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- W2897254858 abstract "The brain perivascular space is a route of fluid flow serving to maintain brain homeostasis[1, 2]. Recent studies have shown clearance of interstitial wastes including Aβ by way of the perivascular compartment[2]. Pathological enlargement of perivascular spaces (ePVS) recently has been considered in the context of Alzheimer's[3, 4] and amyloid pathologies[5, 6]. Using novel automated methods for automatically segmenting ePVS in MRI, we evaluated regional ePVS characteristics and amyloid burden in subjects from the ADNI repository. T1 images from 96 ADNI datasets (Table 1) were used to segment white matter (WM) and gray matter compartments (Freesurfer). A modified automated method was applied to segment ePVS based on voxel intensity (AFNI) and per ePVS morphological characteristics (MATLAB)[7]. Deep WM voxels were parcellated by the relative frequency of lobar membership in surrounding juxtacortical WM (FreeSurfer). A k-nearest neighbor algorithm was applied to measure the distance between the ePVS and the cortical ribbon (MATLAB). Clinical, demographic, CSF amyloid, and binary Florbetapir positivity[8] were obtained from the ADNI repository. See Table for summary participant characteristics including ePVS morphology. Frontal and parietal lobes contained the largest normalized count and volume of ePVS compared to occipital and temporal lobes (t(95)=12.5 and 13.6, respectively, p<.0001), although larger (volume, width, length) ePVS localized to occipital and parietal lobes (Figure 2). Age was positively associated with ePVS volume and count (R= 0.34, p <0.001). In amyloid positive participants, high CSF Aβ was associated with low ePVS burden in occipital and parietal regions (p<0.01, p<0.05, respectively, Figure 3) . Per ePVS characteristics by lobe (top row) and whole brain (bottom row). Whole brain per-unit-tissue-volume ePVS counts and volumes by lobe (left) and a probability map overlaid on a standard brain (right). Relationship between lobar ePVS burden and CSF Aβ among Amyloid PET positive (blue dots) and negative (black dots) subjects. Among amyloid positive subjects, there was a significant relationship between high CSF Aβ and low ePVS burden in the parietal and occipital lobe, specifically. This report is the first to characterize regional and morphological ePVS in the ADNI datasets and the first to identify regional ePVS with respect to amyloid burden. While frontal and parietal regions had the highest ePVS per unit tissue volume, findings of highest cluster-wise volume in the occipital lobe, in tandem with observations that this region was particularly sensitive to the relationship between amyloid and ePVS, suggest differential draining/clearance characteristics by region. Further analysis of regional amyloid deposition in relation to these findings could provide important insight into the role of ePVS in amyloid clearance and AD risk." @default.
- W2897254858 created "2018-10-26" @default.
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- W2897254858 date "2018-07-01" @default.
- W2897254858 modified "2023-10-16" @default.
- W2897254858 title "P2‐425: REGIONAL AND MORPHOLOGICAL CHARACTERISTICS OF ENLARGED PERIVASCULAR SPACES IN RELATIONSHIP TO AMYLOID PET AND CSF Aβ IN ADNI DATASETS" @default.
- W2897254858 doi "https://doi.org/10.1016/j.jalz.2018.06.1117" @default.
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