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Free water changes and their correlations with multimodal biomarkers in frontotemporal dementia - PubMed

4 hours ago
  • #neurodegeneration
  • #frontotemporal dementia
  • #glymphatic system
  • Study examines free water (FW) changes in behavioral variant frontotemporal dementia (bvFTD).
  • 112 bvFTD patients and 103 normal controls were evaluated for FW levels in the whole brain and specific white matter tracts.
  • BvFTD patients showed elevated FW in the whole brain and regional white matter tracts, particularly in the uncinate fasciculus and cingulum hippocampus.
  • FW correlated with perivascular spaces (PVSs), DTI-ALPS index, clinical scales, gray matter volume, and glucose metabolism.
  • FW also correlated with plasma glial fibrillary acidic protein and total tau levels.
  • Mediation analyses revealed FW mediates the association between PVS and ALPS, and brain neurodegeneration mediates the association between FW and clinical scores.
  • Elevated FW in bvFTD is linked to glymphatic dysfunction and neurodegeneration.