Publications by authors named "Mark Bitsch Vestergaard"

Background And Hypothesis: The kidneys may be susceptible to ectopic fat and its lipotoxic effects, disposing them to chronic kidney disease (CKD) in type 2 diabetes (T2D). We investigated whether the kidney parenchyma fat content and kidney sinus fat volume would be higher in persons with T2D and CKD.

Methods: Cross-sectional study including 29 controls, 27 persons with T2D and no CKD, and 48 persons with T2D and early CKD (urine albumin creatinine ratio (UACR) ≥ 30 mg/g).

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Identifying early predictors of cognitive decline and at-risk individuals is essential for timely intervention and prevention of dementia. This study aimed to detect neurobiological changes and factors related to cognitive performance in the Metropolit 1953 Danish male birth cohort. We analyzed data from 582 participants, aged 57-68 years, using machine learning techniques to group cognitive trajectories into four clusters differentiating high- and low-performing groups.

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In humans, resting cerebral perfusion, oxygen consumption and energy metabolism demonstrate large intersubject variation regardless of methodology. Whether a similar large variation is also present longitudinally in individual subjects is much less studied, but knowing the time variance in reproducibility is important when designing and interpreting longitudinal follow-up studies examining brain physiology. Therefore, we examined the reproducibility of cerebral blood flow (CBF), global cerebral metabolic rate of oxygen (CMRO), global arteriovenous oxygen saturation difference (A-V.

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Aim: To investigate the effects of ezetimibe on the urine albumin creatinine ratio (UACR) and kidney parenchyma fat content (kidney-PF) in individuals with type 2 diabetes (T2D) and early chronic kidney disease.

Materials And Methods: A randomized, double-blind, placebo-controlled study of ezetimibe 10 mg once daily for 16 weeks in individuals with T2D and a UACR of 30 mg/g or higher was conducted. Kidney-PF was assessed with magnetic resonance spectroscopy.

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Background And Purpose: Magnetic resonance spectroscopy (MRS)-a method of analysing metabolites in vivo-has been utilized in several studies of brain glioma biomarkers at lower field strengths. At ultra-high field strengths, MRS provides an improved signal-to-noise-ratio and spectral resolution, but 7T studies on patients with gliomas are sparse. The purpose of this exploratory study was to evaluate the potential clinical implication of the use of single-voxel MRS at 7T to assess metabolic information on lesions in a pilot cohort of patients with grade II and III gliomas.

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Article Synopsis
  • The original nine hallmarks of ageing proposed in 2013 include genomic instability, telomere attrition, epigenetic alterations, and others, which have shaped current aging research.
  • In the last decade, new hallmarks such as compromised autophagy, microbiome disturbance, and inflammation have been identified, expanding our understanding of aging.
  • Combining the old and new hallmarks could enhance our knowledge of aging and age-related diseases, potentially informing interventions for healthier aging in the elderly.
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Background: In relapsing-remitting multiple sclerosis (RRMS), early disease control reduces the risk of permanent disability. The blood-brain barrier (BBB) is compromised in MS, and its permeability is a potential biomarker.

Objective: To investigate BBB permeability measured by MRI as a marker of alemtuzumab efficacy.

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Reduced cerebrovascular response to neuronal activation is observed in patients with neurodegenerative disease. In the present study, we examined the correlation between reduced cerebrovascular response to visual activation (ΔCBF) and subclinical cognitive deficits in a human population of mid-sixties individuals without neurodegenerative disease. Such a correlation would suggest that impaired cerebrovascular function occurs before overt neurodegenerative disease.

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Background: Although used extensively worldwide, the effects of general anaesthesia on the human brain remain largely elusive. Moreover, general anaesthesia may contribute to serious conditions or adverse events such as postoperative cognitive dysfunction and delirium. To understand the basic mechanisms of general anaesthesia, this project aims to study and compare possible de novo neuroplastic changes induced by two commonly used types of general anaesthesia, i.

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Purpose: DOTA-D-Phe-Tyr-octreotide with gallium-68 ([Ga]Ga-DOTA-TOC) is one of the PET tracers that forms the basis for peptide receptor radionuclide therapy based on somatostatin receptor subtype 2 (SSTR2) expression in meningiomas. Yet, the quantitative relationship between [Ga]Ga-DOTA-TOC accumulation and SSTR2 is unknown. We conducted a correlative analysis of a range of [Ga]Ga-DOTA-TOC PET metric(s) as imaging surrogate(s) of the receptor binding in meningiomas by correlating the PET results with SSTR2 expression from surgical specimens.

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Purpose: Positron emission tomography (PET) with 3'-deoxy-3'-[F]fluorothymidine ([F]FLT) provides a noninvasive assessment of tumour proliferation in vivo and could be a valuable imaging modality for assessing malignancy in meningiomas. We investigated a range of static and dynamic [F]FLT metrics by correlating the findings with cellular biomarkers of proliferation and angiogenesis.

Methods: Seventeen prospectively recruited adult patients with intracranial meningiomas underwent a 60-min dynamic [F]FLT PET following surgery.

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Article Synopsis
  • This study investigates how headache-inducing drugs like sildenafil and CGRP affect glutamate levels in the brainstem and thalamus, areas that may be significant in migraine research.
  • Using a specialized MRS protocol, 17 healthy participants were tested to observe glutamate changes after drug administration.
  • Results showed a temporary increase in glutamate levels in the brainstem after sildenafil but no changes from CGRP, indicating that CGRP might trigger headaches by affecting peripheral pain pathways instead.
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Erythropoietin (EPO) is expressed in human brain tissue, but its exact role is unknown. EPO may improve the efficiency of oxidative metabolism and has neuroprotective properties against hypoxic injuries in animal models. We aimed to investigate the effect of recombinant human EPO (rHuEPO) administration on healthy cerebral metabolism in humans during normoxia and during metabolic stress by inhalation of 10% O hypoxic air.

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Objective: Migraine aura is sparsely studied due to the highly challenging task of capturing patients during aura. Cortical spreading depression (CSD) is likely the underlying phenomenon of aura. The possible correlation between the multifaceted phenomenology of aura symptoms and the effects of CSD on the brain has not been ascertained.

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Introduction Carbon monoxide (CO) is an endogenously produced signalling molecule that has a role in nociceptive processing and cerebral vasodilatation. We hypothesized that inhalation of CO would induce headache and vasodilation of cephalic and extracephalic arteries. Methods In a randomized, double-blind, placebo-controlled crossover design, 12 healthy volunteers were allocated to inhalation of CO (carboxyhemoglobin 22%) or placebo on two separate days.

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Article Synopsis
  • The study aimed to compare mean global cerebral blood flow (CBF) between two imaging techniques: O-H O positron emission tomography (PET) and phase-contrast mapping magnetic resonance imaging (PCM MRI) in healthy individuals.
  • Conducted on 22 young male volunteers, the study involved simultaneous measurements of CBF, revealing that while both methods showed a significant correlation, PCM MRI consistently yielded higher CBF values than PET.
  • The findings suggest that PCM MRI can quantify global CBF, but it may have methodological biases leading to inflated measurements compared to the PET reference.
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Migraine with aura is prevalent in high-altitude populations suggesting an association between migraine aura and hypoxia. We investigated whether experimental hypoxia triggers migraine and aura attacks in patients suffering from migraine with aura. We also investigated the metabolic and vascular response to hypoxia.

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