Page 78 - Annual Report 2018
P. 78

and inflammation: Adiponectin/Acrp30, P-Selectin,   tural changes who have been described in post-
          ICAM-1, IL-6, MMP-9, Serpin E1/PAI-1, TNF-alpha,    mortem studies of brain tissue. Accordingly, the pro-
          VCAM-1, CCL2/MCP-1, IL-1 beta, CXCL8/IL-8, E-Se-    ject aims to conduct a series of studies based on
          lectin, MMP-3, and CRP. The usefulness of these bio-  various MRI modern techniques that can provide vo-
          markers is complementary with the information       lumetric quantitative indexes of the morphological
          derived from the study of genetic risk markers alre-  changes.
          ady mentioned and can define risk factors already
          revealed in previous studies.                       In this regard VBM (voxel-based morphometry tech-
                                                              niques), based on creating statistical comparisons of
          Samples collected and processed to date are sum-    gray and white matter patterns are the method of
          marized in the table below:                         choice in research. The discriminatory power of vo-
                                                              lumetry in degenerative pathologies such as Alzhei-
                                                              mer's disease (volumetric reduction in amygdala,
            1st  Visit                              1,169     hippocampus, entorhinal cortex, etc.) decreases if
                                                              age-dependent morphological changes are not
            2nd  Visit                               767
                                                              well established in control samples, so that it is critical
            3rd  Visit                               755      to have large, well quantified samples.
            4th  Visit                               699      •      Structural Study (3D volumetry, T2 and FLAIR)
                                                                   Determining the progressive loss of brain
            5th  Visit                               662
                                                                   volume during aging, especially in white
            6th  Visit                               414           matter provides volumetric quantitative
                                                                   indexes of the morphological aging-
            7th  Visit                               172           associated changes. In this sense, the VBM
                                                                   (Voxel-Based Morphometry) techniques,
            8th  Visit                                  7
                                                                   based on creating statistical comparisons of
            TOTAL                                   4,645          gray and white matter patterns constitute the
                                                                   method of choice, and allows us to
                                                                   determine the volume reduction of the
                                                                   amygdala, hippocampus, entorhinal cortex,
          4.3.7. Neuroimaging Studies
                                                                   etc.
          Knowing the morphological variations occurring in   •      Diffusion Study (b: 800)
          brain structure throughout life is essential to assess   White matter, partly due to Wallerian
          the corresponding pathological changes that occur        degeneration and partly to reduced
          in neurodegenerative diseases. In this context, neu-     connectivity by decreased cortical activity,
          roimaging techniques such as magnetic resonance          presents ultrastructural changes that can be
                                                                   detected with diffusion techniques (DTI).
          imaging (MRI) have led to significant progress in un-
          derstanding brain changes associated with age.      •      Brain Perfusion Study
                                                                   Cerebral perfusion related to cortical activity
          MRI is a noninvasive tool that allows the study of nor-  may be assessed -without needing to inject
          mal aging individuals at different moments of his life.  contrast-through MR sequences (Arterial Spin
          However, conventional MRI techniques are unable          Labelling, ASL) and therefore hypofunctioning
          to detect and quantify age-dependent microstruc-         areas will present decreased perfusion.








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