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@ARTICLE{Reetz:189740,
author = {Reetz, Kathrin and Abbas, Zaheer and Costa, Ana Sofia and
Gras, Vincent and Tiffin-Richards, Frances and Mirzazade,
Shahram and Holschbach, Bernhard and Frank, Rolf Dario and
Vassiliadou, Athina and Krüger, Thilo and Eitner, Frank and
Gross, Theresa and Schulz, Jörg Bernhard and Floege,
Jürgen and Shah, N. J.},
title = {{I}ncreased {C}erebral {W}ater {C}ontent in {H}emodialysis
{P}atients},
journal = {PLoS one},
volume = {10},
number = {3},
issn = {1932-6203},
address = {Lawrence, Kan.},
publisher = {PLoS},
reportid = {FZJ-2015-02772},
pages = {e0122188 -},
year = {2015},
abstract = {Little information is available on the impact of
hemodialysis on cerebral water homeostasis and its
distribution in chronic kidney disease. We used a
neuropsychological test battery, structural magnetic
resonance imaging (MRI) and a novel technique for
quantitative measurement of localized water content using 3T
MRI to investigate ten hemodialysis patients (HD) on a
dialysis-free day and after hemodialysis (2.4±2.2 hours),
and a matched healthy control group with the same time
interval. Neuropsychological testing revealed mainly
attentional and executive cognitive dysfunction in HD.
Voxel-based-morphometry showed only marginal alterations in
the right inferior medial temporal lobe white matter in HD
compared to controls. Marked increases in global brain water
content were found in the white matter, specifically in
parietal areas, in HD patients compared to controls.
Although the global water content in the gray matter did not
differ between the two groups, regional increases of brain
water content in particular in parieto-temporal gray matter
areas were observed in HD patients. No relevant brain
hydration changes were revealed before and after
hemodialysis. Whereas longer duration of dialysis vintage
was associated with increased water content in
parieto-temporal-occipital regions, lower intradialytic
weight changes were negatively correlated with brain water
content in these areas in HD patients. Worse cognitive
performance on an attention task correlated with increased
hydration in frontal white matter. In conclusion, long-term
HD is associated with altered brain tissue water homeostasis
mainly in parietal white matter regions, whereas the
attentional domain in the cognitive dysfunction profile in
HD could be linked to increased frontal white matter water
content.},
cin = {INM-4},
ddc = {500},
cid = {I:(DE-Juel1)INM-4-20090406},
pnm = {573 - Neuroimaging (POF3-573)},
pid = {G:(DE-HGF)POF3-573},
typ = {PUB:(DE-HGF)16},
UT = {WOS:000352084800060},
pubmed = {pmid:25826269},
doi = {10.1371/journal.pone.0122188},
url = {https://juser.fz-juelich.de/record/189740},
}