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Abstract #3907

In vivo microstructural mapping of the hippocampus in older adults with familial risk for Alzheimer’s disease

Alfie Wearn1, Stéfanie A. Tremblay2,3, Ilana R. Leppert4, Giulia Baracchini1, Colleen Hughes1, Gary R. Turner5, Claudine Gauthier2,3, Christine L. Tardif1,6,7, and R. Nathan Spreng1,6,8,9
1Montreal Neurological Institute, McGill University, Montreal, QC, Canada, 2Department of Physics, Concordia University, Montreal, QC, Canada, 3Montreal Heart Institute, Montreal, QC, Canada, 4McGill University, Montreal, QC, Canada, 5Department of Psychology, York University, Toronto, ON, Canada, 6McConnell Brain Imaging Centre, McGill University, Montreal, QC, Canada, 7Department of Biomedical Engineering, McGill University, Montreal, QC, Canada, 8Douglas Mental Health University Institute, Montreal, QC, Canada, 9Departments of Psychology and Psychiatry, McGill University, Montreal, QC, Canada

Synopsis

Keywords: Alzheimer's Disease, Quantitative Imaging, Hippocampus, Microstructure

Motivation: Understanding prodromal Alzheimer’s disease is essential for treatment development. Hippocampal volume loss indicates significant atrophy and may occur too late to slow disease progression.

Goal(s): We aimed to precisely map spatial variation in hippocampal microstructure in vivo using quantitative MRI in prodromal AD.

Approach: We use multiparametric quantitative MRI to comprehensively map hippocampal microstructure in healthy older adults with first-degree family history of Alzheimer’s disease and correlate maps with demographic risk factors for Alzheimer's disease.

Results: We identified two key contributors of microstructural variation (myelin content and free water). We revealed localized age-related demyelination and sex differences in hippocampal proton density.

Impact: This research provides crucial insights into age-related hippocampal microstructural changes and their implications for Alzheimer's disease. It has the potential to advance early detection and intervention strategies, ultimately improving patient outcomes in Alzheimer's disease management.

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