Recent evidence shows that neuroinflammation plays a role in many
neurological diseases including Alzheimer’s disease (AD), and that free water
(FW) diffusion imaging can be sensitive to this phenomenon. We processed MRI data
from the ADNIGO and ADNI2 databases with a state-of-the-art processing pipeline
that uses T1 weighted (T1w), diffusion weighted (DW), and fluid-attenuated
inversion recovery (FLAIR) scans to extract FW fractional volume in normal
appearing white matter. We call this metric relative FW volume (rFW volume). We
demonstrate for the first time that rFW volume in white matter is higher for
subjects with greater cognitive impairments.
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