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Abstract #0068

Choroid plexus function and structure across the lifespan as evaluated using perfusion-weighted MRI: implications for glymphatic dysfunction

Jarrod J. Eisma1, Colin D. McKnight2, Kilian Hett1, Jason Elenberger1, Daniel O. Claassen1, and Manus J. Donahue1,3
1Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, United States, 2Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 3Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, United States

Synopsis

The choroid plexus (ChP) has gained recent attention due to its potential functional relevance for cerebral glymphatic circulation. Here, a novel arterial spin labelling sequence and deep learning algorithm were applied to quantify ChP volume, perfusion, and volumetric flow across the healthy lifespan and in neurodegenerative participants with Parkinson’s disease (PD) to test the hypotheses that ChP hypertrophy and hypoperfusion are associated with increasing age and neurodegeneration. ChP volume increased with age, whereas perfusion decreased with age (p<0.01). In PD, ChP volumetric flow increases were more pronounced relative to age-matched healthy controls, consistent with compensatory stimulation of cerebrospinal fluid production.

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