2017
DOI: 10.1016/j.jalz.2017.01.026
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Associations between amyloid β and white matter hyperintensities: A systematic review

Abstract: Findings of this systematic review suggest that amyloid accumulation and WMH are independent but additive processes. The limited number of independent cohorts, lack of longitudinal data, and exclusion of individuals with mixed dementia limit the generalizability of these findings. Further studies are required to elucidate the putative contributions of vascular processes to neurodegenerative pathology.

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Cited by 107 publications
(70 citation statements)
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“…In addition, the previous study measured WM hypointensities using T1-weighted images, which can result in lower volume estimates compared to the 3D FLAIR sequences used here to measure WMH [42]. The lack of association between Ab status and WMH observed in the present study is, however, consistent with reports that Ab and WMH accumulation reflect independent processes whose deleterious effects on cognition are additive [43][44][45].…”
Section: Discussionsupporting
confidence: 83%
“…In addition, the previous study measured WM hypointensities using T1-weighted images, which can result in lower volume estimates compared to the 3D FLAIR sequences used here to measure WMH [42]. The lack of association between Ab status and WMH observed in the present study is, however, consistent with reports that Ab and WMH accumulation reflect independent processes whose deleterious effects on cognition are additive [43][44][45].…”
Section: Discussionsupporting
confidence: 83%
“…Considering this, LCN2 may be a valuable biomarker for VaD in the context of differential diagnosis. Such a marker has long been pursued 17,18,34 . Besides new imaging markers that display functional consequences of vascular lesions 29,36 , fluid markers like LCN2 are candidates to contribute to a biomarkerbased definition of VaD as has recently been proposed for AD 7 .…”
Section: Discussionmentioning
confidence: 99%
“…In addition, WMH are frequent in patients with AD 15 and might be caused by neurodegeneration 16 . In summary, new biomarkers are needed to improve diagnosis, to uncover the pathophysiology, and to monitor clinical trials [17][18][19][20] .…”
mentioning
confidence: 99%
“…Reduced size of the white matter, white matter hyperlucencies and myelin pallor are common abnormalities in AD (Barber et al, 1999;Bartzokis et al, 2003;Gouw et al, 2008;Holland et al, 2008;Radanovic et al, 2013;Amlien and Fjell, 2014;Firbank et al, 2016;Joki et al, 2018). Changes in white matter are parallel but do not correlate with β-amyloid deposition (Roseborough et al, 2017), and, importantly, they are recognized at early stages of the disease (Hoy et al, 2017). The size of the nuclei of oligodendrocytes is reduced in AD (Gagi et al, 2012).…”
Section: Alzheimer's Diseasementioning
confidence: 99%