Evidence map›Paper›PMID 38877568›Full record

ArticleAlzheimer's research & therapy2024

Brain age as a biomarker for pathological versus healthy ageing - a REMEMBER study.

Mandy M J Wittens, Stijn Denissen, Diana M Sima, Erik Fransen, Ellis Niemantsverdriet, Christine Bastin, Florence Benoit, Bruno Bergmans, Jean-Christophe Bier, Peter Paul de Deyn and 17 more

Abstract read
In one paragraph

Article in Alzheimer's research & therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Mandy M J Wittens *Department of Biomedical Sciences, University of Antwerp, Antwerp, Belgium.
Stijn Denissen *icometrix, Leuven, Belgium.
Diana M SimaNeuroprotection and Neuromodulation (NEUR) Research Group, Center for Neurosciences (C4N), Vrije, Universiteit Brussel (VUB), Brussels, Belgium.
Erik FransenCentre of Medical Genetics, University of Antwerp, and Antwerp University Hospital - UZA, Edegem, Belgium.
Ellis NiemantsverdrietDepartment of Biomedical Sciences, University of Antwerp, Antwerp, Belgium.
Christine BastinGIGA-CRC-IVI, Liège University, Allée du Six Août, 8, Liège, 4000, Belgium.
Florence BenoitGeriatrics Department, Brugmann University Hospital, Universite Libre de Bruxelles, Brussels, Belgium.
Bruno BergmansNeurology Department, AZ St-Jan Brugge, Brugge, Belgium.
Jean-Christophe BierNeurological department H. U. B. - Erasme Hospital - Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Peter Paul de DeynLaboratory of Neurochemistry and Behavior, Experimental Neurobiology Unit, University of Antwerp, Antwerp, 2610, Belgium.
Olivier DeryckNeurology Department, AZ St-Jan Brugge, Brugge, Belgium.
Bernard HanseeuwInstitute of Neuroscience, Université Catholique de Louvain, Brussels, 1200, Belgium.
Adrian IvanoiuDepartment of Neurology, Cliniques Universitaires St Luc, and Institute of Neuroscience, Université Catholique de Louvain, Woluwe-Saint-Lambert (Brussels), Belgium.
Gaëtane PicardDepartment of Neurology, Clinique Saint-Pierre, Ottignies, Belgium.
Annemie Ribbensicometrix, Leuven, Belgium.
Eric SalmonGIGA-CRC-IVI, Liège University, Allée du Six Août, 8, Liège, 4000, Belgium.
Kurt SegersMemory Clinic - Neurology and Geriatrics Department, CHU Brugmann, Van Gehuchtenplein 4, Brussels, 1020, Belgium.
Anne SiebenNeuropathology Lab, IBB-NeuroBiobank BB190113, Born Bunge Institute, Antwerp, Belgium.
Hanne StruyfsDepartment of Biomedical Sciences, University of Antwerp, Antwerp, Belgium.
Evert ThieryDepartment of Neurology, University Hospital Ghent, Ghent University, Ghent, Belgium.
Jos TournoyDepartment of Chronic Diseases, Metabolism and Ageing, Geriatric Medicine and Memory Clinic, University Hospitals Leuven and KU Leuven, Louvain, Belgium.
Anne-Marie van BinstRadiology Department, Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Jan VersijptDepartment of Neurology, Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Dirk SmeetsNeuroprotection and Neuromodulation (NEUR) Research Group, Center for Neurosciences (C4N), Vrije, Universiteit Brussel (VUB), Brussels, Belgium.
Maria BjerkeDepartment of Biomedical Sciences, University of Antwerp, Antwerp, Belgium.
Guy Nagels *Department of Neurology, Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Sebastiaan Engelborghs *Department of Biomedical Sciences, University of Antwerp, Antwerp, Belgium. sebastiaan.engelborghs@uzbrussel.be.

Funding

Flanders Innovation & Intrepreneurship (VLAIO) Baekeland, HBC.2019.2579Fonds Wetenschappelijk Onderzoek 1805620N
6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the potential clinical value of a new brain age prediction model as a single interpretable variable representing the condition of our brain. Among many clinical use cases, brain age could be a novel outcome measure to assess the preventive effect of life-style interventions.

methodsThe REMEMBER study population (N = 742) consisted of cognitively healthy (HC,N = 91), subjective cognitive decline (SCD,N = 65), mild cognitive impairment (MCI,N = 319) and AD dementia (ADD,N = 267) subjects. Automated brain volumetry of global, cortical, and subcortical brain structures computed by the CE-labeled and FDA-cleared software icobrain dm (dementia) was retrospectively extracted from T1-weighted MRI sequences that were acquired during clinical routine at participating memory clinics from the Belgian Dementia Council. The volumetric features, along with sex, were combined into a weighted sum using a linear model, and were used to predict 'brain age' and 'brain predicted age difference' (BPAD = brain age-chronological age) for every subject.

resultsMCI and ADD patients showed an increased brain age compared to their chronological age. Overall, brain age outperformed BPAD and chronological age in terms of classification accuracy across the AD spectrum. There was a weak-to-moderate correlation between total MMSE score and both brain age (r = -0.38,p < .001) and BPAD (r = -0.26,p < .001). Noticeable trends, but no significant correlations, were found between BPAD and incidence of conversion from MCI to ADD, nor between BPAD and conversion time from MCI to ADD. BPAD was increased in heavy alcohol drinkers compared to non-/sporadic (p = .014) and moderate (p = .040) drinkers.

conclusionsBrain age and associated BPAD have the potential to serve as indicators for, and to evaluate the impact of lifestyle modifications or interventions on, brain health.

Indexed as

AgingAlzheimer DiseaseBrainCognitive DysfunctionHealthy AgingMagnetic Resonance ImagingAgedAged, 80 and overBiomarkersFemaleHumansMaleMiddle AgedRetrospective StudiesBiomarkersAlzheimer’s diseaseAutomated volumetryBiomarkerBrain ageBrain predicted age differenceMagnetic resonance imaging

Identifiers

PMID38877568
PMCPMC11179390

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.