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Abstract #4929

Glymphatic dysfunction in patients with Chronic kidney disease is associated with cognitive decline

Lijun Song1, Wenbo Yang1, Mingan Li1, Boyan Xu2, Zhenghan Yang1, Hao Wang1, and Zhen-chang Wang1
1Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China, 2GE HealthCare, MR Research, Beijing, China, Beijing, China

Synopsis

Keywords: fMRI Analysis, Kidney, glymphatic system

Motivation: The relationship between CSF inflow, which is an essential physiological activity of the glymphatic system, and cognitive decline in patients with chronic kidney disease (CKD) is unclear.

Goal(s): Our goal was to explore the patterns of CSF inflow changes in patients with CKD and its relationship with cognitive decline.

Approach: The CSF in the the subarachnoid space along the middle cerebral were analyzed with ultra-long echo time and low-b diffusion tensor imaging.

Results: Disturbed CSF inflow patterns is associated with cognitive decline in patients with CKD.

Impact: A novel approach to measure the CSF inflow of the glymphatic system exhibits the potential for detecting brain glymphatic dysfunction in patients with CKD, which may be one of the pathogenic mechanisms of cognitive decline.

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Keywords