Abstract

Patients infected with human immunodeficiency virus (HIV) are susceptible to cognitive deterioration. This study investigated the utility of magnetization transfer (MT) imaging for quantification of brain tissue alterations associated with cognitive deficits in patients with HIV. MT ratios (MTR) were derived for whole brain and for regions of interest (ROIs) in the basal ganglia and white matter in 11 HIV and 12 control subjects. Relationships with severity of cognitive impairment and specific neuropsychological deficits were also evaluated. MTR values for normalized whole brain histogram peak height, whole brain histogram mean, and all examined ROIs were reduced in the HIV subjects. Normalized histogram peak height and mean for whole brain, as well as means for the corpus callosum, basal ganglia, and frontal white matter (FWM), were significantly correlated with severity of cognitive impairment. MTR values for white matter regions (corpus callosum, FWM, and centrum semiovale) were correlated with specific cognitive deficits. Quantitative MTR measurements, determined for the whole brain and for vulnerable ROIs, are sensitive to neuropathologic changes associated with cognitive impairment in HIV-infected patients.

Highlights

  • AND PURPOSE: Patients infected with human immunodeficiency virus (HIV) are susceptible to cognitive deterioration

  • Normalized histogram peak height and mean for whole brain, as well as means for the corpus callosum, basal ganglia, and frontal white matter (FWM), were significantly correlated with severity of cognitive impairment

  • Quantitative MT ratios (MTR) measurements, determined for the whole brain and for vulnerable regions of interest (ROIs), are sensitive to neuropathologic changes associated with cognitive impairment in HIV-infected patients

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Summary

Objectives

The purpose of this study was to derive MT measurements in the basal ganglia and deep white matter to evaluate relationships with the deficits characteristic of HIV-associated cognitive deterioration

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Conclusion
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