Deep white matter hyperintensity is spatially correlated to MRI-visible perivascular spaces in cerebral small vessel disease on 7 Tesla MRI
BMJ Journals » Stroke and Vascular Neurology
by Huo, Y., Wang, Y., Guo, C., Liu, Q., Shan, L., Liu, M., Wu, H., Li, G., Lv, H., Lu, L., Zhou, Y., Feng, J., Han, Y.
1M ago
Background The association between perivascular space (PVS) and white matter hyperintensity (WMH) has been unclear. Normal-appearing white matter (NAWM) around WMH is also found correlated with the development of focal WMH. This study aims to investigate the topological connections among PVS, deep WMH (dWMH) and NAWM around WMH using 7 Tesla (7T) MRI. Methods Thirty-two patients with non-confluent WMHs and 16 subjects without WMHs were recruited from our department and clinic. We compared the PVS burden between patients with and without WMHs using a 5-point scale. Then, the dilatation and the ..read more
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Somatic mutation contributing to clonal haematopoiesis is a risk factor of recurrent stroke in first-ever acute ischaemic stroke: a prospective cohort study
BMJ Journals » Stroke and Vascular Neurology
by Qiu, X., Dai, Y., Cheng, S., Gu, H.-Q., Jiang, Y., Meng, X., Wang, Y., Zhao, X., Jiang, Y., Xu, Z., Huang, X., Wang, M., Lyu, T. J., Wang, Y., Weng, J., Cui, L., Shangguan, Y., Li, H., Wang, Y., Li, Z.
1M ago
Background Somatic mutation contributes to clonal haematopoiesis of indeterminate potential (CHIP) is related to age and associated with a higher risk of stroke and atherosclerotic cardiovascular disease. Here, we investigated the prognostic significance of CHIP in a large first-ever acute ischaemic stroke (AIS) cohort and explored the underlying mechanisms. Methods We studied a prospective cohort of 6016 patients who had a first-ever AIS in China. Whole-genome sequencing was performed to identify CHIP. High-sensitivity C reactive protein (hs-CRP) levels above 3 mg/L at baseline were defined a ..read more
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Association of fluid-attenuated inversion recovery vascular hyperintensity with ischaemic events in internal carotid artery or middle cerebral artery occlusion
BMJ Journals » Stroke and Vascular Neurology
by Lyu, J., Hu, J., Wang, X., Bian, X., Wei, M., Wang, L., Duan, Q., Lan, Y., Zhang, D., Wang, X., Zhang, T., Tian, C., Lou, X.
3M ago
Background and purpose Individuals with intracranial artery occlusion have high rates of ischaemic events and recurrence. It has been challenging to identify patients who had high-risk stroke using a simple, valid and non-invasive screening approach. This study aimed to investigate whether fluid-attenuated inversion recovery (FLAIR) vascular hyperintensity (FVH), a specific imaging sign on the FLAIR sequence, could be a predictor of ischaemic events in a population with internal carotid artery (ICA) or middle cerebral artery (MCA) occlusion. Methods We retrospectively analysed 147 patients (me ..read more
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