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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain
Open Access

7T Brain MRS in HIV Infection: Correlation with Cognitive Impairment and Performance on Neuropsychological Tests

M. Mohamed, P.B. Barker, R.L. Skolasky and N. Sacktor
American Journal of Neuroradiology April 2018, 39 (4) 704-712; DOI: https://doi.org/10.3174/ajnr.A5547
M. Mohamed
aFrom the Russell H. Morgan Department of Radiology and Radiological Science (M.M., P.B.B.)
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P.B. Barker
aFrom the Russell H. Morgan Department of Radiology and Radiological Science (M.M., P.B.B.)
dPsychiatry and Behavioral Sciences (P.B.B.), Johns Hopkins University School of Medicine, Baltimore, Maryland
eF.M. Kirby Center for Functional Brain Imaging (P.B.B.), Kennedy Krieger Institute, Baltimore, Maryland.
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R.L. Skolasky
bDepartments of Neurology (R.L.S., N.S.)
cOrthopedic Surgery (R.L.S.)
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N. Sacktor
bDepartments of Neurology (R.L.S., N.S.)
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  • Fig 1.
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    Fig 1.

    Examples of the 5 voxel locations used for brain MR spectroscopy in the left frontal white matter, left hippocampus (Hippo), left basal ganglia (BG), mesial posterior cingulate cortex, and mesial precuneus. An example of a spectrum from the PC in a 55-year-old HIV+ subject is shown, including results from the LCModel analysis (red curve). Signals are assigned to lipids (Lip), N-acetylaspartate, N-acetyl aspartylglutamate (NAAG), glutamate, glutamine (Gln), creatine, choline, myoinositol (mI), and Glx (the sum of Glu and Gln). The top trace is the difference between the original data and the results of the curve fit.

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    Fig 2.

    Metabolite ratios for the frontal white matter, posterior cingulate, precuneus, basal ganglia, and hippocampal voxels. Asterisk indicates significant; GABA, γ-aminobutyric acid; IQR, interquartile range; mI, myoinositol.

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    Fig 3.

    Metabolite concentrations in institutional units for the frontal white matter, posterior cingulate, precuneus, basal ganglia, and hippocampal voxels. Asterisk indicates significant, GABA, γ-aminobutyric acid; IQR, interquartile range; mI, myoinositol.

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    Fig 4.

    Scatterplots showing significant positive correlations of FWM Glu/Cr with the Hopkins Verbal Learning Test (HVLT) delayed recall, and FWM tNAA/Cr with the Grooved Pegboard non-dominant hand, Digit Symbol, and Trail-Making Test B z scores.

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    Fig 5.

    Scatterplots showing significant positive correlation of the posterior cingulate tNAA/Cr with the Digit Symbol and Stroop test z scores.

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    Fig 6.

    Scatterplots showing significant positive correlation of the precuneus NAA/Cr and Glu/Cr with Stroop test and Trail-Making Part B z scores, respectively.

Tables

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  • Subject demographics in the 2 HIV+ groups: asymptomatic neurocognitive impairment and symptomatic HIV-associated neurocognitive disordera

    ANIHANDP Value
    No.2421–
    Age (yr)59.6 ± 5.758.2 ± 5.0.378
    Male sex (No.) (%)17 (71%)16 (76%).764
    Education (yr)14.9 ± 3.014.0 ± 2.7.263
    Race (% African American)12 (50%)13 (62%).655
    Duration of infection (yr)19.9 ± 9.019.2 ± 9.4.790
    CES-D7.7 ± 6.811.0 ± 11.7.253
    HART Est IQb112.9 ± 12.8103.7 ± 12.9.022
    CD4 cell count (cells/mm3)674 ± 281676 ± 375.988
    Plasma HIV RNA (Log10 copies/mL)c1.6 ± 0.12.3 ± 1.4.569
    • Note:—ANI indicates asymptomatic neurocognitive impairment; CES-D = Center for Epidemiological Studies Depression Scale; HART Est IQ = Hopkins Adult Reading Test estimated intelligence quotient.

    • ↵a Values given are mean ± SD unless otherwise indicated.

    • ↵b Significant (P < .05).

    • ↵c Plasma HIV RNA only among those with detectable viral load (n = 2 ANI and n = 3 HAND).

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American Journal of Neuroradiology: 39 (4)
American Journal of Neuroradiology
Vol. 39, Issue 4
1 Apr 2018
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Cite this article
M. Mohamed, P.B. Barker, R.L. Skolasky, N. Sacktor
7T Brain MRS in HIV Infection: Correlation with Cognitive Impairment and Performance on Neuropsychological Tests
American Journal of Neuroradiology Apr 2018, 39 (4) 704-712; DOI: 10.3174/ajnr.A5547

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7T Brain MRS in HIV Infection: Correlation with Cognitive Impairment and Performance on Neuropsychological Tests
M. Mohamed, P.B. Barker, R.L. Skolasky, N. Sacktor
American Journal of Neuroradiology Apr 2018, 39 (4) 704-712; DOI: 10.3174/ajnr.A5547
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