Cortical thinning is associated with brain pulsatility in older adults: An MRI and NIRS study

Neurobiol Aging. 2021 Oct:106:103-118. doi: 10.1016/j.neurobiolaging.2021.05.002. Epub 2021 May 24.

Abstract

Aging is accompanied by global brain atrophy occurring unequally across the brain. Cortical thinning is seen with aging with a larger loss in the frontal and temporal subregions. We explored the link between regional cortical thickness and regional cerebral pulsatility. Sixty healthy individuals were divided into two age groups, young (aged 19-31) and older (aged 65-75) adults. Each participant underwent a near-infrared spectroscopy (NIRS) scan to index regional brain pulsatility from cerebral pulse-transit-time-to-the peak-of-the-pulse (PTTp), an anatomical magnetic resonance imaging (MRI) and a phase-contrast MRI (PC-MRI) scan to measure arterial and cerebrospinal fluid (CSF) pulsatility. In older adults, the greatest association between cerebral pulsatility and cortical thickness was found in superior and middle temporal and superior, middle and inferior frontal areas, which are the regions perfused first by the internal carotid arteries. This association dropped in the postcentral and superior parietal regions. These findings suggest higher brain pulsatility as a potential risk factor contributing to cortical thinning for some brain regions more than others.

Keywords: Aging; Cerebral pulsatility; Cognitive decline; Cortical thinning; Near-infrared spectroscopy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aging / pathology*
  • Aging / physiology*
  • Carotid Artery, Internal / physiology
  • Cerebral Cortex / blood supply*
  • Cerebral Cortex / diagnostic imaging
  • Cerebral Cortex / pathology*
  • Cerebral Cortex / physiology
  • Cognitive Dysfunction / etiology
  • Cognitive Dysfunction / pathology
  • Cognitive Dysfunction / physiopathology
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Male
  • Neuroimaging / methods*
  • Pulsatile Flow / physiology*
  • Risk Factors
  • Spectroscopy, Near-Infrared / methods*
  • Young Adult