Preliminary study of multiple diffusion MRI in defining brain microstructural changes in hypertensive individuals

Purpose: to use multiple diffusion models to characterize the microstructural changes in the brains of patients with hypertension. Methods: This study included 35 healthy controls (HC), 21 patients with untreated hypertension, and 25 patients with medically treated hypertension. All subjects underwe...

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Main Authors: Yan Li, Rui Xiao, Jie Yang, Hongfu Dan, Hengping Wu, Limei Han, Zhongqin Liu, Jianquan Zhong, Hao Feng
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Brain Research Bulletin
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Online Access:http://www.sciencedirect.com/science/article/pii/S0361923025003119
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author Yan Li
Rui Xiao
Jie Yang
Hongfu Dan
Hengping Wu
Limei Han
Zhongqin Liu
Jianquan Zhong
Hao Feng
author_facet Yan Li
Rui Xiao
Jie Yang
Hongfu Dan
Hengping Wu
Limei Han
Zhongqin Liu
Jianquan Zhong
Hao Feng
author_sort Yan Li
collection DOAJ
description Purpose: to use multiple diffusion models to characterize the microstructural changes in the brains of patients with hypertension. Methods: This study included 35 healthy controls (HC), 21 patients with untreated hypertension, and 25 patients with medically treated hypertension. All subjects underwent both routine MRI and diffusion spectrum imaging (DSI). DSI were reconstructed to obtain diffusion MRI models, including diffusion tensor imaging (DTI), neurite orientation dispersion and density imaging (NODDI) and mean apparent propagator-MRI (MAP-MRI). Tract-based spatial statistics (TBSS) were used to analyze the parameters among the three groups. Depending on the type of data, the proper statistical tests were used. Results: No statistically significant differences were observed between the HC group and the treated group. The untreated group showed considerably lower fractional anisotropy (FA) values than the HC group in almost all white matter areas. Significantly higher mean diffusivity (MD) and radial diffusivity (RD) values were seen in the untreated group. The untreated group exhibited considerably greater extracellular volume fraction (ECVF) values of the white matter. Compared to the differences found between the HC and untreated groups, the differences in multiple derived-parameters of NODDI and MAP-MRI were comparatively less between the treated and untreated groups. Strong positive associations were seen between the systolic pressure and the ECVF values of multiple brain regions. Conclusions: NODDI and MAP-MRI derived-parameters are more sensitive to brain white matter injury in hypertension. The ECVF readings of the NODDI may more accurately represent white matter damage linked to hypertension.
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spelling doaj-art-f031e3bc094b4ebdaeac61c99dda3d5b2025-08-20T04:00:39ZengElsevierBrain Research Bulletin1873-27472025-10-0123011149910.1016/j.brainresbull.2025.111499Preliminary study of multiple diffusion MRI in defining brain microstructural changes in hypertensive individualsYan Li0Rui Xiao1Jie Yang2Hongfu Dan3Hengping Wu4Limei Han5Zhongqin Liu6Jianquan Zhong7Hao Feng8Department of Radiology/Zigong First People's Hospital, Zigong, SiChuan, ChinaDepartment of Radiology/Zigong First People's Hospital, Zigong, SiChuan, ChinaDepartment of Radiology/Zigong First People's Hospital, Zigong, SiChuan, ChinaDepartment of Radiology/Zigong First People's Hospital, Zigong, SiChuan, ChinaDepartment of Radiology/Zigong First People's Hospital, Zigong, SiChuan, ChinaDepartment of Radiology/Zigong First People's Hospital, Zigong, SiChuan, ChinaDepartment of Radiology/Zigong First People's Hospital, Zigong, SiChuan, ChinaDepartment of Radiology/Zigong First People's Hospital, Zigong, SiChuan, ChinaCorresponding author.; Department of Radiology/Zigong First People's Hospital, Zigong, SiChuan, ChinaPurpose: to use multiple diffusion models to characterize the microstructural changes in the brains of patients with hypertension. Methods: This study included 35 healthy controls (HC), 21 patients with untreated hypertension, and 25 patients with medically treated hypertension. All subjects underwent both routine MRI and diffusion spectrum imaging (DSI). DSI were reconstructed to obtain diffusion MRI models, including diffusion tensor imaging (DTI), neurite orientation dispersion and density imaging (NODDI) and mean apparent propagator-MRI (MAP-MRI). Tract-based spatial statistics (TBSS) were used to analyze the parameters among the three groups. Depending on the type of data, the proper statistical tests were used. Results: No statistically significant differences were observed between the HC group and the treated group. The untreated group showed considerably lower fractional anisotropy (FA) values than the HC group in almost all white matter areas. Significantly higher mean diffusivity (MD) and radial diffusivity (RD) values were seen in the untreated group. The untreated group exhibited considerably greater extracellular volume fraction (ECVF) values of the white matter. Compared to the differences found between the HC and untreated groups, the differences in multiple derived-parameters of NODDI and MAP-MRI were comparatively less between the treated and untreated groups. Strong positive associations were seen between the systolic pressure and the ECVF values of multiple brain regions. Conclusions: NODDI and MAP-MRI derived-parameters are more sensitive to brain white matter injury in hypertension. The ECVF readings of the NODDI may more accurately represent white matter damage linked to hypertension.http://www.sciencedirect.com/science/article/pii/S0361923025003119Diffusion MRINeurite orientation dispersion and density imagingMean apparent propagator-MRIDiffusion tensor imagingHypertensionOrientation dispersion
spellingShingle Yan Li
Rui Xiao
Jie Yang
Hongfu Dan
Hengping Wu
Limei Han
Zhongqin Liu
Jianquan Zhong
Hao Feng
Preliminary study of multiple diffusion MRI in defining brain microstructural changes in hypertensive individuals
Brain Research Bulletin
Diffusion MRI
Neurite orientation dispersion and density imaging
Mean apparent propagator-MRI
Diffusion tensor imaging
Hypertension
Orientation dispersion
title Preliminary study of multiple diffusion MRI in defining brain microstructural changes in hypertensive individuals
title_full Preliminary study of multiple diffusion MRI in defining brain microstructural changes in hypertensive individuals
title_fullStr Preliminary study of multiple diffusion MRI in defining brain microstructural changes in hypertensive individuals
title_full_unstemmed Preliminary study of multiple diffusion MRI in defining brain microstructural changes in hypertensive individuals
title_short Preliminary study of multiple diffusion MRI in defining brain microstructural changes in hypertensive individuals
title_sort preliminary study of multiple diffusion mri in defining brain microstructural changes in hypertensive individuals
topic Diffusion MRI
Neurite orientation dispersion and density imaging
Mean apparent propagator-MRI
Diffusion tensor imaging
Hypertension
Orientation dispersion
url http://www.sciencedirect.com/science/article/pii/S0361923025003119
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