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. 2022 May;12(5):2891–2903. doi: 10.21037/qims-21-981

Table 3. Associations between carotid plaque characteristics and changes of MoCA.

Characteristics Univariate regression Multivariate regression (model 1) Multivariate regression (model 2)
OR 95% CI P value OR 95% CI P value OR 95% CI P value
Morphology
   Mean lumen area, mm2 1.006 0.970, 1.043 0.762 1.005 0.967, 1.044 0.792 1.008 0.967, 1.050 0.706
   Mean wall area, mm2 0.999 0.977, 1.022 0.935 1.007 0.982, 1.032 0.591 1.005 0.980, 1.031 0.684
   Mean total vessel area, mm2 1.001 0.984, 1.018 0.935 1.005 0.987, 1.024 0.595 1.005 0.986, 1.024 0.629
   Maximum wall thickness, mm 0.954 0.777, 1.170 0.649 0.995 0.803, 1.233 0.962 0.996 0.792, 1.253 0.974
   Mean normalized wall index, % 0.988 0.949, 1.030 0.575 1.005 0.961, 1.052 0.814 0.993 0.945, 1.043 0.775
   Stenosis, % 1.015 0.982, 1.050 0.376 1.020 0.984,1.058 0.271
Presence of plaque components
   LRNC 1.677 0.424, 6.636 0.461 2.800 0.619, 12.665 0.181 3.674 0.738, 18.288 0.112
   IPH 0.930 0.429, 2.015 0.854 1.151 0.510, 2.598 0.735 1.363 0.568, 3.275 0.488
   Calcification 1.032 0.371, 2.866 0.952 1.348 0.450, 4.033 0.593 1.263 0.387, 4.125 0.699
   Ulcer 0.799 0.330, 1.840 0.569 0.891 0.363, 2.183 0.800 1.160 0.438, 3.076 0.765
   FCR 0.976 0.449, 2.124 0.952 1.210 0.533, 2.746 0.648 1.553 0.638, 3.780 0.332
Volume of plaque components*
   LRNC, mm3 0.999 0.998, 1.001 0.344 0.999 0.998, 1.001 0.462 1.000 0.998, 1.001 0.802
   IPH, mm3 1.001 0.999, 1.003 0.473 1.001 0.999, 1.003 0.435 1.002 0.999, 1.004 0.214
   Calcification, mm3 0.994 0.989, 1.000 0.043 0.994 0.988, 1.000 0.043 0.994 0.988, 1.000 0.057
   Ulcer, mm3 0.993 0.971, 1.015 0.528 0.995 0.971, 1.020 0.688 0.996 0.969, 1.023 0.748
Maximum percentage of plaque component area*
   LRNC, % 1.005 0.985, 1.025 0.643 1.007 0.986, 1.028 0.532 1.006 0.982, 1.030 0.645
   IPH, % 1.007 0.983, 1.031 0.576 1.008 0.982, 1.033 0.565 1.014 0.985, 1.044 0.353
   Calcification, % 0.949 0.909, 0.991 0.018 0.945 0.901, 0.990 0.017 0.937 0.890, 0.987 0.014
   Ulcer, % 0.965 0.892, 1.044 0.377 0.966 0.879, 1.061 0.467 0.972 0.882, 1.071 0.561
Cumulative slice of plaque components*
   LRNC 1.010 0.905, 1.127 0.858 1.038 0.925, 1.164 0.528 1.000 0.881, 1.135 1.000
   IPH 1.053 0.901, 1.230 0.515 1.067 0.898, 1.268 0.459 1.119 0.909, 1.376 0.288
   Calcification 0.823 0.698, 0.970 0.020 0.802 0.670, 0.961 0.017 0.791 0.646, 0.967 0.022
   Ulcer 1.440 0.691, 3.000 0.330 1.678 0.741, 3.798 0.215 1.947 0.763, 4.968 0.163

*, only patients with the corresponding component present were included in the comparison. Model 1: adjusted for age, gender, educational level and Fazekas score; Model 2: adjusted for age, gender, educational level, Fazekas score, stenosis, coronary heart disease and antihypertensive treatment. MoCA, Montreal Cognitive Assessment; LRNC, lipid-rich necrotic core; IPH, intraplaque hemorrhage; FCR, fibrous cap rupture; CI, confidence interval; OR, odds ratio.