Medial temporal lobe atrophy ratings in a large 75-year-old population-based cohort: gender-corrected and education-corrected normative data

Objectives To find cut-off values for different medial temporal lobe atrophy (MTA) measures (right, left, average, and highest), accounting for gender and education, investigate the association with cognitive performance, and to compare with decline of cognitive function over 5 years in a large popu...

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Veröffentlicht in:European radiology 2018-04, Vol.28 (4), p.1739-1747
Hauptverfasser: Velickaite, V., Ferreira, D., Cavallin, L., Lind, L., Ahlström, H., Kilander, L., Westman, E., Larsson, E.-M.
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container_end_page 1747
container_issue 4
container_start_page 1739
container_title European radiology
container_volume 28
creator Velickaite, V.
Ferreira, D.
Cavallin, L.
Lind, L.
Ahlström, H.
Kilander, L.
Westman, E.
Larsson, E.-M.
description Objectives To find cut-off values for different medial temporal lobe atrophy (MTA) measures (right, left, average, and highest), accounting for gender and education, investigate the association with cognitive performance, and to compare with decline of cognitive function over 5 years in a large population-based cohort. Methods Three hundred and ninety 75-year-old individuals were examined with magnetic resonance imaging of the brain and cognitive testing. The Scheltens’s scale was used to assess visually MTA scores (0–4) in all subjects. Cognitive tests were repeated in 278 of them after 5 years. Normal MTA cut-off values were calculated based on the 10th percentile. Results Most 75-year-old individuals had MTA score ≤2. Men had significantly higher MTA scores than women. Scores for left and average MTA were significantly higher in highly educated individuals. Abnormal MTA was associated with worse results in cognitive test and individuals with abnormal right MTA had faster cognitive decline. Conclusion At age 75, gender and education are confounders for MTA grading. A score of ≥2 is abnormal for low-educated women and a score of ≥2.5 is abnormal for men and high-educated women. Subjects with abnormal right MTA, but normal MMSE scores had developed worse MMSE scores 5 years later. Key Points • Gender and education are confounders for MTA grading. • We suggest cut-off values for 75-year-olds, taking gender and education into account. • Males have higher MTA scores than women. • Higher MTA scores are associated with worse cognitive performance.
doi_str_mv 10.1007/s00330-017-5103-6
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Methods Three hundred and ninety 75-year-old individuals were examined with magnetic resonance imaging of the brain and cognitive testing. The Scheltens’s scale was used to assess visually MTA scores (0–4) in all subjects. Cognitive tests were repeated in 278 of them after 5 years. Normal MTA cut-off values were calculated based on the 10th percentile. Results Most 75-year-old individuals had MTA score ≤2. Men had significantly higher MTA scores than women. Scores for left and average MTA were significantly higher in highly educated individuals. Abnormal MTA was associated with worse results in cognitive test and individuals with abnormal right MTA had faster cognitive decline. Conclusion At age 75, gender and education are confounders for MTA grading. A score of ≥2 is abnormal for low-educated women and a score of ≥2.5 is abnormal for men and high-educated women. Subjects with abnormal right MTA, but normal MMSE scores had developed worse MMSE scores 5 years later. Key Points • Gender and education are confounders for MTA grading. • We suggest cut-off values for 75-year-olds, taking gender and education into account. • Males have higher MTA scores than women. • Higher MTA scores are associated with worse cognitive performance.</description><identifier>ISSN: 0938-7994</identifier><identifier>ISSN: 1432-1084</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-017-5103-6</identifier><identifier>PMID: 29124383</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Aging - pathology ; Aging - psychology ; Atrophy ; Atrophy - diagnostic imaging ; Brain ; Cognition ; Cognitive ability ; Cognitive tasks ; Cognitive test ; Cohort Studies ; Confounding Factors, Epidemiologic ; Dementia ; Dementia - pathology ; Diagnostic Radiology ; Education ; Educational Status ; Evaluation ; Female ; Gender ; Grading ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Longitudinal analysis ; Magnetic Resonance Imaging ; Male ; Males ; Medial temporal lobe atrophy (MTA) ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neuro ; Neuroimaging ; Neuroradiology ; Population-based ; Radiology ; Reference Values ; Scheltens’s scale ; Sex Factors ; Temporal lobe ; Temporal Lobe - diagnostic imaging ; Temporal Lobe - pathology ; Ultrasound</subject><ispartof>European radiology, 2018-04, Vol.28 (4), p.1739-1747</ispartof><rights>The Author(s) 2017</rights><rights>European Radiology is a copyright of Springer, (2017). 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Methods Three hundred and ninety 75-year-old individuals were examined with magnetic resonance imaging of the brain and cognitive testing. The Scheltens’s scale was used to assess visually MTA scores (0–4) in all subjects. Cognitive tests were repeated in 278 of them after 5 years. Normal MTA cut-off values were calculated based on the 10th percentile. Results Most 75-year-old individuals had MTA score ≤2. Men had significantly higher MTA scores than women. Scores for left and average MTA were significantly higher in highly educated individuals. Abnormal MTA was associated with worse results in cognitive test and individuals with abnormal right MTA had faster cognitive decline. Conclusion At age 75, gender and education are confounders for MTA grading. A score of ≥2 is abnormal for low-educated women and a score of ≥2.5 is abnormal for men and high-educated women. Subjects with abnormal right MTA, but normal MMSE scores had developed worse MMSE scores 5 years later. 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Ferreira, D. ; Cavallin, L. ; Lind, L. ; Ahlström, H. ; Kilander, L. ; Westman, E. ; Larsson, E.-M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-1c4b0c3f0f292f6b40ff1a69c3e29af64de22efc12ade399e4cc6ab18e2e946a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - pathology</topic><topic>Aging - psychology</topic><topic>Atrophy</topic><topic>Atrophy - diagnostic imaging</topic><topic>Brain</topic><topic>Cognition</topic><topic>Cognitive ability</topic><topic>Cognitive tasks</topic><topic>Cognitive test</topic><topic>Cohort Studies</topic><topic>Confounding Factors, Epidemiologic</topic><topic>Dementia</topic><topic>Dementia - pathology</topic><topic>Diagnostic Radiology</topic><topic>Education</topic><topic>Educational Status</topic><topic>Evaluation</topic><topic>Female</topic><topic>Gender</topic><topic>Grading</topic><topic>Humans</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Longitudinal analysis</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Males</topic><topic>Medial temporal lobe atrophy (MTA)</topic><topic>Medicine</topic><topic>Medicine &amp; 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Methods Three hundred and ninety 75-year-old individuals were examined with magnetic resonance imaging of the brain and cognitive testing. The Scheltens’s scale was used to assess visually MTA scores (0–4) in all subjects. Cognitive tests were repeated in 278 of them after 5 years. Normal MTA cut-off values were calculated based on the 10th percentile. Results Most 75-year-old individuals had MTA score ≤2. Men had significantly higher MTA scores than women. Scores for left and average MTA were significantly higher in highly educated individuals. Abnormal MTA was associated with worse results in cognitive test and individuals with abnormal right MTA had faster cognitive decline. Conclusion At age 75, gender and education are confounders for MTA grading. A score of ≥2 is abnormal for low-educated women and a score of ≥2.5 is abnormal for men and high-educated women. Subjects with abnormal right MTA, but normal MMSE scores had developed worse MMSE scores 5 years later. Key Points • Gender and education are confounders for MTA grading. • We suggest cut-off values for 75-year-olds, taking gender and education into account. • Males have higher MTA scores than women. • Higher MTA scores are associated with worse cognitive performance.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29124383</pmid><doi>10.1007/s00330-017-5103-6</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7270-075X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Aged, 80 and over
Aging - pathology
Aging - psychology
Atrophy
Atrophy - diagnostic imaging
Brain
Cognition
Cognitive ability
Cognitive tasks
Cognitive test
Cohort Studies
Confounding Factors, Epidemiologic
Dementia
Dementia - pathology
Diagnostic Radiology
Education
Educational Status
Evaluation
Female
Gender
Grading
Humans
Imaging
Internal Medicine
Interventional Radiology
Longitudinal analysis
Magnetic Resonance Imaging
Male
Males
Medial temporal lobe atrophy (MTA)
Medicine
Medicine & Public Health
Middle Aged
Neuro
Neuroimaging
Neuroradiology
Population-based
Radiology
Reference Values
Scheltens’s scale
Sex Factors
Temporal lobe
Temporal Lobe - diagnostic imaging
Temporal Lobe - pathology
Ultrasound
title Medial temporal lobe atrophy ratings in a large 75-year-old population-based cohort: gender-corrected and education-corrected normative data
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