White matter hyperintensity (WMH) has been associated with cognitive and motor decline. The condition is of presumed vascular origin and may involve decreased blood brain barrier (BBB) integrity. A double contrast injection scheme was used to access both dynamic contrast enhanced (DCE) and dynamic susceptibility contrast (DSC) perfusion-related parameters in an asymptomatic population with high prevalence of WMH. The mean transit time (MTT) was found to be significantly prolonged (5.87, p=0.002) in WMH when compared to normal appearing white matter and that there was no significant change in Ktrans (0.018, p=0.351) between the lesions and the white/gray matter.
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