ArticleEuropean journal of medical research2025
Higher basal ganglia perivascular space burden is associated with reduced deep medullary vein visibility via free water accumulation in sporadic cerebral small vessel disease.
Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Deep medullary vein abnormalities associated with cognitive function and Alzheimer's disease plasma biomarkers in dementia-free older adults: A population-based study.Alzheimer's & dementia (Amsterdam, Netherlands)Article
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5 authors.
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Abstract
backgroundTo investigate the differential associations of basal ganglia perivascular spaces (BGPVS) and centrum semiovale perivascular spaces (CSOPVS) with deep medullary vein (DMV) disruption in cerebral small vessel disease (CSVD), and to explore the potential mediating role of white matter free water (FW) accumulation.
methodsA total of 125 CSVD patients underwent multimodal MRI, including susceptibility-weighted imaging (SWI) for DMV scoring, T2-weighted imaging for PVS grading, and diffusion tensor imaging for FW quantification. DMV visibility was scored (0-18), and PVS were graded (0-4) in BGPVS and CSOPVS regions.
resultsBGPVS score was independently associated with DMV scores (β = 1.566, 95% CI 0.474-2.658, P < 0.05) controlling with age and vascular risk factors, while CSOPVS showed no significant association (P > 0.05). Mediation analysis revealed that FW accumulation partially mediated the BGPVS-DMV relationship (indirect effect = 0.088, 95% bootstrapped CI [0.002, 0.216]), accounting for 34.6% of the total effect.
conclusionsEnlarged BGPVS, but not CSOPVS, is associated with DMV disruption in CSVD, potentially through disrupted perivascular fluid transport and interstitial fluid accumulation.
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