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TitelOptical Coherence Tomograpy in Cerebral Amyloidosis
Abstract Nr.1054
DoelTo compare structural and vascular OCT parameters between cognitive intact (Control) and mild cognitive impairment patients (MCI) with (Aβ+) or without (Aβ-) cerebral amyloid deposition.
MethodesRetinal nerve fiber layer thickness (RNFL), ganglion cell complex (GCC) and parafoveal vessel density were measured using (angio-)OCT in Controls and MCI patients. Differences between subgroups were assessed by t-test. Diagnostic performance in determining amyloid status was evaluated using receiver operating characteristic (ROC) analysis.
Resultaten35 Controls (16 Aβ+, 19 Aβ-) and 28 MCI patients (8 Aβ+, 20 Aβ-) were included. In the Aβ+ MCI group, RNFL and GCC showed a significant attenuation compared to the Aβ+ Control group (p=0.027 and p=0.006 respectively). Interestingly, a similar decrease was not observed between the Aβ- groups (p>0.05). Within the MCI group, inferior RNFL was significantly thinner in the Aβ+ group compared to the Aβ- group (p=0.005), with an area under the ROC curve for predicting amyloid status of 0.79 (p=0.018). No differences were observed in parafoveal vessel density between subgroups (P>0.05).
ConclusieThis is the first study to investigate retinal OCT parameters in MCI taking cerebral amyloid status into account. In our study the attenuation in RNFL and GCC in MCI appears to be confined to Aβ+ patients. These findings provide further support for the role of OCT in the diagnosis of Alzheimer’s Disease
BelangenverstrengelingNee
Auteur 1
NaamVAN KEER
InitialenK
InstituutDept. of Ophthalmology UZ Leuven
StadLeuven
Auteur 2
NaamEvenepoel
InitialenC
InstituutAlzheimer Research Centre KU Leuven
StadLeuven
Auteur 3
NaamSchaeverbeke
InitialenJ
InstituutAlzheimer Research Centre KU Leuven
StadLeuven
Auteur 4
NaamAbegão Pinto
InitialenL
InstituutDepartment of Ophthalmology Lisboa Norte
StadLisbon
Auteur 5
NaamStalmans
InitialenI
InstituutDept. of Ophthalmology UZ Leuven
StadLeuven
Auteur 6
NaamVandenberghe
InitialenR
InstituutAlzheimer Research Centre KU Leuven
StadLeuven
Auteur 7
NaamVandewalle
InitialenE
InstituutDept. of Ophthalmology UZ Leuven
StadLeuven
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