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Abstract #0215

Glutamate-Sensitive CEST in Cortical Gray Matter: Application to Cognitive Impairment in Multiple Sclerosis

Kristin P. O'Grady1,2, Adrienne N. Dula3,4,5, Bailey D. Lyttle1,2, Benjamin N. Conrad2, Bailey A. Box1,2, Siddharama Pawate6, Francesca R. Bagnato6, and Seth A. Smith1,2,7

1Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 2Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN, United States, 3Stroke Institute, Seton Dell Medical School, Austin, TX, United States, 4Department of Neurology, Seton Dell Medical School, Austin, TX, United States, 5Department of Neuroscience, University of Texas, Austin, TX, United States, 6Department of Neurology, Vanderbilt University, Nashville, TN, United States, 7Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, United States

Altered glutamate regulation in gray matter (GM) has been implicated in the pathogenesis of cognitive impairment in multiple sclerosis (MS), but such pathology in GM is subtle and difficult to detect using conventional MRI techniques. In this work, we apply a quantitative, glutamate-sensitive chemical exchange saturation transfer (GluCEST) MRI technique at 7.0T to gain new insights into molecular changes underlying GM pathology and their relationship to cognitive impairment in MS. We found significant differences in cortical GM GluCEST contrast between healthy controls and patients with MS, and in some cortical regions, GluCEST contrast correlates significantly with measures of cognitive impairment.

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