimer's disease
by
Kokjohn
, Hunter
, Belden
, Maarouf
, Walker
, Sabbagh, Marwan
, Pipe
, Roher, Alex
, Chen, Kewei
, Beach
, Debbins
, Kruchowsky
, Malek-Ahmadi, Michael
, Maze
, Mo, Hua
, Belohlavek
, Thiyyagura
in
Aged
/ Aged, 80 and over
/ Alzheimer Disease - metabolism
/ Alzheimer Disease - physiopathology
/ Alzheimer Disease - psychology
/ Alzheimer's disease
/ Apolipoprotein E4 - metabolism
/ arteriosclerosis
/ Atherosclerosis
/ Blood Pressure - physiology
/ brain hypoperfusion
/ brain morphometric analyses
/ Cardiovascular disease
/ Cardiovascular diseases
/ Case-Control Studies
/ Cerebral Arteries - physiopathology
/ cerebral blood flow
/ Cerebral circulation
/ Cerebrovascular Circulation - physiology
/ Cognition - physiology
/ Cognitive impairment
/ Cohort Studies
/ Complications and side effects
/ Dementia
/ Diagnosis
/ Female
/ Hippocampus - pathology
/ Humans
/ Magnetic Resonance Angiography - methods
/ Magnetic Resonance Imaging
/ Male
/ NMR
/ Nuclear magnetic resonance
/ Original Research
/ Pathogenesis
/ Physiological aspects
/ Pilot Projects
/ Psychometrics
/ Quantitative psychology
/ Risk factors
/ two-dimensional phase-contrast magnetic resonance imaging
2012
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Cerebral blood flow in Alzheimer's disease
by
Kokjohn
, Hunter
, Belden
, Maarouf
, Walker
, Sabbagh, Marwan
, Pipe
, Roher, Alex
, Chen, Kewei
, Beach
, Debbins
, Kruchowsky
, Malek-Ahmadi, Michael
, Maze
, Mo, Hua
, Belohlavek
, Thiyyagura
in
Aged
/ Aged, 80 and over
/ Alzheimer Disease - metabolism
/ Alzheimer Disease - physiopathology
/ Alzheimer Disease - psychology
/ Alzheimer's disease
/ Apolipoprotein E4 - metabolism
/ arteriosclerosis
/ Atherosclerosis
/ Blood Pressure - physiology
/ brain hypoperfusion
/ brain morphometric analyses
/ Cardiovascular disease
/ Cardiovascular diseases
/ Case-Control Studies
/ Cerebral Arteries - physiopathology
/ cerebral blood flow
/ Cerebral circulation
/ Cerebrovascular Circulation - physiology
/ Cognition - physiology
/ Cognitive impairment
/ Cohort Studies
/ Complications and side effects
/ Dementia
/ Diagnosis
/ Female
/ Hippocampus - pathology
/ Humans
/ Magnetic Resonance Angiography - methods
/ Magnetic Resonance Imaging
/ Male
/ NMR
/ Nuclear magnetic resonance
/ Original Research
/ Pathogenesis
/ Physiological aspects
/ Pilot Projects
/ Psychometrics
/ Quantitative psychology
/ Risk factors
/ two-dimensional phase-contrast magnetic resonance imaging
2012
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Cerebral blood flow in Alzheimer's disease
by
Kokjohn
, Hunter
, Belden
, Maarouf
, Walker
, Sabbagh, Marwan
, Pipe
, Roher, Alex
, Chen, Kewei
, Beach
, Debbins
, Kruchowsky
, Malek-Ahmadi, Michael
, Maze
, Mo, Hua
, Belohlavek
, Thiyyagura
in
Aged
/ Aged, 80 and over
/ Alzheimer Disease - metabolism
/ Alzheimer Disease - physiopathology
/ Alzheimer Disease - psychology
/ Alzheimer's disease
/ Apolipoprotein E4 - metabolism
/ arteriosclerosis
/ Atherosclerosis
/ Blood Pressure - physiology
/ brain hypoperfusion
/ brain morphometric analyses
/ Cardiovascular disease
/ Cardiovascular diseases
/ Case-Control Studies
/ Cerebral Arteries - physiopathology
/ cerebral blood flow
/ Cerebral circulation
/ Cerebrovascular Circulation - physiology
/ Cognition - physiology
/ Cognitive impairment
/ Cohort Studies
/ Complications and side effects
/ Dementia
/ Diagnosis
/ Female
/ Hippocampus - pathology
/ Humans
/ Magnetic Resonance Angiography - methods
/ Magnetic Resonance Imaging
/ Male
/ NMR
/ Nuclear magnetic resonance
/ Original Research
/ Pathogenesis
/ Physiological aspects
/ Pilot Projects
/ Psychometrics
/ Quantitative psychology
/ Risk factors
/ two-dimensional phase-contrast magnetic resonance imaging
2012
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Journal Article
Cerebral blood flow in Alzheimer's disease
Pipe,
Maze,
2012
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Overview
Alzheimer's disease (AD) dementia is a consequence of heterogeneous and complex interactions of age-related neurodegeneration and vascular-associated pathologies. Evidence has accumulated that there is increased atherosclerosis/arteriosclerosis of the intracranial arteries in AD and that this may be additive or synergistic with respect to the generation of hypoxia/ischemia and cognitive dysfunction. The effectiveness of pharmacologic therapies and lifestyle modification in reducing cardiovascular disease has prompted a reconsideration of the roles that cardiovascular disease and cerebrovascular function play in the pathogenesis of dementia.
Using two-dimensional phase-contrast magnetic resonance imaging, we quantified cerebral blood flow within the internal carotid, basilar, and middle cerebral arteries in a group of individuals with mild to moderate AD (n = 8) and compared the results with those from a group of age-matched nondemented control (NDC) subjects (n = 9). Clinical and psychometric testing was performed on all individuals, as well as obtaining their magnetic resonance imaging-based hippocampal volumes.
Our experiments reveal that total cerebral blood flow was 20% lower in the AD group than in the NDC group, and that these values were directly correlated with pulse pressure and cognitive measures. The AD group had a significantly lower pulse pressure (mean AD 48, mean NDC 71; P = 0.0004). A significant group difference was also observed in their hippocampal volumes. Composite z-scores for clinical, psychometric, hippocampal volume, and hemodynamic data differed between the AD and NDC subjects, with values in the former being significantly lower (t = 12.00, df = 1, P = 0.001) than in the latter.
These results indicate an association between brain hypoperfusion and the dementia of AD. Cardiovascular disease combined with brain hypoperfusion may participate in the pathogenesis/pathophysiology of neurodegenerative diseases. Future longitudinal and larger-scale confirmatory investigations measuring multidomain parameters are warranted.
Publisher
Dove Medical Press Limited,Taylor & Francis Ltd,Dove Press,Dove Medical Press
Subject
/ Alzheimer Disease - metabolism
/ Alzheimer Disease - physiopathology
/ Alzheimer Disease - psychology
/ Apolipoprotein E4 - metabolism
/ Cerebral Arteries - physiopathology
/ Cerebrovascular Circulation - physiology
/ Complications and side effects
/ Dementia
/ Female
/ Humans
/ Magnetic Resonance Angiography - methods
/ Male
/ NMR
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