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Evaluation of the effects of lecanemab treatment on brain atrophy using voxel-based specific regional analysis system for Alzheimer's disease - PubMed

4 hours ago
  • #Alzheimer's disease
  • #Lecanemab
  • #Brain atrophy
  • Lecanemab, a monoclonal antibody targeting amyloid-β (Aβ), reduces Aβ plaques and slows cognitive decline in Alzheimer's disease (AD) patients.
  • The study evaluated lecanemab's effect on brain structure using voxel-based specific regional analysis system for Alzheimer's disease (VSRAD) via MRI.
  • 16 AD patients received four biweekly lecanemab doses (10 mg/kg); amyloid pathology was confirmed via PET and cerebrospinal fluid tests.
  • Post-treatment, medial temporal lobe (MTL) Z-scores significantly decreased from 1.61 ± 0.76 to 1.38 ± 0.67 (p < 0.01).
  • The MTL/whole brain ratio also significantly decreased from 6.47 ± 6.48 to 4.59 ± 4.80 (p < 0.02).
  • Results suggest lecanemab treatment is associated with reduced brain volume, but clinical significance remains uncertain.
  • Longitudinal studies linking brain volume reduction with clinical outcomes are recommended.