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Cognitive functions and white matter lesions on magnetic resonance images in a sample of normal Iranian population with cardiovascular risk factors

Purpose Due to a suggestive three-way relationship between brain structural disorders, microvascular lesions, and cognitive impairments, we aimed to examine the association of the volume and number of white matter hyperintensity lesions and lacunar infarcts with cognitive impairment among patients w...

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Published in:The neuroradiology journal 2019-04, Vol.32 (2), p.108-114
Main Authors: Ashrafi, Farzad, Taheri, Morteza Sanei, Farzaneh, Aida, Behnam, Behdad, Ahmadi, Mehran Arab
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cited_by cdi_FETCH-LOGICAL-c434t-328b021769441436c106ed0cf20b81038588f42dec32e14e5d6ad401193f80523
cites cdi_FETCH-LOGICAL-c434t-328b021769441436c106ed0cf20b81038588f42dec32e14e5d6ad401193f80523
container_end_page 114
container_issue 2
container_start_page 108
container_title The neuroradiology journal
container_volume 32
creator Ashrafi, Farzad
Taheri, Morteza Sanei
Farzaneh, Aida
Behnam, Behdad
Ahmadi, Mehran Arab
description Purpose Due to a suggestive three-way relationship between brain structural disorders, microvascular lesions, and cognitive impairments, we aimed to examine the association of the volume and number of white matter hyperintensity lesions and lacunar infarcts with cognitive impairment among patients with cardiovascular risk factors in a sample of the Iranian population. Materials and methods This study was conducted on a total number of 156 normal subjects aged 30–74 years with cardiovascular risk factors. We used the Framingham general cardiovascular risk factors prediction model to calculate the likelihood of each risk factor. The total number of lacunar infarcts and the volume of white matter hyperintensity lesion were calculated in brain magnetic resonance imaging. Cognition status was assessed using the Montreal Cognitive Assessment questionnaire. Results An adverse association was revealed between Montreal Cognitive Assessment score and different cardiovascular risk profiles including the Framingham body mass index score (p 
doi_str_mv 10.1177/1971400919825862
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Materials and methods This study was conducted on a total number of 156 normal subjects aged 30–74 years with cardiovascular risk factors. We used the Framingham general cardiovascular risk factors prediction model to calculate the likelihood of each risk factor. The total number of lacunar infarcts and the volume of white matter hyperintensity lesion were calculated in brain magnetic resonance imaging. Cognition status was assessed using the Montreal Cognitive Assessment questionnaire. Results An adverse association was revealed between Montreal Cognitive Assessment score and different cardiovascular risk profiles including the Framingham body mass index score (p &lt; 0.001) and the Framingham lipid score (p &lt; 0.001). The total volume of white matter hyperintensity was negatively associated with total Montreal Cognitive Assessment cognition score (p &lt; 0.001). Our study also showed an adverse association between total number of lacunar infarcts and total Montreal Cognitive Assessment cognition score (p = 0.038) and with some cognition components including memory (p = 0.013), attention (p = 0.037), abstraction (p = 0.046), and orientation (p = 0.002). 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Materials and methods This study was conducted on a total number of 156 normal subjects aged 30–74 years with cardiovascular risk factors. We used the Framingham general cardiovascular risk factors prediction model to calculate the likelihood of each risk factor. The total number of lacunar infarcts and the volume of white matter hyperintensity lesion were calculated in brain magnetic resonance imaging. Cognition status was assessed using the Montreal Cognitive Assessment questionnaire. Results An adverse association was revealed between Montreal Cognitive Assessment score and different cardiovascular risk profiles including the Framingham body mass index score (p &lt; 0.001) and the Framingham lipid score (p &lt; 0.001). The total volume of white matter hyperintensity was negatively associated with total Montreal Cognitive Assessment cognition score (p &lt; 0.001). Our study also showed an adverse association between total number of lacunar infarcts and total Montreal Cognitive Assessment cognition score (p = 0.038) and with some cognition components including memory (p = 0.013), attention (p = 0.037), abstraction (p = 0.046), and orientation (p = 0.002). 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Materials and methods This study was conducted on a total number of 156 normal subjects aged 30–74 years with cardiovascular risk factors. We used the Framingham general cardiovascular risk factors prediction model to calculate the likelihood of each risk factor. The total number of lacunar infarcts and the volume of white matter hyperintensity lesion were calculated in brain magnetic resonance imaging. Cognition status was assessed using the Montreal Cognitive Assessment questionnaire. Results An adverse association was revealed between Montreal Cognitive Assessment score and different cardiovascular risk profiles including the Framingham body mass index score (p &lt; 0.001) and the Framingham lipid score (p &lt; 0.001). The total volume of white matter hyperintensity was negatively associated with total Montreal Cognitive Assessment cognition score (p &lt; 0.001). 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title Cognitive functions and white matter lesions on magnetic resonance images in a sample of normal Iranian population with cardiovascular risk factors
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