Table 1.
Boston 1.0 | Boston 1.5 | Boston 2.0 | ||
---|---|---|---|---|
Definite CAA | The complete autopsy results confirmed that lobar, cortical or subcortical hemorrhage was found with severe vascular Aβ deposition on the premise of excluding other etiological diagnosis. | No change | No change | |
Probable CAA with supporting pathology | Clinical symptoms and pathological tissue or cortical biopsy confirmed that on the premise of excluding other etiological diagnosis, cerebral lobe, cortical or subcortical cerebral hemorrhage with a certain degree of vascular Aβ deposition. | No change | No change | |
Probable CAA | Clinical symptoms and MRI/CT confirmed that multiple cerebral hemorrhage (including cerebellar hemorrhage) limited to lobar, cortical or subcortical, age ≥55 years old, other diagnoses were excluded. | Clinical symptoms and MRI/CT confirmed that (strictly) multiple hemorrhage (including cerebellar hemorrhage) limited to lobar, cortical or subcortical or single lobar, cortical or subcortical cerebral hemorrhage and focal/diffuse cSS, age ≥55 years old, other diagnoses were excluded. | 1. Main diagnostic criteria: | |
1) Age ≥50 years old. Clinical manifestations: ICH, TFNE, cognitive impairment | ||||
2) Imaging findings: there were more than 2 foci of frontal hemorrhage on T2*GRE: cerebral hemorrhage, CMBs and cSS, without any other deep lesions, and other diagnoses were excluded. | ||||
2. Supporting evidence: severe CSO-PVS, multifocal hyperintensity distribution of frontal white matter | ||||
Possible CAA | Clinical symptoms and MRI/CT confirmed: multiple cerebral hemorrhage (including cerebellar hemorrhage) in single lobe, cortex or subcortex, age ≥55 years old, other diagnosis was excluded. | Clinical symptoms and MRI/CT confirmed multiple hemorrhage in a single lobe, cortex or subcortex (including cerebellar hemorrhage), focal/diffuse cSS, age ≥55 years old, excluding other diagnoses. | Deleted |
CAA, cerebral amyloid angiopathy; Aβ, amyloid β; MRI, magnetic resonance imaging; CT, computed tomography; cSS, cortical superficial siderosis; ICH, intracerebral hemorrhage; TFNEs, transient focal neurological episodes; T2*GRE, T2*-weighted gradient recalled echo; CMBs, cerebral microbleeds; CSO-PVS, perivascular space in centrum semiovale.