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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleAdult Brain
Open Access

Influence of Small Vessel Disease and Microstructural Integrity on Neurocognitive Functioning in Older Individuals: The DANTE Study Leiden

J.E.F. Moonen, J.C. Foster-Dingley, A.A. van den Berg-Huijsmans, W. de Ruijter, A.J.M. de Craen, J. van der Grond and R.C. van der Mast
American Journal of Neuroradiology January 2017, 38 (1) 25-30; DOI: https://doi.org/10.3174/ajnr.A4934
J.E.F. Moonen
aFrom the Departments of Psychiatry (J.E.F.M., J.C.F.-D., R.C.v.d.M.)
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J.C. Foster-Dingley
aFrom the Departments of Psychiatry (J.E.F.M., J.C.F.-D., R.C.v.d.M.)
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A.A. van den Berg-Huijsmans
bRadiology (A.A.v.d.B.-H., J.v.d.G.)
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W. de Ruijter
cPublic Health and Primary Care (W.d.R.)
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A.J.M. de Craen
dGerontology and Geriatrics (A.J.M.d.C.), Leiden University Medical Center, Leiden, the Netherlands
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J. van der Grond
bRadiology (A.A.v.d.B.-H., J.v.d.G.)
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R.C. van der Mast
aFrom the Departments of Psychiatry (J.E.F.M., J.C.F.-D., R.C.v.d.M.)
eDepartment of Psychiatry (R.C.v.d.M.), Collaborative Antwerp Psychiatric Research Institute, University of Antwerp, Antwerp, Belgium.
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Article Figures & Data

Tables

  • Characteristics of the study population (n = 195)a

    Characteristics
    Demographic and clinical
        Age (yr)80.7 (4.1)
        Male81 (41.5%)
        Education (>6 yr)137 (70.3%)
        Current smoking13 (6.7%)
        Diabetes mellitus39 (20.0%)
        Cardiovascular diseaseb17 (8.7%)
        Systolic blood pressure (mm Hg)147.5 (20.5)
        Diastolic blood pressure (mm Hg)81.2 (10.5)
    Cerebrovascular pathology and brain volumes
        WMH volume (mL)22.5 (8.1–56.3)
        Lacunar infarcts presentc52 (26.7%)
        Cerebral microbleeds present50 (26.2%)
        Brain volume total (mL)1000.0 (92.7)
            Gray matter volume (mL)497.2 (48.1)
            White matter volume (mL)502.8 (52.5)
    Microstructural integrity in white and gray matter
        Fractional anisotropy
            White matter0.24 (0.02)
            Gray matter0.17 (0.01)
        Mean diffusivity (×10−3 mm2/s)
            White matter1.01 (0.06)
            Gray matter1.15 (0.07)
        Axial diffusivity (×10−3 mm2/s)
            White matter1.24 (0.05)
            Gray matter1.34 (0.07)
        Radial diffusivity (×10−3 mm2/s)
            White matter0.89 (0.06)
            Gray matter1.05 (0.07)
    Cognitive and psychological measures
        Mini-Mental State Examination26.0 (25.0–27.0)
        Executived
            Δ Trail-Making Test (sec)e130.8 (66.6)
            Stroop interference score (sec)39.28 (32.7)
        Memory
            15-Word Verbal Learning Test (words remembered)
            Immediate-recall score16.7 (5.6)
            Delayed-recall score4.8 (2.8)
            Visual Association Test (pictures remembered)12 (10–12)
        Psychomotor speed
            Letter Digit Substitution Test (digits coded)31.0 (9.4)
    Geriatric Depression Scaled1.0 (0–3.0)
    Apathy Scale of Starksteind10.7 (4.4)
    • ↵a Data are presented as mean ± SD, median (interquartile range), or as number (percentage) where appropriate.

    • ↵b Comprises myocardial infarction or a coronary intervention procedure ≥3 years ago or peripheral artery disease.

    • ↵c Missing for n = 4 participants.

    • ↵d Higher scores indicate worse functioning.

    • ↵e Δ Trail-Making Test denotes difference between Trail-Making Test-B and Trail-Making Test-A.

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Influence of Small Vessel Disease and Microstructural Integrity on Neurocognitive Functioning in Older Individuals: The DANTE Study Leiden
J.E.F. Moonen, J.C. Foster-Dingley, A.A. van den Berg-Huijsmans, W. de Ruijter, A.J.M. de Craen, J. van der Grond, R.C. van der Mast
American Journal of Neuroradiology Jan 2017, 38 (1) 25-30; DOI: 10.3174/ajnr.A4934
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J.E.F. Moonen, J.C. Foster-Dingley, A.A. van den Berg-Huijsmans, W. de Ruijter, A.J.M. de Craen, J. van der Grond, R.C. van der Mast
Influence of Small Vessel Disease and Microstructural Integrity on Neurocognitive Functioning in Older Individuals: The DANTE Study Leiden
American Journal of Neuroradiology Jan 2017, 38 (1) 25-30; DOI: 10.3174/ajnr.A4934

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