title: Increased brain iron deposition is a risk factor for brain atrophy in patients with haemodialysis: a combined study of quantitative susceptibility mapping and whole brain volume analysis.
abstract: To explore the correlation between increased brain iron deposition and brain atrophy in patients with haemodialysis and their correlation with clinical biomarkers and neuropsychological test. Forty two patients with haemodialysis and forty one age- and gender-matched healthy controls were recruited in this prospective study. 3D whole brain high resolution T1WI and susceptibility weighted imaging were scanned on a 3 T MRI system. The brain volume was analyzed using voxel-based morphometry (VBM) in patients and to compare with that of healthy controls. Quantitative susceptibility mapping was used to measure and compare the susceptibility of different structures between patients and healthy controls. Correlation analysis was used to investigate the relationship between the brain volume, iron deposition and neuropsychological scores. Stepwise multiple regression analysis was used to explore the effect of clinical biomarkers on the brain volumes in patients. Compared with healthy controls, patients with haemodialysis showed decreased volume of bilateral putamen and left insular lobe (All P < 0.05). Susceptibilities of bilateral caudate head, putamen, substantia nigra, red nucleus and dentate nucleus were significantly higher (All P < 0.05). The increased brain iron deposition is negatively correlated with the decreased volume of bilateral putamen (P < 0.01). Neuropsychological scores positively correlated with decreased volume of left insular lobe (P < 0.05). Dialysis duration was negatively associated with decreased volume of bilateral putamen (P < 0.05). Our study indicated increased brain iron deposition and dialysis duration was risk factors for brain atrophy in patients with haemodialysis. The decreased gray matter volume of the left insular lobe was correlated with neurocognitive impairment.
authors: Department of Medical Imaging, Tianjin First Central Hospital, Tianjin, 300192, China.
authors: Chao
authors: C
authors: Chai
authors: Mengjie
authors: M
authors: Zhang
authors: Miaomiao
authors: M
authors: Long
authors: Zhiqiang
authors: Z
authors: Chu
authors: Tong
authors: T
authors: Wang
authors: Lijun
authors: L
authors: Wang
authors: Yu
authors: Y
authors: Guo
authors: Shuo
authors: S
authors: Yan
authors: E Mark
authors: EM
authors: Haacke
authors: Wen
authors: W
authors: Shen
authors: Shuang
authors: S
authors: Xia
mesh_terms: D000328:Adult; D000368:Aged; D001284:Atrophy / Q000378:metabolism / Q000473:pathology; D001921:Brain / Q000378:metabolism* / Q000473:pathology*; D001931:Brain Mapping / Q000379:methods*; D005260:Female; D006801:Humans; D007501:Iron / Q000032:analysis / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D009929:Organ Size; D011446:Prospective Studies; D011699:Putamen / Q000378:metabolism / Q000473:pathology; D006435:Renal Dialysis / Q000009:adverse effects*; D012307:Risk Factors; D055815:Young Adult
chemical_list: D007501:Iron