Associations Between Microinfarcts and Other Macroscopic Vascular Findings on Neuropathologic Examination in 2 Databases
Open accessAbstract
Clinicians may undervalue brain microinfarcts because they are defined by neuropathology and not seen on magnetic resonance imaging (MRI). We sought to identify what neuropathologic vascular findings-likely to be evident on brain MRI during life-would predict the presence of microinfarcts. We sought associations between such findings and microinfarcts in neuropathology databases from the National Alzheimer's Coordinating Center (NACC) and the Adult Changes in Thought (ACT) study. Considering only subjects 65 years or older at death, microinfarcts were evaluated in 6189 from NACC and 219 from ACT. Despite different definitions being used, microinfarcts were common in both studies (19.7% in NACC and 16.0% in ACT), and their frequency increased significantly with age. In NACC specimens, after controlling for age and sex in multivariable models, microinfarcts were strongly associated with macroinfarcts [odds ratio (OR): 4.4, 95% confidence interval (CI): 3.8, 5.0], leukoencephalopathy (OR: 2.6, 95% CI: 2.1, 3.3), and hemorrhages (OR: 2.0, 95% CI: 1.6, 2.6). Similarly in the ACT specimens, microinfarcts were strongly associated with macroinfarcts (OR: 2.9, 95% CI: 1.4, 6.3). These neuropathologic associations suggest that people whose cranial MRI shows macroinfarcts, hemorrhages, or leukoencephalopathy are more likely also to have microinfarcts.
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Microinfarcts were common in both NACC and ACT populations (19.7% in NACC and 16% in ACT).
“a study comparing the frequency of microinfarcts in NACC and the Adult Changes in Thought study (ACT), a longitudinal community-based prospective cohort, found that microinfarcts were common in both populations (19.7% in NACC and 16% in ACT)”
From Concordance of Clinical Alzheimer Diagnosis and Neuropathological Features at Autopsy (2020) · cites this paper as [25]
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- Authors
- Longstreth, W. T., Sonnen, J. A., Koepsell, T. D., Kukull, W. A., Larson, E. B., & Montine, T. J.
- Affiliations
- University of Washington (US)
- Group Health Cooperative (US)
- Venue
- Alzheimer Disease & Associated Disorders
- Published
- 2009-07
- Volume
- 23
- Issue
- 3
- Pages
- 291-294
- ISSN
- 0893-0341 (ISSN-L)
- PMC
- PMC2919361
- OpenAlex
- W2007709223
- Cited by
- 61
- References
- 2
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 4 · 2018: 6 · 2017: 2 · 2016: 11 · 2015: 6 · 2014: 4 · 2013: 1 · 2012: 5
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alzheimer Disease & Associated Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (1z01ag000258-03, Z01 AG000258)
- National Institute on Aging (AG 016976, T32AG000258, U01AG006781, U01AG016976, R01AG023801, AG023801, AG-06781, AG000258, P50AG005136)
- National Institute of Neurological Disorders and Stroke (R01NS048595, NS48595)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Neurology › Cerebrovascular and genetic disorders
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- leukoencephalopathy, cerebral hemorrhage, neuropathology, brain MRI, aging, Alzheimer's disease, National Alzheimer's Coordinating Center, Adult Changes in Thought study
- MeSH terms
- Aged, Aged, 80 and over, Aging, Brain, Cerebral Infarction, Female, Humans, Magnetic Resonance Imaging, Male, Databases, Factual
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