Why the study?
The relationship between cerebrovascular perfusion and microstructure remains understudied, particularly within normal-appearing white matter in mild cognitive impairment.
Are there differences in white matter cerebrovascular perfusion and microstructure between patients with mild cognitive impairment and normal cognition?
Are there differences in white matter cerebrovascular perfusion and microstructure between patients with mild cognitive impairment and normal cognition?
Mild cognitive impairment is associated with impaired cerebrovascular reactivity, prolonged arterial transit time, and lower intracellular volume fraction in normal-appearing white matter.
MCI may involve early white matter cerebrovascular and microstructural changes; hypothesis-generating and requires longitudinal studies before clinical relevance.
Background Mild cognitive impairment (MCI) has been related to impairment in cerebrovascular perfusion and microstructural magnetic resonance imaging (MRI) parameters. However, the relationship between cerebrovascular perfusion and microstructure remains understudied, especially within normal-appearing white matter (NAWM). Objective This study aimed to investigate the differential relationship between white matter cerebrovascular perfusion and microstructure between normal cognition (NC) and MCI using multiple MRI measurements within NAWM. Methods We examined differences between 24 MCI and 55 NC participants in NAWM for cerebrovascular perfusion and microstructural measures, including cerebrovascular reactivity (CVR), cerebral blood flow, arterial transit time (ATT), and intracellular volume fraction (ICVF), isotropic volume fraction, and orientation dispersion index in models adjusted for vascular risk factors including hypertension, glycemic status, and the presence of APOE ε4 allele. Results In the voxel-wise analyses within NAWM, participants with MCI exhibited lower CVR, prolonged ATT, and lower ICVF. Additionally, ATT and ICVF demonstrated a negative interrelationship in voxel clusters affected by MCI. Conclusions Impaired ATT and ICVF in NAWM appeared to be closely interlinked in MCI, while CVR served as an independent imaging biomarker. Further investigation into the intrinsic link between ATT and ICVF in NAWM is warranted.
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Kim et al. (2025) studied this question.
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