Neuroradiological Findings in Cerebral Amyloid Angiopathy with a Particular Consideration of the Boston Criteria 2.0: An Imaging Review

In the elderly, cerebral amyloid angiopathy (CAA) is the most common cause for intracranial lobar hemorrhages. CAA is caused by the accumulation of amyloid-β fibrils in cortical and leptomeningeal vessels. In 2022, the Boston Criteria 2.0 became the new diagnostic standard for CAA, following the Mod...

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Main Authors: Ulf Jensen-Kondering, Katharina Heß, Alexander Neumann, Nils G. Margraf
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/14/11/1459
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author Ulf Jensen-Kondering
Katharina Heß
Alexander Neumann
Nils G. Margraf
author_facet Ulf Jensen-Kondering
Katharina Heß
Alexander Neumann
Nils G. Margraf
author_sort Ulf Jensen-Kondering
collection DOAJ
description In the elderly, cerebral amyloid angiopathy (CAA) is the most common cause for intracranial lobar hemorrhages. CAA is caused by the accumulation of amyloid-β fibrils in cortical and leptomeningeal vessels. In 2022, the Boston Criteria 2.0 became the new diagnostic standard for CAA, following the Modified Boston Criteria of 2010. The diagnostic criteria are a composite of clinical, imaging and histopathological findings. In the latest version of the Boston Criteria, neuroradiological imaging findings were even expanded compared to the previous version. Crucially, the correct application of the diagnostic criteria is necessary to avoid over- and underdiagnosis. The aim of this review is to demonstrate the diagnostic criteria for CAA with an emphasis on typical imaging findings which are part of the Boston Criteria 2.0 and other imaging findings suggestive of CAA.
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series Biomolecules
spelling doaj-art-ea2a4cc7a96444ed9dda6ad0780e88892025-08-20T02:08:02ZengMDPI AGBiomolecules2218-273X2024-11-011411145910.3390/biom14111459Neuroradiological Findings in Cerebral Amyloid Angiopathy with a Particular Consideration of the Boston Criteria 2.0: An Imaging ReviewUlf Jensen-Kondering0Katharina Heß1Alexander Neumann2Nils G. Margraf3Department of Neuroradiology, University Medical Centre Schleswig-Holstein, Campus Lübeck, 23538 Lübeck, GermanyDepartment of Pathology, University Medical Centre Schleswig-Holstein, Campus Kiel, 24105 Kiel, GermanyDepartment of Neuroradiology, University Medical Centre Schleswig-Holstein, Campus Lübeck, 23538 Lübeck, GermanyDepartment of Neurology, University Medical Centre Schleswig-Holstein, Campus Kiel, 24105 Kiel, GermanyIn the elderly, cerebral amyloid angiopathy (CAA) is the most common cause for intracranial lobar hemorrhages. CAA is caused by the accumulation of amyloid-β fibrils in cortical and leptomeningeal vessels. In 2022, the Boston Criteria 2.0 became the new diagnostic standard for CAA, following the Modified Boston Criteria of 2010. The diagnostic criteria are a composite of clinical, imaging and histopathological findings. In the latest version of the Boston Criteria, neuroradiological imaging findings were even expanded compared to the previous version. Crucially, the correct application of the diagnostic criteria is necessary to avoid over- and underdiagnosis. The aim of this review is to demonstrate the diagnostic criteria for CAA with an emphasis on typical imaging findings which are part of the Boston Criteria 2.0 and other imaging findings suggestive of CAA.https://www.mdpi.com/2218-273X/14/11/1459cerebral amyloid angiopathyBoston CriterianeuroimagingMRICT
spellingShingle Ulf Jensen-Kondering
Katharina Heß
Alexander Neumann
Nils G. Margraf
Neuroradiological Findings in Cerebral Amyloid Angiopathy with a Particular Consideration of the Boston Criteria 2.0: An Imaging Review
Biomolecules
cerebral amyloid angiopathy
Boston Criteria
neuroimaging
MRI
CT
title Neuroradiological Findings in Cerebral Amyloid Angiopathy with a Particular Consideration of the Boston Criteria 2.0: An Imaging Review
title_full Neuroradiological Findings in Cerebral Amyloid Angiopathy with a Particular Consideration of the Boston Criteria 2.0: An Imaging Review
title_fullStr Neuroradiological Findings in Cerebral Amyloid Angiopathy with a Particular Consideration of the Boston Criteria 2.0: An Imaging Review
title_full_unstemmed Neuroradiological Findings in Cerebral Amyloid Angiopathy with a Particular Consideration of the Boston Criteria 2.0: An Imaging Review
title_short Neuroradiological Findings in Cerebral Amyloid Angiopathy with a Particular Consideration of the Boston Criteria 2.0: An Imaging Review
title_sort neuroradiological findings in cerebral amyloid angiopathy with a particular consideration of the boston criteria 2 0 an imaging review
topic cerebral amyloid angiopathy
Boston Criteria
neuroimaging
MRI
CT
url https://www.mdpi.com/2218-273X/14/11/1459
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