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Abstract #3140

Elevated regional cerebral oxygen extraction fraction was associated with worse cognitive performance in older adults with vascular risks

Jie Song1, Wen Shi1, Julia Suconic2, Kaisha Hazel2, George Pottanat2, Ebony Jones2, Cuimei Xu2, Kumiko Oishi2, Yifan Gou1, Paul Rosenberg3, Rita Kalyani4, Abhay Moghekar5, Sevil Yasar6, Doris Lin2, Marilyn Albert5, Hanzhang Lu2, and Dengrong Jiang2
1Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Division of Geriatric Psychiatry and Neuropsychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Division of Endocrinology, Diabetes, and Metabolism, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 5Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 6Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Synopsis

Keywords: Dementia, Dementia, Small vessel disease, Vascular dementia

Motivation: Cognitive impairment from vascular disease lacks clear biomarkers, complicating early detection. Brain oxygen-extraction-fraction (OEF), an indicator of oxygen utilization, may reveal vascular contributions to cognitive decline, especially in executive function.

Goal(s): We aimed at investigating the relationship between cortical and subcortical OEF and cognitive function in individuals with vascular risk.

Approach: We used advanced MRI techniques (aTRUPC) to measure cortical and subcortical OEF in older adults (N=87) with vascular risks, assessing its association with global and domain cognitive performance and vascular-risk-scores.

Results: Elevated cortical and subcortical OEF were significantly related to poorer global cognition and executive function, meanwhile significantly correlated with higher vascular-risk-scores.

Impact: This research suggests that OEF may serve as an early biomarker for cognitive impairment due to vascular disease, particularly impacting executive function, which could improve early intervention strategies and monitoring of vascular cognitive impairment.

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Keywords