The intramural periarterial drainage pathway is critical for the elimination of metabolic waste products from the brain. In a number of neurological diseases such as Alzheimer’s Disease, blood-brain barrier damage and increased vascular permeability may play an important role in the pathogenesis. Leakiness of the blood-brain barrier allows fibrin(ogen), hemosiderin and metabolic wastes to exudate and deposit around the vessels in the basal ganglia. In order to test this hypothesis, we evaluated the relationship between blood-brain barrier permeability measured as ktrans and hemosiderin deposition in 76 subjects scanned at 3T MRI.
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