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Abstract #4348

Evaluating the Prognostic Potential of High-Water Content Regions in Parkinson's Cognitive Impairment Progression

Mariyemuguli Reheman1, Naying He1, Sagar Buch2, Huang Pei 3, Peng Wu4, Shengdi Chen3, Haacke E. Mark2,5, and Fuhua Yan1
1Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China, 2Department of Radiology, Wayne State University, Detroit, MI, United States, 3Department of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China, Shanghai, China, 4Philips Healthcare, Shanghai, China, 5Department of Neurology, Wayne State University, Detroit, MI, United States

Synopsis

Keywords: Parkinson's Disease, White Matter

Motivation: White matter damage has been known to accumulate prior to the onset of white matter hyperintensity, but there is currently no way to calculate the extent of damage.

Goal(s): Quantification of high-water content regions in Parkinson's patients based on proton spin density maps provides a new biomarker for mapping tissue damage and interpretation of WMH evolution.

Approach: Distribution of high-water content regions and WMH were mapped for Parkinson patients with different cognitive levels. Heatmaps were created for groups.

Results: High water content regions were mainly distributed along the ventricular wall. Water content and WMH correlated with CSF volumes with significant differences between groups.

Impact: Segmentation of the high-water content regions based on proton spin density maps provides the ability to interpret WMH evolution and provide a new potential biomarker to guide the early detection. These effects were dramatically seen in Parkinson’s patients with dementia.

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