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Abstract #4067

Effects of mild cognitive impairment and disorders of mineral metabolism on structural changes of brain in hemodialysis patients

Huijie Yuan1, Zhaoyao Luo1, Jing Yang1, Shaohui Ma1, Wen Gu1, Xinyi Zhu1, Peng Li1, Hang Su1, Ronghua He1, Xiaocheng Wei2, Junya Mu1, and Ming Zhang1
1Department of Medical Imaging, First Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China, 2GE HealthCare MR Research, Beijing, China

Synopsis

Keywords: Dementia, Dementia

Motivation: Brain damage in end-stage renal disease patients with mild cognitive impairment (ESRD-MCI) has not yet been elucidated.

Goal(s): Our goal was to determine the characteristics of alterations in gray matter (GM) structure and the neurobiological mechanisms in ESRD-MCI patients.

Approach: We utilized voxel-based morphology to analyze GM volume alterations in ESRD-MCI patients.

Results: Results demonstrated that MCI in ESRD patients was predominantly impaired in the left middle temporal gyrus, completely mediating the effect of serum phosphorus on MCI.

Impact: Our demonstration of a detectable volume decline in the left middle temporal gyrus utilizing structural MRI provides a quantitative metric to be utilized within clinical therapy trials for intervention of MCI in ESRD patients.

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Keywords