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ORIGINAL RESEARCH EXTRACRANIAL VASCULAR Carotid Artery Stiffness Accurately Predicts White Matter Hyperintensity Volume 20 Years Later: A Secondary Analysis of the Atherosclerosis Risk in the Community Study X A. de Havenon, X K.-H. Wong, X A. Elkhetali, X J.S. McNally, X J.J. Majersik, and X N.S. Rost ABSTRACT BACKGROUND AND PURPOSE: Arterial stiffness is a biomarker of cerebrovascular disease and dementia risk. Studies have shown an association between carotid artery stiffness and increased white matter hyperintensity volume and, as a result, reduced total brain volume on MR imaging, but none have had prolonged follow-up to fully evaluate the slow change seen in white matter hyperintensity volume and totalbrainvolumewithtime.Ourobjectivewastodeterminewhethercommoncarotidarterystiffnessonsonographyaccuratelypredicts white matter hyperintensity volume and total brain volume on MR imaging more than 20 years later. MATERIALS AND METHODS: We performed a secondary analysis of the Atherosclerosis Risk in the Community study to compare 5 measurements of carotid artery stiffness, including strain, distensibility, compliance, Stiffness index, and pressure-strain elastic modulus, with the white matter hyperintensity volume and total brain volume on a follow-up MR imaging using linear regression. RESULTS: We included 1402 patients enrolled in the Atherosclerosis Risk in the Community study. There was a significant relationship between increasing carotid artery
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: Aug 1, 2019
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