Structural correlations between brain magnetic resonance image‐derived phenotypes and retinal neuroanatomy

Author:

Sun Zihan1ORCID,Zhang Bing2,Smith Stephen3,Atan Denize45,Khawaja Anthony P.1,Stuart Kelsey V.1ORCID,Luben Robert N.1,Biradar Mahantesh I.1,McGillivray Thomas6,Patel Praveen J.1,Khaw Peng T.1,Petzold Axel78,Foster Paul J.1ORCID,

Affiliation:

1. National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital National Health Service Foundation Trust and University College London Institute of Ophthalmology London UK

2. National Clinical Research Centre for Ocular Diseases, Eye Hospital Wenzhou Medical University Wenzhou China

3. Wellcome Centre for Integrative Neuroimaging (WIN Functional Magnetic Resonance Imaging Building) University of Oxford Oxford UK

4. Bristol Eye Hospital University Hospitals Bristol and Weston NHS Foundation Trust Bristol UK

5. Translational Health Sciences, Bristol Medical School University of Bristol Bristol UK

6. Centre for Clinical Brain Sciences University of Edinburgh Edinburgh UK

7. Queen Square Institute of Neurology, University College London, Department of Molecular Neurosciences Moorfields Eye Hospital and National Hospital for Neurology and Neurosurgery London UK

8. Departments of Neurology and Ophthalmology and Expertise Center for Neuro‐ophthalmology Amsterdam University Medical Centre Amsterdam the Netherlands

Abstract

AbstractBackground and purposeThe eye is a well‐established model of brain structure and function, yet region‐specific structural correlations between the retina and the brain remain underexplored. Therefore, we aim to explore and describe the relationships between the retinal layer thicknesses and brain magnetic resonance image (MRI)‐derived phenotypes in UK Biobank.MethodsParticipants with both quality‐controlled optical coherence tomography (OCT) and brain MRI were included in this study. Retinal sublayer thicknesses and total macular thickness were derived from OCT scans. Brain image‐derived phenotypes (IDPs) of 153 cortical and subcortical regions were processed from MRI scans. We utilized multivariable linear regression models to examine the association between retinal thickness and brain regional volumes. All analyses were corrected for multiple testing and adjusted for confounders.ResultsData from 6446 participants were included in this study. We identified significant associations between volumetric brain MRI measures of subregions in the occipital lobe (intracalcarine cortex), parietal lobe (postcentral gyrus), cerebellum (lobules VI, VIIb, VIIIa, VIIIb, and IX), and deep brain structures (thalamus, hippocampus, caudate, putamen, pallidum, and accumbens) and the thickness of the innermost retinal sublayers and total macular thickness (all p < 3.3 × 10−5). We did not observe statistically significant associations between brain IDPs and the thickness of the outer retinal sublayers.ConclusionsThinner inner and total retinal thicknesses are associated with smaller volumes of specific brain regions. Notably, these relationships extend beyond anatomically established retina–brain connections.

Funder

UK Research and Innovation

Fight for Sight UK

Publisher

Wiley

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