Correlation of Blood Metal Concentrations with Cognitive Scores and Neuroimaging Findings in Patients with Total Joint Arthroplasty

Alican Beba, Stephanie M. Peterson, Peter C. Brennan, Jamie O'Byrne, Mary M. MacHulda, Paul I. Jannetto, Prashanthi Vemuri, David G. Lewallen, Hilal Maradit Kremers, Maria Vassilaki

Research output: Contribution to journalArticlepeer-review

Abstract

Total joint arthroplasty (TJA) implants are composed of metals, ceramics, and/or polyethylene. Studies suggest that the debris released from metal implants may possess neurotoxic properties with reports of neuropsychiatric symptoms and memory deficits, which could be relevant to Alzheimer's disease and related dementias. This exploratory study examined the cross-sectional correlation of blood metal concentrations with cognitive performance and neuroimaging findings in a convenience sample of 113 TJA patients with history of elevated blood metal concentrations of either titanium, cobalt and/or chromium. Associations with neuroimaging measures were observed but not with cognitive scores. Larger studies with longitudinal follow-up are warranted.

Original languageEnglish (US)
Pages (from-to)1335-1342
Number of pages8
JournalJournal of Alzheimer's Disease
Volume94
Issue number4
DOIs
StatePublished - 2023

Keywords

  • Alzheimer's disease
  • blood metal concentrations
  • chromium
  • cobalt
  • cognitive function
  • cognitive scores
  • magnetic resonance imaging
  • titanium
  • total joint arthroplasty

ASJC Scopus subject areas

  • General Neuroscience
  • Clinical Psychology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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