Table 5.
Neurosonological parameters in AD – summary.
| Ultrasound parameter | Findings in AD | Conclusion |
|---|---|---|
| IMT | Increased IMT associated with increased short-term risk of developing AD, converting from MCI to AD, and lower response to galantamine treatment of AD | In combination with other neurosonological methods and vascular risks assessment can help to identify patients in higher risk of faster progression of AD |
| Correlates with the progression of AD | ||
| Carotid atherosclerosis | Higher degree of carotid atherosclerosis associated with increased short-term risk of developing AD and converting from MCI to AD | In combination with other neurosonological methods and vascular risks assessment can help to identify patients in higher risk of faster progression of AD |
| Correlates with the progression of AD | ||
| Total cerebral blood flow | Decreased in AD | Inconclusive |
| Not dependent on brain atrophy | ||
| Longitudinal data not available | ||
| Flow velocities | Variably decreased MFV in MCA in AD | Inconclusive |
| Decreased flow velocities associated with increased risk of developing AD | ||
| Cerebrovascular reserve capacity | Decreased in AD | Best correlation with AD incidence and progression among all neurosonological parameters |
| Decreased CVRC associated with increased risk of developing AD |
AD, Alzheimer’s disease; IMT, intima-media thickness; MCA, middle cerebral artery; MCI, mild cognitive impairment; MFV, mean flow velocity.