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Abstract #2665

Improved DCE-MRI analyses of blood-brain barrier integrity in subjective memory and mild cognitive impairment: New results from the CANN trial

Rashed Sobhan1, David R. Willis2, Rachel Gillings2, Michael J. Thrippleton3, Joanna M. Wardlaw3, Anne-Marie Minihane2, Narelle M. Berry2, and Donnie Cameron1,4
1Norwich Medical School, University of East Anglia, Norwich, United Kingdom, 2University of East Anglia, Norwich, United Kingdom, 3University of Edinburgh, Edinburgh, United Kingdom, 4Department of Radiology, C.J. Gorter Centre for High Field MRI, Leiden University Medical Centre, Leiden, Netherlands

Synopsis

Keywords: Alzheimer's Disease, Permeability, DCE-MRI, Low-level Blood-brain-barrier Leakage, Mild cognitive impairmentWe implemented recent developments in DCE-MRI pre-processing and analysis techniques to compare local differences in blood brain barrier (BBB) integrity in subjective memory impairment (SMI) and mild cognitive impairment (MCI), two early indicators of Alzheimer’s disease. Also, as part of the CANN trial, we explored the impact of a combined flavanol and omega-3 fatty acid-based nutritional intervention on BBB leakage. The results show that BBB leakage in memory processing regions can distinguish between SMI and MCI, and thus can be used to quantitatively assess the progress of cSVD towards onset of MCI and/or early indication of Alzheimer’s disease.

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