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The brain in healthy aged individuals: MR imaging
L O Wahlund1, I Agartz, O Almqvist
1Karolinska Institute, Department of Psychiatry, St Göran's Hospital, Stockholm, Sweden.
Radiology
|March 1, 1990
Summary
Healthy aging brains show minimal white matter lesions. Enlarged ventricles and increased cerebrospinal fluid (CSF) spaces are common in older adults with high cognitive function.
Area of Science:
- Neuroimaging
- Gerontology
- Brain Anatomy
Background:
- Aging is associated with structural brain changes.
- Understanding normal aging in cognitively healthy individuals is crucial.
- Previous studies have varied in findings due to differing subject selection and methodologies.
Purpose of the Study:
- To investigate brain structural changes in healthy, intellectually high-functioning aged individuals.
- To quantify white matter lesions, ventricular size, and cerebrospinal fluid (CSF) spaces.
- To explore correlations between age and specific brain tissue parameters.
Main Methods:
- Magnetic Resonance Imaging (MRI) using a low-field-strength imager (0.02-T).
- Visual rating scales for assessing white matter lesions and ventricular size.
- Computer-assisted classification for estimating brain tissue and CSF areas.
- T1 and T2 relaxation times were estimated in various brain regions.
Main Results:
- White matter lesions were observed in less than 9% of subjects.
- Enlarged lateral ventricles occurred in 8% of individuals.
- Expanded cortical CSF spaces were present in over 40% of participants.
- A positive correlation was found between frontal white matter T1 values and age.
- Computer-assisted measurements strongly correlated with visual estimations of ventricular size.
Conclusions:
- Healthy aging in cognitively high-functioning individuals is characterized by a low prevalence of white matter lesions.
- Cerebrospinal fluid spaces, particularly cortical ones, tend to increase with age.
- MRI parameters like T1 relaxation time in white matter show age-related changes.
- These findings contribute to defining the neuroimaging characteristics of normal brain aging.