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Abstract #0766

Temporal Dynamics of ARIA-E: Quantifying Longitudinal Changes in Amyloid-Related Imaging Abnormalities

Ela Kanani1, Elizabeth Powell1, Daniel C. Alexander1, Frederik Barkhof1,2,3,4, Millie Beament2, Nick Fox2, Ian Malone2, Catherine Mummery2, Miguel Rosa-Grilo2, David Thomas2, and Geoff J.M. Parker1,2,4,5
1Centre For Medical Image Computing, Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 2Dementia Research Centre (DRC), Queen Square Institute of Neurology, University College London, London, United Kingdom, 3Department of Radiology and Nuclear Medicine, Amsterdam UMC, Amsterdam, Netherlands, 4Queen Square Analytics, London, United Kingdom, 5Bioxydyn Limited, Manchester, United Kingdom

Synopsis

Keywords: Data Processing, Alzheimer's Disease, Amyloid Related Imaging Abnormalities

Motivation: Using anti-amyloid monoclonal antibodies to treat Alzheimer’s disease (AD) can lead to ‘Amyloid-Related Imaging Abnormalities’ (ARIA), indicative of oedema (ARIA-E). ARIA-E's transient nature poses diagnostic challenges, necessitating efficient detection and monitoring, which is critical for drug development for AD.

Goal(s): This study aims to develop methods for quantifying and tracking ARIA-E across multiple longitudinal scans, including subtle manifestations.

Approach: Temporal variance and gradient maps were computed using serial ultra-rapid 3D FLAIR scans. Data-driven methods were employed to assess statistical significance of changes.

Results: The proposed maps highlight significant regions of change in the presence of varying levels of ARIA-E.

Impact: This work has facilitated the tracking of statistically significant ARIA-E over multiple serial scans, which will enable further automatic detection methods. These methods may inform dose adjustment and patient safety measures, which is important as anti-amyloid monoclonal antibodies become commonplace.

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Keywords