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Abstract #3138

Chi-Separation Detects Focal Changes in Cortical Paramagnetism Associated with Behavioral Variant Frontotemporal Dementia

Shraddha Pandey1, Hamsanandini Radhakrishnan2, Christopher A. Olm2, Philip A. Cook2, Corey McMillian2, David J. Irwin2, and M. Dylan Tisdall1
1Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States, 2Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States

Synopsis

Keywords: Aging, Neurodegeneration, Frontotemporal Dementia, QSM, Chi Separation, Alzheimer's, Paramagnetic, Diamagnetic

Motivation: Syndrome-specific patterns of iron-rich cortical gliosis have been demonstrated postmortem in Frontotemporal Lobal Degeneration (FTLD) but have not been reliably detected in vivo.

Goal(s): Evaluate whether Chi-separation and/or Quantitative Susceptibility Mapping (QSM) can reliably detect regional changes in cortical paramagnetism in behavioral variant frontotemporal dementia (bvFTD) patients.

Approach: Patients with bvFTD, Alzheimer’s disease, and one age-matched control were imaged at 3T using a multi-gradient echo sequence. Both QSM and Chi-separation maps were analyzed within DKT cortical regions associated with expected pathology.

Results: Chi-separation paramagnetic maps showed statistically significant increases in anterior cingulate, a region of expected pathology.

Impact: We show that chi-separations maps can be used to detect syndrome-specific paramagnetic cortical changes, demonstrating its ability to quantify the distribution of iron-rich gliosis in vivo in FTLD, which has previously only been reliably visualized postmortem.

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Keywords