Table 1.
BBB leakage and age, WMH burden (Fazekas score), and stroke subtype
Tissue | Variable | β coefficient × 103 | 95% CI × 103 | P-value |
---|---|---|---|---|
Normal-appearing white matter | Age | 0.016 | −0.001, 0.033 | .065 |
Fazekas score | 0.024 | 0.002, 0.047 | .033 | |
Stroke subtype | −0.110 | −0.19, −0.030 | .005 | |
Deep gray matter | Age | 0.025 | 0.002, 0.049 | .031 |
Fazekas score | 0.059 | 0.028, 0.09 | .0002 | |
Stroke subtype | −0.11 | −0.21, −0.0003 | .049 | |
CSF | Age | 0.219 | 0.158, 0.28 | <.0001 |
Fazekas score | 0.205 | 0.124, 0.287 | <.0001 | |
Stroke subtype | 0.363 | 0.082, 0.644 | .011 | |
WMH | Age | 0.059 | 0.035, 0.082 | <.0001 |
Fazekas score | 0.104 | 0.072, 0.136 | <.0001 | |
Stroke subtype | −0.040 | −0.150, 0.068 | .46 | |
Index infarct | Age | 0.045 | 0.001, 0.089 | .045 |
Fazekas score | 0.017 | −0.040, 0.075 | .57 | |
Stroke subtype | −0.520 | −0.720, −0.330 | <.0001 | |
Old infarct | Age | 0.049 | −0.0015, 0.10 | .057 |
Fazekas score | 0.041 | −0.030, 0.11 | .24 | |
Stroke subtype | −0.430 | −0.680, −0.190 | .0004 |
Abbreviations: BBB, blood-brain barrier; WMH, white matter hyperintensities; CI, confidence interval; CSF, cerebrospinal fluid.
NOTE. Values are BBB leakage (change in postcontrast signal per minute) per 5-year increase in age, per point increase in Fazekas score, or lacunar versus cortical stroke. The interaction coefficients for age, Fazekas score, and subtype are derived from three separate models (the data were already adjusted for key predictors listed previously and simultaneous fitting of multiple interaction terms was not supported). Age, Fazekas score, and stroke subtype are each adjusted for each other and sagittal sinus signal, brain tissue signal precontrast (T10), mean arterial blood pressure, diagnosis of hypertension, pulse pressure, and smoker status. In stroke subtype, a negative effect estimate indicates that values are lower in patients with lacunar than with cortical stroke. A higher Fazekas score indicates more WMH.