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Abstract #2862

Glymphatic system impairment in Type 2 diabetes mellitus associated with cognitive function

Jie Gao1, Peichun Pan1, Dongsheng Zhang1, Xuejiao Yan1, Min Tang1, Jing Li1, Xin Zhang1, Kai Ai2, Peng Wu3, Xiaoyan Lei1, and Xiaoling Zhang1
1Department of MRI, Shaanxi Provincial People’s Hospital, Xi’an, China, 2Philips Healthcare, Xi’an, China, 3Philips Healthcare, Shanghai, China

Synopsis

Keywords: DWI/DTI/DKI, Diabetes

Motivation: T2DM has emerged as an important risk factor for cognitive impairment. However, the neuropathological basis of the cognitive impairment associated with T2DM is still unclear.

Goal(s): To investigate whether the impaired glymphatic function is one of the mechanisms in T2DM-associated cognitive dysfunction.

Approach: We compared the glymphatic function by calculating the diffusion along the perivascular space based on a diffusion tensor image, namely the DTI-ALPS index between HCs and patients with T2DM and investigated the relationship between DTI-ALPS index and cognitive functions.

Results: The lower DTI-ALPS index was found in patients with T2DM, and DTI-ALPS index was correlated with worse cognitive performance.

Impact: DTI-ALPS index may be applied as a useful indicator to evaluate the glymphatic system function. The impaired glymphatic system in patients with T2DM may provide a new perspective for understanding the pathophysiology of T2DM related cognitive impairment.

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