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Abstract #1003

The relationship between the choroid plexus volume and cerebral microbleeds in the lobar locations: A large cohort study

Kana Saito1, Keita Watanabe 2, Sera Kasai3, Yuka Ishimoto3, Tomohiro Shintaku3, Amo Ozawa3, Mizuki Imura3, Taiki Koshiishi3, Tatsuya Mikami4, Yoshinori Tamada4, and Shingo Kakeda3
1Department of Radiology, Hirosaki University School of Medicine, Hirosakicity, Japan, 2Department of Radiology, Kyoto Prefectural University of Medicine, Kyoto, Japan, 3Department of Radiology, Hirosaki University School of Medicine, Hirosaki, Japan, 4Inovation Center for Health Promotion, Graduate School Of Medicine, Hirosaki University, Hirosaki, Japan

Synopsis

Keywords: Neurofluids, Alzheimer's Disease, cerebrospinal fluid

Motivation: Lobar cerebral microbleeds (CMBs) are linked to cerebral amyloid angiopathy (CAA). Evidence indicates impaired cerebrospinal fluid (CSF) clearance in CAA, but large-scale studies on CMBs and CSF clearance parameters are lacking.

Goal(s): To investigate if lobar CMBs are associated with MRI markers of impaired CSF clearance, specifically increased choroid plexus volume (CPV), enlarged perivascular spaces (EPVS), and increased lateral ventricle volume (LVV).

Approach: This cross-sectional study included 2,082 elderly participants. MRI data, including CPV, EPVS, and LVV, were analyzed

Results: Lobar CMBs correlated with CPV, suggesting CSF clearance impairment, while deep CMBs showed no association.

Impact: This study found a significant association between lobar CMBs and CPV in a large elderly population, including healthy individuals and those with mild cognitive impairment (MCI), suggesting the potential clinical relevance of lobar CMBs in MCI and asymptomatic groups.

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Keywords