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Alzheimer's

Unlocking the Secrets of Heart Health through AI-Powered Mammograms

Mammograms, with the help of artificial intelligence (AI) models, may reveal much more than cancer, according to a new study. The findings highlight how these important cancer screening tools can also be used to assess the amount of calcium buildup in the arteries within breast tissue — an indicator of cardiovascular health.

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The American College of Cardiology’s Annual Scientific Session (ACC.25) recently showcased a groundbreaking study that sheds new light on the capabilities of mammograms. These essential cancer screening tools have long been used to detect breast cancer, but now, with the aid of artificial intelligence (AI) models, they can also serve as a window into heart health.

The U.S. Centers for Disease Control and Prevention recommends that middle-aged and older women receive regular mammograms, which are performed over 40 million times annually in the United States. However, radiologists typically do not quantify or report information on breast artery calcifications, which can be seen on these images. This study demonstrates how AI image analysis techniques can automatically analyze breast arterial calcification and provide a cardiovascular risk score.

“We see an opportunity for women to get screened for cancer and also receive a cardiovascular screen from their mammograms,” said Theo Dapamede, MD, PhD, the lead author of the study. The researchers used an AI model to segment calcified vessels in mammogram images and calculate the future risk of cardiovascular events based on data obtained from electronic health record data.

The findings are significant, as heart disease is the leading cause of death in the United States, yet it remains underdiagnosed in women and awareness about this condition lags. By utilizing AI-enabled mammogram screening tools, researchers can identify more women with early signs of cardiovascular disease, taking advantage of routine screenings that many women already receive.

A buildup of calcium in blood vessels is a sign of cardiovascular damage associated with early-stage heart disease or aging. Previous studies have shown that women with calcium buildup in the arteries face a 51% higher risk of heart disease and stroke.

To develop this screening tool, researchers trained a deep-learning AI model on a large dataset, which included images and health records from over 56,000 patients who had a mammogram at Emory Healthcare between 2013 and 2020. The model was then tested for its ability to characterize patients’ cardiovascular risk as low, moderate, or severe based on mammogram images.

The results showed that the AI model performed well in characterizing patients’ cardiovascular risk. After calculating the risk of dying from any cause or suffering an acute heart attack, stroke, or heart failure at two years and five years, the model demonstrated that the rate of these serious cardiovascular events increased with breast arterial calcification level in two of the three age categories assessed – women younger than age 60 and age 60-80, but not in those over age 80.

The researchers also found that women with the highest level of breast arterial calcification (above 40 mm2) had a significantly lower five-year rate of event-free survival compared to those with the lowest level (below 10 mm2). This translates to approximately 2.8 times the risk of death within five years in patients with severe breast arterial calcification compared to those with little to no breast arterial calcification.

The AI model was developed as a collaboration between Emory Healthcare and Mayo Clinic, but it is not currently available for use. If it passes external validation and gains approval from the U.S. Food and Drug Administration, researchers said the tool could be made commercially available for other healthcare systems to incorporate into routine mammogram processing and follow-up care.

The researchers also plan to explore how similar AI models could be used for assessing biomarkers for other conditions, such as peripheral artery disease and kidney disease, that might be extracted from mammograms.

Alzheimer's

The Surprising Link Between Curiosity and Healthy Aging

Psychology literature has shown that curiosity tends to decline with age. Psychologists shows one type of curiosity can increase well into old age, contradicting prior research. Older adults who maintain curiosity and want to learn new things relevant to their interests may be able to offset or even prevent Alzheimer’s disease. Conversely, those who show muted curiosity and disinterest may be at risk for dementia.

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The secret to aging successfully may not be what you think. Instead of focusing on physical exercise or mental stimulation alone, research suggests that cultivating curiosity can play a significant role in maintaining cognitive health and even preventing Alzheimer’s disease. An international team of psychologists has found that older adults who maintain a curious mindset and seek out new knowledge relevant to their interests may be able to offset or prevent dementia.

This finding challenges prior research that suggested curiosity decreases with age. The study, published in the journal PLOS One, was led by UCLA psychologist Alan Castel and involved a large sample of participants between the ages of 20 and 84. The researchers aimed to tease apart two types of curiosity: trait curiosity (a general level of inquisitiveness) and state curiosity (a momentary feeling of curiosity experienced when engaging with specific topics).

To assess these forms of curiosity, the researchers asked participants to complete an online questionnaire and guess answers to hard trivia questions. Analysis showed that while trait curiosity did decline across the adult lifespan, state curiosity increased sharply after middle age and continued upward well into old age.

The study’s lead author, Mary Whatley, notes that this finding may be related to selectivity theory, which suggests that as people get older, they become more selective about what they want to learn. This aligns with research on lifelong learning, where many older adults engage in activities like taking classes or picking up hobbies.

Castel’s own work on memory has shown that people tend to quickly forget information that doesn’t engage their curiosity. Anecdotally, many older adults report that staying curious is crucial for maintaining cognitive health and preventing dementia.

This study was supported by the National Institutes of Health’s National Institute on Aging, the Leverhulme Trust, and the Alexander von Humboldt Foundation. The findings suggest that cultivating curiosity can be a key factor in healthy aging and may even help prevent or offset Alzheimer’s disease.

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Alzheimer's

“Unlocking Brain Resilience: Researchers Discover CLU Protein’s Potential to Protect Against Alzheimer’s Disease”

Recently approved Alzheimer’s drugs offer a step forward for treating the disease, but new therapeutic strategies are needed to complement them and provide personalized therapeutic approaches. Researchers have identified a potential strategy to protect against Alzheimer’s disease by increasing the clusterin protein (CLU).

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As scientists continue to search for effective treatments for Alzheimer’s disease, a recent study has shed light on a promising new approach. Researchers at Mass General Brigham have discovered that increasing levels of the “CLU” (clusterin) protein may protect against cognitive decline and potentially provide a complementary therapy to existing treatments.

Led by Dr. Tracy Young-Pearse, the research team used various models, including human brain tissue from over 700 participants and animal models, to uncover the molecular role of CLU in protecting against neurodegeneration. Their findings suggest that increasing CLU can prevent inflammatory interactions between brain cells called astrocytes and microglia, which are associated with heightened inflammation.

The study’s results have significant implications for the design and testing of new therapeutic strategies for Alzheimer’s disease. As Dr. Young-Pearse noted, “Increasing clusterin has the potential to prevent cognitive decline in a way that is different than and complementary to anti-amyloid therapies to promote brain resilience.”

CLU may also be beneficial for treating other age-related brain diseases, many of which share similar mechanisms of neuroinflammatory dysregulation. The researchers emphasize the importance of personalized therapeutic approaches, as individuals’ responses to CLU upregulation vary based on their genetics.

The study’s findings provide a crucial step forward in the search for effective treatments for Alzheimer’s disease and other age-related brain diseases. By understanding the role of CLU in protecting against neurodegeneration, researchers can develop new strategies to promote brain resilience and potentially prevent cognitive decline.

In conclusion, the discovery of CLU’s potential therapeutic benefits offers new hope for individuals affected by Alzheimer’s disease and other age-related brain disorders. Further research is necessary to fully explore this promising approach, but the findings of this study mark an important milestone in the pursuit of effective treatments for these debilitating diseases.

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Alzheimer's

Physical Activity in Middle Age May Help Prevent Alzheimer’s Disease

An increase in physical activity between the ages of 45 and 65 could help prevent Alzheimer’s disease, while inactivity may be detrimental to brain health.

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Physical Activity in Middle Age May Help Prevent Alzheimer’s Disease

A recent scientific study has shed light on the importance of physical activity in middle age for preventing Alzheimer’s disease. The research, published in Alzheimer’s & Dementia, highlights the need to promote physical activity among adults aged 45-65.

The study found that increasing physical activity during this period can help prevent Alzheimer’s disease, while a sedentary lifestyle may be detrimental to brain health. In fact, it is estimated that 13% of Alzheimer’s disease cases worldwide can be attributed to physical inactivity.

The World Health Organization (WHO) recommends at least 150-300 minutes of moderate activity per week or 75-150 minutes of vigorous activity per week. While extensive research has shown that exercise reduces the risk of Alzheimer’s disease by improving cardiovascular and mental health, this study suggests that physical activity may have a direct impact on the development of brain pathology associated with the disease.

The research team conducted a four-year follow-up of middle-aged residents of Catalonia with a family history of Alzheimer’s disease. Participants were classified as adherent (meeting WHO recommendations), non-adherent (doing less than the recommended amount of physical activity), and sedentary (doing zero minutes of physical activity per week).

The study found that participants who increased their physical activity to meet WHO-recommended levels showed less beta-amyloid accumulation, a protein that can impair neural communication when it accumulates in the brain. Moreover, this effect appeared to be dose-dependent; the greater the increase in activity, the greater the reduction in amyloid burden.

Non-sedentary participants also showed a greater cortical thickness in brain regions associated with Alzheimer’s disease. Cortical thickness is crucial for memory, and its thinning or atrophy (loss of volume) is an early sign of neurodegeneration.

“The findings reinforce the importance of promoting physical activity in middle age as a public health strategy for Alzheimer’s prevention,” emphasizes Eider Arenaza-Urquijo, ISGlobal researcher and lead investigator of the study. “Interventions aimed at promoting increased physical activity could be key to reducing the incidence of the disease in the future.”

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