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RT Journal Article
SR Electronic
T1 Association of White Matter Hyperintensities with Low Serum 25-Hydroxyvitamin D Levels
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1145
OP 1149
DO 10.3174/ajnr.A3840
VO 35
IS 6
A1 Prager, J.M.
A1 Thomas, C.
A1 Ankenbrandt, W.J.
A1 Meyer, J.R.
A1 Gao, Y.
A1 Ragin, A.
A1 Sidharthan, S.
A1 Hutten, R.
A1 Wu, Y.G.
YR 2014
UL http://www.ajnr.org/content/35/6/1145.abstract
AB BACKGROUND AND PURPOSE: Vitamin D deficiency is associated with cognitive impairment in the elderly and with increased white matter T2 hyperintensities in elderly debilitated patients. We investigated the relationship between serum vitamin D and brain MR findings in adult outpatients. MATERIALS AND METHODS: Brain MR studies of 56 patients ages 30–69 years were selected when vitamin D level had been obtained within 90 days of the MRI. White matter T2 hyperintensities were characterized by size and location by two neuroradiologists. Manual volumetric analysis was assessed in patients more than 50 years of age. RESULTS: The entire cohort showed a significant negative relationship between serum 25-hydroxyvitamin D and the number of confluent juxtacortical white matter T2 hyperintensities (P = .047). The cohort ages 50 years and older showed stronger correlation between confluent white matter T2 hyperintensities and serum 25-hydroxyvitamin D in the juxtacortical region; number (P = .015) and size of white matter T2 hyperintensities (P = .048). Atrophy was not significantly related to serum 25-hydroxyvitamin D by radiologist visual analysis or by the bicaudate ratio. CONCLUSIONS: We found a significant relationship between vitamin D and white matter T2 hyperintensities in independent adult outpatients, especially over the age of 50 years. Vit Dserum 25-hydroxyvitamin DWMHwhite matter T2 hyperintensities