PMID- 25451722 OWN - NLM STAT- MEDLINE DCOM- 20150623 LR - 20220330 IS - 1872-7972 (Electronic) IS - 0304-3940 (Linking) VI - 584 DP - 2015 Jan 1 TI - Retinal neurodegeneration on optical coherence tomography and cerebral atrophy. PG - 12-6 LID - S0304-3940(14)00814-3 [pii] LID - 10.1016/j.neulet.2014.10.010 [doi] AB - Neurodegeneration in dementia is mainly evaluated by assessing cerebral atrophy, while retinal neurodegeneration can be quantified in vivo using optical coherence tomography (OCT). We examined the association of retinal nerve fibre layer (RNFL) and ganglion cell-inner plexiform layer (GC-IPL) thinning with global and regional cerebral atrophy on magnetic resonance imaging (MRI). Malay participants aged 60-80 years from the Epidemiology of Dementia in Singapore Study underwent comprehensive examinations, including 3-Tesla cranial MRI. RNFL and GC-IPL thicknesses were obtained from spectral domain-OCT; and cerebral grey and white matter volumes were obtained from MRI scans using a validated segmentation tool. Linear regression models were constructed with adjustment for age and sex; and additionally for vascular risk factors and MRI markers including intracranial volume. 164 participants without glaucoma with gradable quality MRI and OCT scans were included for analysis. GC-IPL thinning was associated with reduction in total brain volume in the occipital (mean change in GC-IPL per standard deviation (SD) decrease in occipital lobe volume: -1.77 mum, 95% confidence interval (CI) -6.55 to 0.01 mum) and temporal lobes (mean change in GC-IPL per SD decrease in temporal lobe volume: -3.45 mum, 95%CI -5.40 to -1.49 mum) in multivariate adjusted models. In particular, GC-IPL thinning was primarily associated with grey matter volume, whereas no association was found with white matter changes. Retinal neuronal damage, as reflected by GC-IPL thinning, was independently associated with grey matter loss in the occipital and temporal lobes, suggesting that retinal OCT may provide insights for assessing neurodegeneration in the brain. CI - Copyright (c) 2014 Elsevier Ireland Ltd. All rights reserved. FAU - Ong, Yi-Ting AU - Ong YT AD - Singapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore; NUS Graduate School for Integrative Sciences and Engineering, National University of Singapore, Singapore, Singapore; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. FAU - Hilal, Saima AU - Hilal S AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Memory, Aging and Cognition Center, National University Health System, Singapore, Singapore; Department of Pharmacology, National University of Singapore, Singapore, Singapore. FAU - Cheung, Carol Y AU - Cheung CY AD - Singapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Ophthalmology and Visual Science Academic Clinical Program, Duke-NUS Graduate Medical School, National University of Singapore, Singapore, Singapore. FAU - Venketasubramanian, Narayanaswamy AU - Venketasubramanian N AD - Rafffles Neuroscience Centre, Raffles Hospital, Singapore, Singapore. FAU - Niessen, Wiro J AU - Niessen WJ AD - Departments of Radiology & Medical Informatics, Erasmus Medical Center, Rotterdam, The Netherlands; Faculty of Applied Sciences, Delft University of Technology, Delft, The Netherlands. FAU - Vrooman, Henri AU - Vrooman H AD - Departments of Radiology & Medical Informatics, Erasmus Medical Center, Rotterdam, The Netherlands; Faculty of Applied Sciences, Delft University of Technology, Delft, The Netherlands. FAU - Anuar, Ainur R AU - Anuar AR AD - Singapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore. FAU - Chew, Merwyn AU - Chew M AD - Singapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. FAU - Chen, Christopher AU - Chen C AD - Memory, Aging and Cognition Center, National University Health System, Singapore, Singapore; Department of Pharmacology, National University of Singapore, Singapore, Singapore. FAU - Wong, Tien Yin AU - Wong TY AD - Singapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Ophthalmology and Visual Science Academic Clinical Program, Duke-NUS Graduate Medical School, National University of Singapore, Singapore, Singapore. FAU - Ikram, Mohammad Kamran AU - Ikram MK AD - Singapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore; Memory, Aging and Cognition Center, National University Health System, Singapore, Singapore; Ophthalmology and Visual Science Academic Clinical Program, Duke-NUS Graduate Medical School, National University of Singapore, Singapore, Singapore; Academic Medicine Research Institute, Duke-NUS Graduate Medical School, Singapore, Singapore. Electronic address: kamran_ikram@nuhs.edu.sg. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141019 PL - Ireland TA - Neurosci Lett JT - Neuroscience letters JID - 7600130 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Atrophy MH - Brain/*pathology MH - Female MH - Gray Matter/pathology MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Nerve Degeneration/*pathology MH - Nerve Fibers/pathology MH - Retina/*pathology MH - Retinal Ganglion Cells/pathology MH - Tomography, Optical Coherence MH - White Matter/pathology OTO - NOTNLM OT - Cerebral atrophy OT - Ganglion cell OT - Grey matter OT - Occipital lobe OT - Retina OT - Temporal lobe EDAT- 2014/12/03 06:00 MHDA- 2015/06/24 06:00 CRDT- 2014/12/03 06:00 PHST- 2014/07/11 00:00 [received] PHST- 2014/10/03 00:00 [revised] PHST- 2014/10/08 00:00 [accepted] PHST- 2014/12/03 06:00 [entrez] PHST- 2014/12/03 06:00 [pubmed] PHST- 2015/06/24 06:00 [medline] AID - S0304-3940(14)00814-3 [pii] AID - 10.1016/j.neulet.2014.10.010 [doi] PST - ppublish SO - Neurosci Lett. 2015 Jan 1;584:12-6. doi: 10.1016/j.neulet.2014.10.010. Epub 2014 Oct 19.