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Abstract #0664

Difference in the spatial pattern of brain atrophy associated with Alzheimer’s and LATE neuropathology

Khalid Saifullah1, Abdur Raquib Ridwan2, David A. Bennett2, Julie A. Schneider2, and Konstantinos Arfanakis1,2
1Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL, United States, 2Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, IL, United States

Synopsis

Keywords: Other Neurodegeneration, Aging, LATE, Alzheimer’s, Neuropathology, Aging, Postmortem MRI

Motivation: Alzheimer’s disease neuropathologic change (AD-NC) and limbic-predominant age-related TDP-43 encephalopathy neuropathologic change (LATE-NC) are common age-related pathologies and are associated with brain atrophy, especially in the medial temporal lobe. However, the difference in atrophy patterns associated with the two pathologies is not well known.

Goal(s): To investigate the difference in brain atrophy patterns associated with AD-NC and LATE-NC.

Approach: Ex-vivo MRI and detailed neuropathology were combined in a large number of community-based older adults that came to autopsy.

Results: LATE-NC stages 2 or 3 are associated with more atrophy in the anterior portion of the hippocampus compared to moderate or severe AD-NC.

Impact: Atrophy in the anterior portion of the hippocampus is more severe with LATE-NC stages 2 or 3 than with moderate or severe AD-NC.

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Keywords