PMID- 24760137 OWN - NLM STAT- MEDLINE DCOM- 20141118 LR - 20140924 IS - 1939-327X (Electronic) IS - 0012-1797 (Linking) VI - 63 IP - 10 DP - 2014 Oct TI - Cerebral microvascular lesions on high-resolution 7-Tesla MRI in patients with type 2 diabetes. PG - 3523-9 LID - 10.2337/db14-0122 [doi] AB - Cerebral small vessel disease, including microvascular lesions, is considered to play an important role in the development of type 2 diabetes mellitus (T2DM)-associated cognitive deficits. With ultra-high field MRI, microvascular lesions (e.g., microinfarcts and microbleeds) can now be visualized in vivo. For the current study, 48 nondemented older individuals with T2DM (mean age 70.3 +/- 4.1 years) and 49 age-, sex-, and education-matched control subjects underwent a 7-Tesla brain MRI scan and a detailed cognitive assessment. The occurrence of cortical microinfarcts and cerebral microbleeds was assessed on fluid-attenuated inversion recovery and T1-weighted and T2*-weighted images, respectively, compared between the groups, and related to cognitive performance. Microinfarcts were found in 38% of control subjects and 48% of patients with T2DM. Microbleeds were present in 41% of control subjects and 33% of patients (all P > 0.05). The presence and number of microinfarcts or microbleeds were unrelated to cognitive performance. This study showed that microvascular brain lesions on ultra-high field MRI are not significantly more common in well-controlled patients with T2DM than in control subjects. CI - (c) 2014 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. FAU - Brundel, Manon AU - Brundel M AD - Department of Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, the Netherlands m.brundel-2@umcutrecht.nl. FAU - Reijmer, Yael D AU - Reijmer YD AD - Department of Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, the Netherlands. FAU - van Veluw, Susanne J AU - van Veluw SJ AD - Department of Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, the Netherlands. FAU - Kuijf, Hugo J AU - Kuijf HJ AD - Image Sciences Institute, University Medical Center Utrecht, Utrecht, the Netherlands. FAU - Luijten, Peter R AU - Luijten PR AD - Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands. FAU - Kappelle, L Jaap AU - Kappelle LJ AD - Department of Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, the Netherlands. FAU - Biessels, Geert Jan AU - Biessels GJ AD - Department of Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, the Netherlands. CN - Utrecht Vascular Cognitive Impairment Study Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140423 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 SB - IM MH - Aged MH - Aged, 80 and over MH - Brain/*blood supply/pathology MH - Cerebral Small Vessel Diseases/complications/*pathology MH - Cognition Disorders/etiology/*pathology MH - Diabetes Mellitus, Type 2/complications/*pathology MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Microvessels/*pathology FIR - Biessels, G J IR - Biessels GJ FIR - Bouvy, W IR - Bouvy W FIR - Brundel, M IR - Brundel M FIR - Heringa, S IR - Heringa S FIR - Kappelle, L J IR - Kappelle LJ FIR - van den Berg, E IR - van den Berg E FIR - de Bresser, J IR - de Bresser J FIR - Kuijf, H J IR - Kuijf HJ FIR - Leemans, A IR - Leemans A FIR - Luijten, P R IR - Luijten PR FIR - Mali, W P Th IR - Mali WP FIR - Viergever, M A IR - Viergever MA FIR - Vincken, K L IR - Vincken KL FIR - Zwanenburg, J IR - Zwanenburg J FIR - Algra, A IR - Algra A FIR - Rutten, G E H M IR - Rutten GE EDAT- 2014/04/25 06:00 MHDA- 2014/11/19 06:00 CRDT- 2014/04/25 06:00 PHST- 2014/04/25 06:00 [entrez] PHST- 2014/04/25 06:00 [pubmed] PHST- 2014/11/19 06:00 [medline] AID - db14-0122 [pii] AID - 10.2337/db14-0122 [doi] PST - ppublish SO - Diabetes. 2014 Oct;63(10):3523-9. doi: 10.2337/db14-0122. Epub 2014 Apr 23.