Enlarged perivascular spaces (EPVS) are common in aging and have been linked to increased risk of stroke, lower cognitive function, and vascular dementia. However, the neuropathologic correlates of EPVS, as well as the contributions of EPVS to cognition, are not well understood. In this work, we first developed a deep-learning algorithm for automatic segmentation and full quantification of whole brain and regional EPVS, and then studied the neuropathologic correlates of EPVS as well as the contributions of EPVS on cognition in a large community-based cohort of older adults.
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