Magnetic resonance imaging of fixed post mortem brains reliably reflects subcortical vascular pathology of frontal, parietal and occipital white matter

K. E. Mcaleese, M. Firbank, D. Hunter, L. Sun, R. Hall, J. W. Neal, D. M A Mann, M. Esiri, K. A. Jellinger, J. T. O'Brien, J. Attems

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Aims: Subcortical vascular pathology of the white and deep grey matter (WM and DGM) is associated with cognitive impairment. Routine neuropathological assessment of subcortical vascular pathology is based on semiquantitative scoring of characteristic lesions in a limited number of histological slides from selected WM and DGM areas. Clinically, WM and DGM lesions are visualized as hyper-intensities on magnetic resonance imaging (MRI). The aim of this study was to evaluate the feasibility of MRI on fixed post mortem brain hemispheres to complement routine neuropathological assessment of subcortical vascular pathology. Methods: We assessed subcortical vascular pathology in 40 post mortem brain hemispheres from demented (n=26) and nondemented (n=14) individuals (mean age 83.2±14.8 years; 62.5% female) using (i) routine histological assessment; (ii) extensive histological assessment of the entire hemisphere at 7-mm intervals; and (iii) full T2-weighted MRI performed on fixed post mortem brain hemispheres. Results: In both WM and DGM routine histological scores for subcortical vascular pathology were significantly lower (P
    Original languageEnglish
    Pages (from-to)485-497
    Number of pages12
    JournalNeuropathology and Applied Neurobiology
    Volume39
    Issue number5
    DOIs
    Publication statusPublished - Aug 2013

    Keywords

    • Magnetic resonance imaging
    • Neuropathology
    • post mortem
    • Subcortical vascular pathology
    • White matter lesions

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