Prevalence and Risk Factors of Cerebral Microbleeds: Analysis From the UK Biobank

Dongwei Lu1, Junfeng Liu2, Andrew D MacKinnon2

  • 1From the Stroke Research Group, Department of Clinical Neurosciences (D.L., J.L., D.J.T., H.S.M.), University of Cambridge, UK; Department of Neurology (D.L.), Zhongnan Hospital, Wuhan University; Department of Neurology (J.L.), West China Hospital, Sichuan University, China; and Department of Neuroradiology (A.D.M.), Atkinson Morley Regional Neuroscience Centre, St George's University Hospitals NHS Foundation Trust, London, UK. 2008302180101@whu.edu.cn.

Neurology
|August 19, 2021
PubMed
Abstract

Insights

Cerebral microbleeds (CMBs) affect 7% of healthy adults, with distinct risk factors for lobar and deep locations. Age is a universal risk factor for CMBs across all brain regions.

Area of Science:

  • Neuroimaging
  • Neurology
  • Epidemiology

Background:

  • Cerebral microbleeds (CMBs) are markers of small vessel disease.
  • Understanding CMB prevalence and risk factors is crucial for neurological health.
  • Community-based data on CMBs are limited.

Purpose of the Study:

  • To determine the prevalence of cerebral microbleeds (CMBs) in a large, healthy community population.
  • To identify distinct risk factors associated with CMBs in lobar, deep, and infratentorial locations.
  • To investigate the relationship between CMBs and demographic and lifestyle factors.

Main Methods:

  • Utilized UK Biobank data from 8,159 participants with susceptibility-weighted imaging.
  • Employed the Microbleed Anatomical Rating Scale for definite CMB identification.
  • Applied generalized linear models to assess associations with CMBs and their locations.

Main Results:

  • Prevalence of one or more definite CMBs was 7.0% (572/8159).
  • Lobar CMBs were most common (76.7%), followed by deep (18.0%) and infratentorial (14.5%).
  • Age was a universal risk factor; APOE4, male sex, and BMI were associated with lobar CMBs; hypertension, smoking, and alcohol with deep CMBs.

Conclusions:

  • CMB prevalence in this population was 7%, with varied risk factor profiles for different locations.
  • Distinct pathophysiological processes likely underlie lobar versus deep CMBs.
  • Findings highlight the importance of location-specific risk factor analysis for CMBs.

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