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Abstract #2623

Magnetic Resonance Imaging Findings Suggest that Cortical Thickness Mediates Glymphatic Effects on Cognitive Function in Alzheimer’s Disease

Yihao Guo1, Tao Liu1, Weiyuan Huang1, Huijuan Chen1, Jinxia Zhu2, and Feng Chen1
1Hainan General Hospital, Haikou, China, 2MR Research Collaboration, Siemens Healthineers, Beijing, China, Beijing, China

Synopsis

Keywords: Alzheimer's Disease, Alzheimer's Disease, Cognition

Motivation: Glymphatic function, which eliminates soluble proteins from the brain, is positively associated with cognitive function for patients with Alzheimer’s disease (AD).

Goal(s): To analyze whether the associations between glymphatic function and cognitive function were mediated by regional cortical thickness (CTh) for patients with AD.

Approach: Mediator analysis was conducted to explore the ALPS index as a predictor, regional CThs as mediators, and cognitive test scores as outcomes.

Results: Mediation analysis showed that regional CTh was a significant mediator between ALPS index and executive function.

Impact: CTh is a key mediator between impaired glymphatic function and cognitive decline. Our findings provide insights regarding associations between decreased glymphatic function and cognitive decline in patients with AD.

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