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Research ArticleBrain
Open Access

Cerebral Microbleeds: Different Prevalence, Topography, and Risk Factors Depending on Dementia Diagnosis—The Karolinska Imaging Dementia Study

S. Shams, J. Martola, T. Granberg, X. Li, M. Shams, S.M. Fereshtehnejad, L. Cavallin, P. Aspelin, M. Kristoffersen-Wiberg and L.O. Wahlund
American Journal of Neuroradiology April 2015, 36 (4) 661-666; DOI: https://doi.org/10.3174/ajnr.A4176
S. Shams
bClinical Science, Intervention, and Technology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.), Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden
cDepartment of Radiology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.)
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J. Martola
bClinical Science, Intervention, and Technology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.), Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden
cDepartment of Radiology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.)
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T. Granberg
bClinical Science, Intervention, and Technology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.), Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden
cDepartment of Radiology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.)
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X. Li
aFrom the Departments of Neurobiology, Care Sciences, and Society (X.L., S.M.F., L.O.W.)
dDivision of Clinical Geriatrics (X.L., S.M.F., L.O.W.), Karolinska University Hospital, Stockholm, Sweden.
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M. Shams
bClinical Science, Intervention, and Technology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.), Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden
cDepartment of Radiology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.)
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S.M. Fereshtehnejad
aFrom the Departments of Neurobiology, Care Sciences, and Society (X.L., S.M.F., L.O.W.)
dDivision of Clinical Geriatrics (X.L., S.M.F., L.O.W.), Karolinska University Hospital, Stockholm, Sweden.
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L. Cavallin
bClinical Science, Intervention, and Technology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.), Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden
cDepartment of Radiology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.)
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P. Aspelin
bClinical Science, Intervention, and Technology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.), Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden
cDepartment of Radiology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.)
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M. Kristoffersen-Wiberg
bClinical Science, Intervention, and Technology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.), Division of Medical Imaging and Technology, Karolinska Institute, Stockholm, Sweden
cDepartment of Radiology (S.S., J.M., T.G., M.S., L.C., P.A., M.K.-W.)
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L.O. Wahlund
aFrom the Departments of Neurobiology, Care Sciences, and Society (X.L., S.M.F., L.O.W.)
dDivision of Clinical Geriatrics (X.L., S.M.F., L.O.W.), Karolinska University Hospital, Stockholm, Sweden.
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Article Figures & Data

Tables

  • Prevalence and odds ratios of CMBs depending on number of risk factorsa

    Diagnostic Group0 RFb Prevalence1 RF2 RF3 RF≥4 RF
    PrevalenceORPrevalenceORPrevalenceORPrevalenceOR
    All patients (n = 1504)10 (31)18 (92)2.1 (1.4–3.3)d28 (105)3.8 (2.5–5.9)c35 (69)5.3 (3.3–8.5)c33 (35)4.8 (2.8–8.4)c
    Subjective cognitive impairment (n = 385)8 (13)10 (13)1.2 (0.5–2.8)11 (6)1.3 (0.5–3.8)24 (7)3.6 (1.3–10.2)e20 (2)3.2 (0.6–17.2)
    Alzheimer disease (n = 423)7 (4)26 (37)4.9 (1.7–14.6)d37 (47)8.2 (2.8–24.4)c33 (23)7.1 (2.3–22.2)d23 (7)3.4 (0.9–13.1)
    Mild cognitive impairment (n = 418)7 (5)17 (24)2.8 (1.0–7.7)e22 (25)3.7 (1.3–10.3)e37 (21)7.8 (2.7–22.9)c35 (14)7.2 (2.2–21.3)d
    Vascular dementia (n = 54)67 (4)50 (3)0.5 (0.04–6.1)58 (11)0.6 (0.1–4.7)58 (7)0.5 (0.1–4.8)64 (7)0.8 (0.1–7.1)
    • Note:—RF indicates risk factors; OR, odds ratio of CMBs in all groups; Prevalence, prevalence of CMBs in all groups.

    • ↵a Numbers are % (No.), odds ratio (95% CI). Logistic regression analysis was performed with CMBs (present/absent) as a dependent variable and number of risk factors as an independent variable. Risk factors were defined as hypertension, hyperlipidemia, diabetes, male sex, and age 65 years and older. The model was corrected for MRI field strength (1.5T/3T) and CMB sequence (T2*/SWI). In the risk factor groups, prevalence of CMBs (number of patients) is stated to the left and odds ratios for CMBs, to the right.

    • ↵b Patients with zero risk factors were used as a reference.

    • ↵c P < .001, significant after Bonferroni correction.

    • ↵d P < .05, significant after Bonferroni correction.

    • ↵e P < .05, significant before Bonferroni correction.

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American Journal of Neuroradiology: 36 (4)
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1 Apr 2015
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S. Shams, J. Martola, T. Granberg, X. Li, M. Shams, S.M. Fereshtehnejad, L. Cavallin, P. Aspelin, M. Kristoffersen-Wiberg, L.O. Wahlund
Cerebral Microbleeds: Different Prevalence, Topography, and Risk Factors Depending on Dementia Diagnosis—The Karolinska Imaging Dementia Study
American Journal of Neuroradiology Apr 2015, 36 (4) 661-666; DOI: 10.3174/ajnr.A4176

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Cerebral Microbleeds: Different Prevalence, Topography, and Risk Factors Depending on Dementia Diagnosis—The Karolinska Imaging Dementia Study
S. Shams, J. Martola, T. Granberg, X. Li, M. Shams, S.M. Fereshtehnejad, L. Cavallin, P. Aspelin, M. Kristoffersen-Wiberg, L.O. Wahlund
American Journal of Neuroradiology Apr 2015, 36 (4) 661-666; DOI: 10.3174/ajnr.A4176
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