Cape Town - 2026 ISMRM-ISMRT Annual Meeting and Exhibition • 09-14 May 2026

Digital Poster

Glymphatic System Imaging: From Neurofluid Transport to Neurodegeneration

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Glymphatic System Imaging: From Neurofluid Transport to Neurodegeneration
Digital Poster
Neuro A
Thursday, 14 May 2026
Digital Posters Row D
13:40 - 14:35
Session Number: 663-03
No CME/CE Credit
This digital poster session focuses on glymphatic system structure, function, and dysfunction, highlighting its role in neurofluid transport, perivascular spaces, and brain waste clearance across the lifespan and disease states. The posters showcase advanced MRI and quantitative imaging approaches to link glymphatic alterations with cognition, neurodegeneration, vascular disease, sleep disorders, cancer therapy–related neurotoxicity, and metabolic and psychiatric conditions.
Skill Level: Basic,Intermediate,Advanced

  Figure 663-03-001.  Dynamic Contrast-Enhanced MR Fingerprinting for Whole-Brain Mapping of CSF Tracer Transport via Intraventricular Infusion
Anbang Chen, Junqing Zhu, Jinyan Zhang, Xin Yu
Case Western Reserve University, Cleveland, United States of America
Impact: This study shows that DCE-MRF, in combination with intraventricular tracer delivery, enables robust quantification of whole-brain CSF tracer transport and distinct T₁/T₂ contrasts, establishing a reproducible framework for glymphatic assessment and supporting future dual-contrast imaging with Gd-DOTA and ¹⁷O-enriched water.
  Figure 663-03-002.  Glymphatic Failure Mediates Multisystem Neurodegeneration in ALS: Motor System Injury and Cognitive Dysfunction
Shan Wu, Tao Lu, Haining Li, Qianqian Duan, Xinyi Yu, ningkun hou, Fangfang Hu, Jiaoting Jin, Weixia Mao, Jia Zhe, bao qin guo, Qiuli Zhang, Ming Zhang
The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
Impact: This study provides objective neuroimaging evidence linking glymphatic dysfunction to both motor and cognitive impairments in ALS. It enables clinicians to utilize glymphatic metrics as potential diagnostic and prognostic biomarkers, guiding earlier interventions and motivating therapeutic strategies targeting waste clearance.
  Figure 663-03-003.  Glymphatic clearance partially mediates the relationship between amyloid and tau deposition in Alzheimer’s disease
Liangdong Zhou, Tracy Butler, Samantha Keil, Xiuyuan Wang, Seyed Hani Hojjati, Tsung-wei Hu, Lidia Glodzik, Thanh Nguyen, Gloria Chiang, Yi Li
Weill Cornell Medicine, New York, United States of America
Impact: Amyloid and tau proteins are hallmarks of Alzheimer’s disease. This study aims to investigate how glymphatic function might affect or mediate the relationship between the accumulation of amyloid and tau deposition, potentially offering insights for intervention and therapeutic development.
  Figure 663-03-004.  Texture-Based Assessment of Neurofluid-Related White Matter Alterations in Obstructive Sleep Apnea
Toshiaki Taoka, Kunihiro Iwamoto, Rintaro Ito, Seiko Miyata, Rei Nakamichi, Toshiki Nakane, Kazushige Ichikawa, Hiroshige Fujishiro, Masashi Ikeda, Akifumi Kamiunten, 伸保 市之瀬, Shinji Naganawa
Nagoya University Graduate School of Medicine, Nagoya, Japan
Impact: This study identifies texture analysis of T2-weighted MRI as a novel biomarker of neurofluid dynamics, bridging structural MRI and glymphatic imaging to reveal sleep-related alterations in brain water homeostasis in obstructive sleep apnea.
  Figure 663-03-005.  Glymphatic System Dysfunction Mediates Chemotherapy-Related Central Neurotoxicity in Nasopharyngeal Carcinoma Patients
Daihong Liu, Jiahui Zheng, Junhao Huang, 菁 张, Lisha Nie, Jiuquan Zhang
Chongqing University Cancer Hospital, Chongqing, China
Impact: Provides MRI evidence of chemotherapy-induced glymphatic impairment, guiding targeted interventions for brain protection in NPC patients.
  Figure 663-03-006.  Diffusion along the perivascular space may serve as a biomarker to differentiate glioma recurrence from pseudoprogression
Xiaoyi Wu, Qinxi Luo, Mai Zhang, Chengmin Su, Yiming Wang, Yuankui Wu
Nanfang Hospital, Southern Medical University, Guangzhou, China
Impact: This preliminary study highlights DTI-ALPS as a potential imaging biomarker that complements DTI metrics for differentiation of glioma recurrence from pseudoprogression, which may provide a new perspective for the early assessment of treatment response in glioma patients.
  Figure 663-03-007.  MRS-visible macromolecules are elevated in Parkinson's disease and are associated with perivascular space counts
Ruth O'Gorman Tuura, Lena Meinhold, Antonio Gennari, Angeline Messerli, Simon Schreiner, Christian Baumann, Heide Baumann-Vogel
University Children's Hospital Zurich, Zurich, Switzerland
Impact: MRS-visible macromolecular (MM) signals are elevated in patients with Parkinson's disease, and are associated with neurofluid clearance markers, suggesting that the MM levels are sensitive to neurodegenerative changes and may represent a promising noninvasive marker for brain clearance.
  Figure 663-03-008.  Non‑Invasive Assessment of Glymphatic Dysfunction in Middle Cerebral Artery Stenosis based on DTI-ALPS and ro-ALPS
yidi zhu, Luoyu Wang, Liqing Zhang, Xue Tang, Maoling Liu, Qingqing Wen, Darong Zhu, xiufang xu, Zhongxiang Ding
Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China
Impact: This study revealed significant differences in DTI-ALPS and ro-ALPS indexes between MCA-S patients and healthy controls, providing novel neuroimaging biomarkers for glymphatic dysfunction in MCA-S. This may help facilitate early risk assessment and guide intervention strategies targeting glymphatic clearance pathways.
  Figure 663-03-009.  Reliability of T1-weighted Intrathecal Contrast-Enhanced Images and Repeatability of T1 mapping in Brain Tissue and CSF
Ingrid Mossige, Siri Svensson, Jørgen Riseth, Sofie Lian, Grethe Løvland, Geir Ringstad, Tryggve Storås, Kaja Nordengen
University of Oslo, Oslo, Norway
Impact: Specialized T1 mapping methods for brain tissue and CSF are more accurate for estimating contrast agent concentrations in the brain than the conventional approach. However, T1-weighted imaging is faster and provides a good estimate in the cerebral cortex.
  Figure 663-03-010.  Quantifying glymphatic-relevant fluid and detecting its mobility with extended-echo-range multi-echo GRE (QUTE) at 7T
Ana-Maria Oros-Peusquens, Seonyeong Shin, N. Jon Shah
INM-4, Forschungszentrum Jülich, Jülich, Germany
Impact: The combination of QUTE‑based pCSF water content mapping and Hankel/PCA‑based mobility markers offers a compact, modeling‑light framework to probe glymphatic‑relevant fluid.
  Figure 663-03-011.  Quantitative MRI Evaluation of Glymphatic–Lymphatic Clearance by Low-intensity Focused Ultrasound in Non-human Primate
Hyochul Lee, Taewon Choi, Jun-Hee Kim, Taekyu Jang, Seoyun Chang, Ok Kyu Park, Seungryeol Park, Bowon Lee, Roh-Eul Yoo, Jinhyoung Park, Seung Hong Choi
Seoul National University College of Medicine, Seoul, Korea, Republic of
Impact: This study provides the first MRI evidence that low-intensity ultrasound can transiently enhance glymphatic and meningeal lymphatic transport in non-human primates, supporting the feasibility of non-invasive modulation and quantitative imaging of integrated brain clearance systems.
  Figure 663-03-012.  DTI-ALPS Quantification of Glymphatic Impairment Across Sleep Disorder phenotypes and Its Correlation with Symptom Severity
Yasmine Saad, Nader Gharbia, Aymen Kammoun, Rihab Ben Dhia, Najes Gouta, Meriem Mhiri, Mahbouba Frih Ayed
Faculty of Medicine of Monastir, Tunisia
Impact: DTI-ALPS provides a non-invasive imaging biomarker of glymphatic function, quantifying sleep-dependent perivascular diffusion. This first comparative DTI-ALPS study across sleep phenotypes identifies distinct glymphatic signatures that may predict disease severity and monitor therapeutic modulation of brain waste clearance.

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