Blood-brain barrier (BBB) dysfunction has been observed in multiple neurodegenerative conditions, including mild cognitive impairment (MCI) and Alzheimer’s disease (AD). However recent concerns on the repeated use of Gadolinium based contrast agents (GBCAs), prompted us to investigate alternative, non-invasive methods for measuring BBB health. Diffusion-prepared arterial spin labelling (DP-ASL) imaging was implemented at 3T to determine water exchange rates (Kw) in 55 participants, comprising MCI, early AD and control participants. We found Kw to be associated with cognitive performance, suggesting it may be a useful imaging biomarker of early AD pathology.
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