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Cognitive Impairment, Retinopathy, and Cerebrovascular Lesions in the Elderly

Watumiaji waliosajiliwa tu ndio wanaweza kutafsiri nakala
Ingia / Ingia
Kiungo kimehifadhiwa kwenye clipboard
HaliKuajiri
Wadhamini
Second Affiliated Hospital, School of Medicine, Zhejiang University

Maneno muhimu

Kikemikali

The CIRCLE study is a single-center prospective observational study that enrolled individuals with cerebral small vessel disease (SVD), while free of known dementia or stroke (both cerebral infarction and hemorrhage). The patients will receive neuropsychological testing, retinal digital images and multimodal magnetic resonance imaging (MRI). Blood samples will also be collected. Recent small subcortical infarcts, lacunes, white matter hyperintensities, perivascular spaces, microbleeds, and brain atrophy will be evaluated on both baseline and follow-up brain MRIs. The investigators will explore the predictors of preogression of SVD and cognitive deficits.

Maelezo

Cerebral small vessel disease (SVD) is commonly detected in elderly individuals, and patients with stroke or neurodegenerative disease. Features seen on neuroimaging include recent small subcortical infarcts, lacunes, white matter hyperintensities, perivascular spaces, microbleeds, and brain atrophy. Previous studies indicated that SVD was associated with an increased risk of stroke and stroke recurrence, cognitive deficits, physical disabilities, and mortality. However the pathogenesis of SVD is largely unknown. Little is known about how SVD lesions contribute to neurological or cognitive symptoms, and the association with risk factors. Recent data sugessted concomitant SVDs and retinopathy is associated with a profile of vascular cognitive impairment. In this study, the investigators try to explore the new pathological mechanism of SVD, the new predictors for SVD progression, and the association with cognitive Impairment, based on digital retinal images and brain multimodal imaging technique.

Tarehe

Imethibitishwa Mwisho: 02/29/2020
Iliyowasilishwa Kwanza: 05/19/2018
Uandikishaji uliokadiriwa Uliwasilishwa: 05/19/2018
Iliyotumwa Kwanza: 05/30/2018
Sasisho la Mwisho Liliwasilishwa: 03/28/2020
Sasisho la Mwisho Lilichapishwa: 03/30/2020
Tarehe halisi ya kuanza kwa masomo: 04/29/2017
Tarehe ya Kukamilisha Msingi iliyokadiriwa: 05/29/2027
Tarehe ya Kukamilisha Utafiti: 05/29/2027

Hali au ugonjwa

Cerebral Small Vessel Diseases
Retinopathy
Cognitive Dysfunction

Uingiliaji / matibabu

Other: multimodal magnetic resonance imaging

Awamu

-

Vikundi vya Arm

MkonoUingiliaji / matibabu
Individuals with SVDs
Individuals with at least one following imaging finding: recent small subcortical infarcts, lacunes, white matter hyperintensities, perivascular spaces, microbleeds, or brain atrophy on baseline brain MRI.
Individuals without SVDs
Individuals without any following imaging finding: recent small subcortical infarcts, lacunes, white matter hyperintensities, perivascular spaces, microbleeds, or brain atrophy on baseline brain MRI.

Vigezo vya Kustahiki

Zama zinazostahiki Kujifunza 40 Years Kwa 40 Years
Jinsia Inastahiki KujifunzaAll
Njia ya sampuliNon-Probability Sample
Hupokea Wajitolea wa AfyaNdio
Vigezo

Inclusion Criteria:

- Adult (≥40y; no upper limit)

- Free of known dementia or stroke (both cerebral infarction and hemorrhage)

Exclusion Criteria:

- Any MRI contraindications

- Serious head injury (resulting to loss of consciousness) or received intracranial surgery

- Suffering from cancer

Matokeo

Hatua za Matokeo ya Msingi

1. Cognitive state [1year]

Cognitive state based on Mini-mental State Examination

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