Frontiers in Neuroscience (Apr 2023)

Brain iron content in cerebral amyloid angiopathy using quantitative susceptibility mapping

  • Breni Sharma,
  • Breni Sharma,
  • Breni Sharma,
  • Andrew E. Beaudin,
  • Andrew E. Beaudin,
  • Andrew E. Beaudin,
  • Emily Cox,
  • Emily Cox,
  • Emily Cox,
  • Feryal Saad,
  • Feryal Saad,
  • Feryal Saad,
  • Feryal Saad,
  • Krista Nelles,
  • Myrlene Gee,
  • Richard Frayne,
  • Richard Frayne,
  • Richard Frayne,
  • Richard Frayne,
  • Richard Frayne,
  • Richard Frayne,
  • David G. Gobbi,
  • David G. Gobbi,
  • David G. Gobbi,
  • David G. Gobbi,
  • David G. Gobbi,
  • Richard Camicioli,
  • Richard Camicioli,
  • Eric E. Smith,
  • Eric E. Smith,
  • Eric E. Smith,
  • Eric E. Smith,
  • Cheryl R. McCreary,
  • Cheryl R. McCreary,
  • Cheryl R. McCreary,
  • Cheryl R. McCreary,
  • Cheryl R. McCreary

DOI
https://doi.org/10.3389/fnins.2023.1139988
Journal volume & issue
Vol. 17

Abstract

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IntroductionCerebral amyloid angiopathy (CAA) is a small vessel disease that causes covert and symptomatic brain hemorrhaging. We hypothesized that persons with CAA would have increased brain iron content detectable by quantitative susceptibility mapping (QSM) on magnetic resonance imaging (MRI), and that higher iron content would be associated with worse cognition.MethodsParticipants with CAA (n = 21), mild Alzheimer’s disease with dementia (AD-dementia; n = 14), and normal controls (NC; n = 83) underwent 3T MRI. Post-processing QSM techniques were applied to obtain susceptibility values for regions of the frontal and occipital lobe, thalamus, caudate, putamen, pallidum, and hippocampus. Linear regression was used to examine differences between groups, and associations with global cognition, controlling for multiple comparisons using the false discovery rate method.ResultsNo differences were found between regions of interest in CAA compared to NC. In AD, the calcarine sulcus had greater iron than NC (β = 0.99 [95% CI: 0.44, 1.53], q < 0.01). However, calcarine sulcus iron content was not associated with global cognition, measured by the Montreal Cognitive Assessment (p > 0.05 for all participants, NC, CAA, and AD).DiscussionAfter correcting for multiple comparisons, brain iron content, measured via QSM, was not elevated in CAA compared to NC in this exploratory study.

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