Lower Retinal Arteriolar Density Is Associated With Higher Cerebral Small Vessel Disease Burden: An Optical Coherence Tomography Angiography Study

作者：Le Cao, Hang Wang, Jinkui Hao, William Robert Kwapong, Zhouwei Xiong, Ruilin Wang, Chen Ye, Yitian Zhao, Bo Wu, Wendan Tao · 发表于：Brain and Behavior · 年份：2025 · DOI：10.1002/brb3.70342 · 被引用次数：6 · 研究领域：Retinal Imaging and Analysis、Retinal Diseases and Treatments、Glaucoma and retinal disorders

INTRODUCTION: It is suggested that cerebral small vessel disease (SVD) plays a role in strokes and dementia. Retinal microvasculature imaged by optical coherence tomography angiography (OCTA) is suggested to be associated with cerebral microvessels. We measured the density of the retinal arterioles and venules on the superficial vascular complex (SVC) of OCTA images and investigated associations with SVD markers in older adults. METHODS: Participants underwent cerebral magnetic resonance imaging and OCTA imaging. An external algorithm (OCTA-Net) was used to segment the retinal vessels into arterioles and venules. SVD indicators [lacunes, white matter hyperintensity (WMH), perivascular spaces (PVS) and cerebral microbleeds (CMBs)] were determined according to the STandards for ReportIng Vascular changes on nEuroimaging (STRIVE) RESULTS: 246 older adults (mean age = 58.84 ± 7.00 years; 38.21 % males) were included in our data analysis. After adjusting for covariates, lower retinal arteriole densities correlated with higher periventricular WMH (p = 0.025) and PVS in the basal ganglia (p = 0.027). Lower retinal venule density correlated with higher deep WMH burden (p = 0.014). Lower arteriolar density was associated with increased SVD burden (p = 0.035). Arteriolar complex branching was associated with periventricular WMH (p = 0.020) while venular complex branching was associated with deep WMH (p = 0.041). CONCLUSION: Retinal vascular changes may reflect cerebral vascular changes...