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White matters : a longitudinal study on causes and consequences of

white matter hyperintensities in the elderly.

Heuvel, D.M.J. van den

Citation

Heuvel, D. M. J. van den. (2005, November 17). White matters : a longitudinal study on

causes and consequences of white matter hyperintensities in the elderly. Retrieved from

https://hdl.handle.net/1887/3729

Version:

Corrected Publisher’s Version

License:

Licence agreement concerning inclusion of doctoral thesis in the

Institutional Repository of the University of Leiden

Downloaded from:

https://hdl.handle.net/1887/3729

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WHITE MATTERS

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ISBN: 90-9019785-0

Designed by: W.G.M. van den Heuvel

Printed by: Febo druk BV, Enschede, the Netherlands

© 2005, D.M.J. van den Heuvel, except (parts of) the following chapters Chapter 3: Elsevier

Chapter 4: American Society of Neuroradiology Chapter 5,9: Lippincot, Williams & Wilkins Chapter 8: BMJ publishing group Ltd.

No part of this thesis may be reproduced in any form by print, photocopy, digital file, inter-net or any other means without written permission of the copyright owner.

The studies described in this thesis were performed at the department of Radiology and Gerontology and Geriatrics of the Leiden University Medical Center, Leiden, The Netherlands and were financially supported by an investigator initiated grant from Bristol Myers-Squibb, Princeton, USA. The sponsor had no role in the design, data collection, data analyses, data interpretation of the study or writing of the paper.

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WHITE MATTERS

A longitudinal study on causes and consequences of white matter hyperintensities in the elderly

Proefschrift ter verkrijging van

de graad van Doctor aan de Universiteit van Leiden, op gezag van de Rector Magnificus Dr. D.D. Breimer,

hoogleraar in de faculteit der Wiskunde en Natuurwetenschappen en die der Geneeskunde,

volgens besluit van het College voor Promoties te verdedigen op donderdag 17 november 2005

klokke 15.15 uur door

Dominique Marie Joseph van den Heuvel geboren te Boxmeer

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Promotores:

Prof. Dr. M.A. van Buchem Prof. Dr. R.G.J. Westendorp Co-Promotor:

Dr. A.J.M. de Craen Referent:

Dr. L. Launer (National Institutes of Health, Bethesda, USA) Overige Leden:

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Contents

1. General Introduction

Page 7 - 14

2. The PROspective Study of Pravastatin in the Elderly at Risk; rationale, study design and main findings

Page 15 - 24

3. Fully automatic segmentation of white matter hyperintensities in MR images of the elderly

Page 25 - 46

4. Measuring longitudinal white matter changes: comparison of a visual rating scale with a volumetric measurement

Page 47 - 60

5. Different progression rates for deep white matter hyperintensities in elderly men and women

Page 61 - 70

6. Decline of cerebral blood flow is linked with increase of periventricular but not deep white matter hyperintensities

Page 71 - 84

7. Impact of cardiovascular risk factors on the progression of periventricular and deep white matter hyperintensities

Page 85 - 98

8. Increase in periventricular white matter hyperintensities parallels decline in mental processing speed in a non-demented elderly population

Page 99 - 116

9. Effect of pravastatin on cerebral infarcts and white matter lesions

Page 117 - 126

10. General Discussion

Page 127 - 140

I. Appendix

Page 141 - 148

II. Nederlandse samenvatting

Page 149 - 154

III. Nawoord - List of publications - Curriculum Vitae

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