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Abstract #4056

Advanced CEST MRI processing pipeline in pilot study of Cognitively Impaired patients vs Normal Controls

Alexander Asturias1, Fang Frank Yu1, Elizabeth Davenport1,2, Brendan Kelley3, Ivan Dimitrov4, Jochen Keupp5, and Elena Vinogradov1,4
1Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 2Advanced Imaging Research Center, UT Southwestern, Dallas, TX, United States, 3Neurology, UT Southwestern Medical Center, Dallas, TX, United States, 4Philips Healthcare, Gainsville, FL, United States, 5Philips Research, Hamburg, Germany

Synopsis

Keywords: Alzheimer's Disease, CEST & MT, Alzheimer's Disease

Motivation: Alzheimer's disease(AD) presents a major public health and economic challenge, necessitating reliable early detection of biomarkers such as tau and beta-amyloid protein accumulation.

Goal(s): Our primary aim was to establish a standardized neuro CEST MRI pipeline, integrating established neuroimaging tools with CEST processing, and applying it to differentiating cognitively impaired(CI) from normal control(NC).

Approach: A pilot study included nine CI and three NC individuals imaged with a mDixon CEST MRI and processed with a proposed pipeline.

Results: The pipeline effectively reduced erroneous signals in CEST maps and identified significant regional differences between CI and NC(p<0.05).

Impact: The successful implementation of CEST-MRI in AD patients could lead to more timely interventions, guide therapeutic strategies, improve patient outcomes, and decrease the overall cost.

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