Leveraging longitudinal diffusion MRI data to quantify differences in white matter microstructural decline in normal

Derek B Archer1,2, Kurt Schilling3,4, Niranjana Shashikumar1

  • 1Vanderbilt Memory and Alzheimer's Center Vanderbilt University School of Medicine Nashville Tennessee USA.

Abstract

Insights

White matter microstructural decline occurs in both normal and abnormal aging. However, specific white matter tracts, like the cingulum bundle, show greater vulnerability in abnormal aging processes.

Area of Science:

  • Neuroscience
  • Radiology
  • Gerontology

Background:

  • White matter microstructural integrity is crucial for cognitive function during aging.
  • Distinguishing between normal and abnormal aging trajectories is essential for understanding neurodegeneration.

Purpose of the Study:

  • To investigate differences in white matter microstructural decline between normal and abnormal aging.
  • To identify specific white matter tracts vulnerable to abnormal aging.

Main Methods:

  • Utilized harmonized and free-water corrected diffusion MRI data from longitudinal aging cohorts (ADNI, BLSA, VMAP).
  • Included 1723 participants with 4605 imaging sessions and a mean follow-up of 2.97 years.
  • Assessed differences in white matter microstructural decline in normal versus abnormal aging.

Main Results:

  • A global decline in white matter was observed in both normal and abnormal aging.
  • Specific white matter tracts, including the cingulum bundle, demonstrated increased vulnerability in abnormal aging.
  • The free-water metric highlighted heightened susceptibility in abnormal aging, particularly within the cingulum.

Conclusions:

  • White matter microstructural decline plays a significant role across the aging spectrum.
  • Abnormal aging disproportionately affects certain white matter tracts, suggesting targeted neurodegenerative processes.
  • Future large-scale studies are warranted to further elucidate these age-related neurodegenerative mechanisms.