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Abstract #4200

Combining brain MRI and MRS, neuropsychological testing and brain-derived cell-free DNA level for the early detection of Alzheimer’s Disease

Giovanni Sighinolfi1, Elena Cantoni1, Maria Giulia Bacalini1, Micaela Mitolo1,2, Luisa Sambati1, Lucia Guidi1, David Neil Manners1,3, Susy Ferrari1, Rossella Santoro1, Luca Morandi1,4, Virginia Pollarini1, Camilla Pellegrini1, Ravaioli Francesco1, Chiara Pirazzini5, Pietro Cortelli1,4, Raffaele Lodi1,4, and Caterina Tonon1,4
1IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy, 2Department of Medicine and Surgery, University of Parma, Parma, Italy, 3Department of Life Quality Studies, University of Bologna, Bologna, Italy, 4Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy, 5Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy

Synopsis

Keywords: Alzheimer's Disease, Brain, Morphometry; Spectroscopy; cell-free DNA; Biomarkers;

Motivation: There is a lack of biomarkers in elderly people with ongoing subjective or clinical cognitive decline that indicate evolution to Alzheimer’s disease, necessary for the timely identification of candidate for pharmacological treatment or cognitive rehabilitation.

Goal(s): Our goal was to determine whether combining MR, neuropsychological and biological data could provide robust biomarkers for this purpose.

Approach: We evaluated patients with subjective cognitive decline, mild cognitive impairment, Alzheimer’s disease and healthy individuals, using a multimodal approach.

Results: We identified candidate biomarkers of condition worsening at early stages of the disease among alterations possibly explained by ongoing neurodegeneration.

Impact: Our results support the combined investigation of imaging, biological and neuropsychological data to detect patients in the early stages of the Alzheimer’s disease spectrum, who may undergo active neurodegeneration and worsening of the condition.

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Keywords