An Investigation of Cerebral Vascular Functional Properties in Middle-to-Old Age Community People With High Vascular Risk Profiles

BACKGROUND

Vascular degeneration is an important cause of brain damage in aging. Assessing the functional properties of the cerebral vascular system may aid early diagnosis and prevention.

PURPOSE

To investigate the relationships between potential vascular functional markers and vascular risks, brain parenchymal damage, and cognition.

STUDY TYPE

Retrospective.

SUBJECTS

Two hundred two general community subjects (42-80 years, males/females: 127/75).

FIELD STRENGTH/SEQUENCE

3 T, spin echo T1W/T2W/FLAIR, resting-state functional MRI with an echo-planar sequence (rsfMRI), pseudo-continuous arterial spin labeling (pCASL) with a three-dimensional gradient-spin echo sequence.

ASSESSMENT

Cerebral blood flow (CBF) in gray matter calculated using pCASL, blood transit times calculated using rsfMRI, and the SD of internal carotid arteries signal (ICAstd ) calculated using rsfMRI; visual assessment for lacunes; quantification of white matter hyperintensity volume; permutation test for quality control; collection of demographic and clinical data, Montreal Cognitive Assessment, Mini-Mental State Examination.

STATISTICAL TESTS

Kolmogorov-Smirnov test; Spearman rank correlation analysis; Multivariable linear regression analysis controlling for covariates; The level of statistical significance was set at P < 0.05.

RESULTS

Age was negatively associated with ICAstd (β = -0.180). Diabetes was associated with longer blood transit time from large arteries to capillary bed (β = 0.185, adjusted for age, sex, and intracranial volume). Larger ICAstd was associated with less presence of lacunes (odds ratio: 0.418, adjusted for age and sex). Higher gray matter CBF (β = 0.154) and larger ICAstd (β = 0.136) were associated with better MoCA scores (adjusted for age, sex, and education).

DATA CONCLUSION

Prolonged blood transit time, decreased ICAstd , and diminished CBF were associated with vascular dysfunction and cognitive impairment. They may serve as vascular functional markers in future studies.

EVIDENCE LEVEL

3 TECHNICAL EFFICACY: Stage 3.

Toward Electrocatalytic Methanol Oxidation Reaction: Longstanding Debates and Emerging Catalysts

The study of direct methanol fuel cells (DMFCs) has lasted around 70 years, since the first investigation in the early 1950s. Though enormous effort has been devoted in this field, it is still far from commercialization. The methanol oxidation reaction (MOR), as a semi-reaction of DMFCs, is the bottleneck reaction that restricts the overall performance of DMFCs. To date, there has been intense debate on the complex six-electron reaction, but barely any reviews have systematically discussed this topic. To this end, the controversies and progress regarding the electrocatalytic mechanisms, performance evaluations as well as the design science toward MOR electrocatalysts are summarized. This review also provides a comprehensive introduction on the recent development of emerging MOR electrocatalysts with a focus on the innovation of the alloy, core-shell structure, heterostructure, and single-atom catalysts. Finally, perspectives on the future outlook toward study of the mechanisms and design of electrocatalysts are provided.