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Deep medullary veins: a promising neuroimaging marker for mild cognitive impairment in outpatients
Xiuqi Chen1, Yufan Luo1, Shufan Zhang1,2
1Department of Neurology, Shanghai Fifth People's Hospital, Fudan University, No.801, He Qing Road, Minhang District, Shanghai, China.
Background And Purpose:
Mild cognitive impairment is an age-dependent pre-dementia state caused by varied reasons. Early detection of MCI helps handle dementia. Vascular factors are vital for the occurrence of MCI. This study investigates the correlation between deep medullary veins and multi-dimensional cognitive outcomes.
Materials And Methods:
A total of 73 participants with MCI and 32 controls were enrolled. Minimum Mental State Examination and Montreal Cognitive Assessment were used to examine the global cognitive function, and different cognitive domains were measured by specific neuropsychological tests. MRI was used to assess the visibility of the DMV and other neuroimage markers.
Results:
DMV score was statistically significantly higher in the MCI group compared with the control group (P = 0.009) and independently related to MCI (P = 0.007). Linear regression analysis verified that DMV score was linearly related to global cognition, memory, attention, and executive function after adjusting for cerebrovascular risk factors.
Conclusion:
DMV score was independently related to the onset of MCI, and correlates with overall cognition, memory, attention, and executive function in outpatients.
Insights
Deep medullary veins (DMV) are linked to mild cognitive impairment (MCI) and cognitive decline. Higher DMV scores in MCI patients correlate with poorer global cognition, memory, attention, and executive function.
Area of Science:
- Neurology
- Neuroimaging
- Cognitive Science
Background:
- Mild cognitive impairment (MCI) is an age-related condition preceding dementia.
- Vascular factors play a significant role in the development of MCI.
- Early detection of MCI is crucial for managing dementia progression.
Purpose of the Study:
- To investigate the association between deep medullary veins (DMV) and cognitive outcomes in individuals with MCI.
- To explore the relationship between DMV visibility and various cognitive domains.
Main Methods:
- A cohort of 73 MCI patients and 32 controls was recruited.
- Global cognitive function was assessed using the Mini-Mental State Examination and Montreal Cognitive Assessment.
- Neuropsychological tests measured specific cognitive domains, while MRI evaluated DMV visibility and other neuroimaging markers.
Main Results:
- The MCI group exhibited significantly higher deep medullary vein (DMV) scores compared to the control group (P=0.009).
- DMV score was independently associated with MCI (P=0.007).
- Linear regression revealed a linear relationship between DMV score and global cognition, memory, attention, and executive function, even after adjusting for cerebrovascular risk factors.
Conclusions:
- Deep medullary vein (DMV) score is an independent predictor of mild cognitive impairment (MCI) onset.
- DMV score correlates with global cognition, memory, attention, and executive function in outpatient settings.
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