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2023年2月21日 ;100 (8) 金博宝手机版官网首页 开放获取

使用基线指标预测老年人认知衰退的广告病态,脑血管疾病和神经退化

视图ORCID概要劳埃德·普罗塞,视图ORCID概要艾米Macdougall,视图ORCID概要卡罗尔·h·Sudre,视图ORCID概要艾米丽·n·曼宁,视图ORCID概要伊恩·b·马龙,视图ORCID概要菲比沃尔什,视图ORCID概要奥利维亚Goodkin,视图ORCID概要休·彭伯顿,视图ORCID概要弗雷德里克Barkhof,视图ORCID概要基尔特•简•Biessels,视图ORCID概要David m .现金,约瑟芬巴恩斯,阿尔茨海默病的神经影像学
第一次出版2022年11月10日, DOI: https://doi.org/10.1212/WNL.0000000000201572
劳埃德·普罗塞
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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  • 劳埃德·普罗塞ORCID纪录
艾米Macdougall
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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  • 艾米Macdougall ORCID纪录
卡罗尔·h·Sudre
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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  • 卡罗尔·h·Sudre ORCID纪录
艾米丽·n·曼宁
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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  • 艾米丽·n·曼宁ORCID纪录
伊恩·b·马龙
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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  • 伊恩·b·马龙ORCID纪录
菲比沃尔什
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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奥利维亚Goodkin
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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休·彭伯顿
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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  • 休·彭伯顿ORCID纪录
弗雷德里克Barkhof
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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  • 弗雷德里克Barkhof ORCID纪录
基尔特•简•Biessels
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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  • 基尔特•简•Biessels ORCID纪录
David m .现金
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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  • David m . ORCID记录现金
约瑟芬巴恩斯
的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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的神经退行性疾病(石油醚上午,,C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
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使用基线指标预测老年人认知衰退的广告病态,脑血管疾病和神经退化
劳埃德普罗塞,艾米Macdougall,卡罗尔H。Sudre,艾米丽N。曼宁,伊恩·B。马龙,菲比沃尔什,奥利维亚Goodkin,休彭伯顿,弗雷德里克Barkhof,基尔特•简•Biessels,大卫·M。现金,约瑟芬巴恩斯,阿尔茨海默病的神经影像学
首页 2023年2月, One hundred. (8) e834-e845; DOI:10.1212 / WNL.0000000000201572

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  • Hazard Ratios in the CNtoMCI Group HR scores (along with upper and lower CI limits) from the Cox regression models separately and in the fully adjusted model (containing all biomarkers), with age adjustment. Individual models, WMH, hippocampal volume, and whole-brain volume, and the fully adjusted model were TIV adjusted. The proportional hazard (PH) assumption was met in all instances (p > 0.05, all tests). The individual bars visually represent these HRs along with their uncertainty around the estimate (upper and lower limits). Bars below 1 highlight that decreased levels of the biomarker are associated with progression, whereas bars above 1 highlight that increased levels of the biomarker are associated with progression. Bars crossing 1 are not significantly associated with clinical progression. CN = cognitively normal; HR = hazard ratio; TIV = total intracranial volume; WMH = white matter hyperintensities.
    " data-icon-position="" data-hide-link-title="0">图1
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    图1 风险比率CNtoMCI组

    人力资源成绩(连同上下CI限制)分别从Cox回归模型和完全调整模型(包含所有生物标记),随着年龄的调整。单个模型,研究负责人、海马体积和全脑体积,和完全调整模型TIV调整。成比例的风险(PH)假设是在所有实例(p> 0.05,所有的测试)。个人酒吧视觉表示这些小时及其不确定性估计()上限和下限。酒吧小于1强调降低水平与进展相关的生物标志物,而酒吧上面1强调增加了生物标志物的水平与发展相关联。酒吧穿越1与临床进展并没有很显著的关联性。CN =认知正常;HR =风险比;TIV =颅内总额;研究负责人=白质hyperintensities。

  • Kaplan-Meier Survival Estimates in the CNtoMCI Group (A and B) Kaplan-Meier curves of the two separately and independently significant predictors in both individual and fully adjusted Cox regression models (WMH and hippocampal volume) for the CNtoMCI group. Continuous variables have been dichotomized at a median point, with shaded regions representing 95% CI. CN = cognitively normal; MCI = mild cognitive impairment; WMH = white matter hyperintensities.
    " data-icon-position="" data-hide-link-title="0">图2
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    图2 kaplan meier生存CNtoMCI组的估计

    (A和B) kaplan meier曲线两个单独和独立的重要预测因子在个人和完全调整Cox回归模型(负责人和海马体积)CNtoMCI组。连续变量中值点一分为二,阴影区域代表95%可信区间。CN =认知正常;MCI =轻度认知障碍;研究负责人=白质hyperintensities。

  • Hazard Ratios in the MCItoAD Group Hazard ratios and their upper and lower limits from both individual and fully adjusted models for the MCItoAD group with age adjustment. Individual models, WMH, hippocampal volume, and whole-brain volume, and the fully adjusted model were TIV adjusted. The proportional hazards assumption was met in all individual models (p > 0.05, all tests) excluding hippocampal volume, so a time varying coefficient (TVC) was included to account for this. In the fully adjusted model, this assumption was not met for whole-brain volume or for hippocampal volume (p < 0.05, both tests) and was accounted for with a TVC correction. A TVC correction was also applied to age. The individual bars visually represent these HRs along with their uncertainty around the estimate (upper and lower limits). Bars below 1 highlight that decreased levels of the biomarker are associated with progression, whereas bars above 1 highlight that increased levels of the biomarker are associated with progression. Bars crossing 1 are not significantly associated with clinical progression. AD = Alzheimer disease; HR = hazard ratio; MCI = mild cognitive impairment; WMH = white matter hyperintensities.
    " data-icon-position="" data-hide-link-title="0">图3
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    图3 风险比率MCItoAD组

    风险比率和他们两个人和完全调整上限和下限模型MCItoAD组随着年龄的调整。单个模型,研究负责人、海马体积和全脑体积,和完全调整模型TIV调整。比例风险的假设是在所有单个模型(p> 0.05,所有测试)不包括海马体积,所以一个时变系数(TVC)包括账户。在全面调整模型中,这种假设并不满足全脑体积或海马体积(p< 0.05,测试)和占了TVC修正。TVC修正也适用于年龄。个人酒吧视觉表示这些小时及其不确定性估计()上限和下限。酒吧小于1强调降低水平与进展相关的生物标志物,而酒吧上面1强调增加了生物标志物的水平与发展相关联。酒吧穿越1与临床进展并没有很显著的关联性。广告=阿尔茨海默病;HR =风险比;MCI =轻度认知障碍;研究负责人=白质hyperintensities。

  • Kaplan-Meier Survival Estimates in the MCItoAD Group (A–D) Kaplan-Meier curves of the three separately and independently significant predictors in both individual and fully adjusted Cox regression models (CSF amyloid, CSF ptau, hippocampal volume, and whole-brain volume), displaying their individual predictive power over time by median split or gaussian mixture model cutpoint (raw CSF amyloid cutpoint of 256 pg/mL). Shaded regions represent 95% CI. AD = Alzheimer disease; MCI = mild cognitive impairment.
    " data-icon-position="" data-hide-link-title="0">图4
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    图4 kaplan meier生存MCItoAD组的估计

    (模拟)kaplan meier曲线三个单独和独立的重要预测因子在个人和完全调整Cox回归模型(CSF淀粉样蛋白,CSF ptau海马体积,和全脑体积),显示个人的预测能力随着时间的推移,平均分割或高斯混合模型割点(原始CSF淀粉样割点256 pg / mL)。阴影区域代表95%可信区间。广告=阿尔茨海默病;MCI =轻度认知障碍。

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    • 作者回复:使用基线指标预测老年人认知衰退的广告病态,脑血管疾病和神经退化
      • 劳埃德普罗塞,研究员,伦敦大学学院
      2023年5月11日提交
    • 读者反应:使用基线指标预测老年人认知衰退的广告病态,脑血管疾病和神经退化
      • TomoyukiKawada,教授,日本医学院
      2023年4月19日提交
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