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

Flash Presentation

Imaging Neurodegeneration in Motion: Multimodal Biomarkers for Alzheimer’s Disease and Parkinson’s Disease

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Imaging Neurodegeneration in Motion: Multimodal Biomarkers for Alzheimer’s Disease and Parkinson’s Disease
Flash Presentation
Neuro A
Wednesday, 13 May 2026
Roof Terrace
13:40 - 15:16
Moderators: Kay Igwe & Pankaj Pankaj
Session Number: 531-02
No CME/CE Credit
This fast-paced power pitch session highlights cutting-edge MRI, PET-informed, and computational approaches to quantify neurodegenerative processes in Alzheimer’s and Parkinson’s disease. Presentations emphasize multimodal biomarkers of protein pathology, vascular and metabolic dysfunction, network disruption, and therapeutic response, with a focus on early detection and disease progression.

13:40 Figure 531-02-001.  A Multistep-Multitask Approach to Reconstruct Tau PET scans of AD Subjects From Simpler Radiology Inputs
Daren Ma, Robin Sandell, Ashish Raj
University of California San Francisco, San Francisco, United States of America
Impact: We demonstrate that simple clinical, plasma, and MRI data can accurately forecast tau progression traditionally measurable only by tau-PET, marking a major advance toward fully reconstructing voxel-level tau pathology from a single MRI—an ambitious leap toward precision, low-cost neurodegenerative modeling.
13:42 Figure 531-02-002.  Temporal Dynamics of White Matter and Tau Pathology Across the Alzheimer's Disease: A Cross-Lagged Panel Analysis Using NODDI
Takafumi Kitagawa, Kaito Takabayashi, Wataru Uchida, Christina Andica, Koyo Mizuta, Rui Zou, Takuya Ozawa, Akifumi Hagiwara, Shigeki Aoki, Koji Kamagata
Juntendo University Graduate School of Medicine, Tokyo, Japan
Impact: Cross-lagged analysis reveals stage-dependent reversal: white-matter changes precede tau accumulation in early Alzheimer's disease, potentially reflecting intact clearance mechanisms or structural vulnerability, while established tau pathology drives white-matter degeneration in advanced stages, demonstrating bidirectional temporal dynamics across disease progression.
13:44 Figure 531-02-003.  Triple-Network Effective Connectivity Predicts Dementia Conversion in Cognitively Normal Adults
Zhen Xuen Brandon Low, Lucy Vivash, Terence O'Brien, Adeel Razi, Meng Law, Ben Sinclair
Monash University, Melbourne, Australia
Impact: These findings demonstrate that modelling directed network interactions provides sensitive and practical biomarkers for early dementia detection, potentially facilitating personalized risk assessment, and targeted preventive interventions.
13:46 Figure 531-02-004.  Association of OEF, CBF and CMRO2 with Tau Deposition in Older Individuals
Hangwei Zhuang, Liangdong Zhou, Xiuyuan Wang, Emily Tanzi, Mony de Leon, Yi Li, Pascal Spincemaille , Ilhami Kovanlikaya, Thanh Nguyen, Yi Wang, Gloria Chiang
Cornell University, Ithaca, United States of America
Impact: 
This study links tau pathology with regionally disrupted cerebral oxygen metabolism. OEF and CMRO₂ mapping offer insight into mechanism underlying tau-related neurodegeneration and provide potential novel biomarkers for cognitive decline and pre-clinical AD.
13:48 Figure 531-02-005.  Associations of Choroid Plexus Perfusion Measured by pCASL MRI with Amyloid Burden and Cognition in elderly adults
Zicheng Wang, Tianrui Zhao, Yining He, Sang Hun Chung, Elizabeth Joe, Helena Chui, Lirong Yan
Northwestern University, Chicago, United States of America
Impact: This work suggests that CBF in ChP can serve as an early biomarker linking cerebrospinal fluid dysfunction to cognitive decline, potentially mediated through an APOE–ChP–CSF regulatory pathway.
13:50 Figure 531-02-006.  In vivo ³¹P-MRSI of Cerebral Phosphorus Metabolites as Biomarkers for Alzheimer’s Disease
shuai zhao, Baiyan Jiang, Meiyun Wang
Zhengzhou University People's Hospital & Henan Provincial People's Hospital, Zhengzhou, China
Impact: These findings support the potential of ³¹P-MRSI as a noninvasive imaging tool for detecting metabolic alterations associated with Alzheimer's disease, providing important insights for future clinical research and early diagnosis.
13:52 Figure 531-02-007.  The sub-voxel quantitative susceptibility mapping (QSM) reveals iron and pathological protein alterations in early Alzheimer’
Aocai Yang, Jiaxiang Xin, Tao Gong, guangbin wang
Shandong Provincial Hospital Affiliated to Shandong First Medical University (Shandong Provincial Hospital), Jinan, China
Impact: This study establishes sub-voxel QSM as a quantitative imaging biomarker that separately tracks iron and pathological protein alterations in Alzheimer’s disease. The method enables precise monitoring of Lecanemab treatment response and could guide future anti-amyloid and anti-tau therapeutic evaluation.
13:54 Figure 531-02-008.  Age-related choroid plexus enlargement coupled with changes in cerebral perfusion and functional network segregation
Yanli Wu, Lei Gao
Zhongnan Hospital of Wuhan University, Wuhan, China
Impact: Using ultra-high-field MRI, we show that age-related choroid plexus enlargement is coupled with concurrent reductions in cerebral blood flow and network segregation, indicating coordinated vascular and functional alterations during aging.
13:56 Figure 531-02-009.  When brains disagree: data ambiguity underlies the challenge of amyloid PET synthesis from structural MRI
Louise Baron, Ross Callaghan, David Cash, Philip Weston, Hojjat Azadbakht, Gary Zhang
University College London, London, United Kingdom
Impact: We show that differences in how MRI and PET capture disease-related signals in Alzheimer’s may explain the limited accuracy of MRI-based amyloid PET synthesis. This previously unrecognised insight can guide the design of more accurate amyloid PET prediction models.
13:58 Figure 531-02-010.  Thalamic Volume Mediates the Link between Dopaminergic Degeneration and Depression Progression in Parkinson’s Disease
Junli Ren
Beijing Chaoyang Hospital, Capital Medical University, beijing, China
Impact: This study establishes thalamic volume as a clinically viable MRI biomarker for depression progression in Parkinson's disease, revealing how dopaminergic degeneration drives depression via thalamic atrophy and suggesting new therapeutic targets.
14:00 Figure 531-02-011.  Tract-Specific White Matter Microstructure Predicts Deep Brain Stimulation Response in Parkinson’s Disease
Magna Cum Laude
Devin Schoen, Philip Shih, Skyler Deutsch, Juhi Mehta, Sarah Wang, John Kornak, Ian Bledsoe, Jill Ostrem, Melanie Morrison
University of California San Francisco, San Francisco, United States of America
Impact: Preoperative diffusion MRI provides a fast, fully noninvasive biomarker of brain integrity that predicts DBS outcomes, enabling personalized surgical planning and patient selection without requiring computationally intensive tractography or lead localization on postoperative imaging.
14:02 Figure 531-02-012.  Cerebral Perfusion and Glymphatic Function Alterations in Chronic Thromboembolic Pulmonary Hypertension
Shiyu Qi, Tong Yuan, Penghui Sun, Yifei Zhang, Jianfeng Wang, Juanni Gong, Xiuqin Jia, Qi Yang
Beijing Chaoyang Hospital, Capital Medical University, beijing, China
Impact: This study identifies cerebral hypoperfusion and impaired glymphatic function in CTEPH, with exploratory analysis suggesting greater glymphatic impairment in patients with prior hypertension. These findings highlight the need for cerebrovascular monitoring and motivate future studies on cerebrovascular–glymphatic coupling.
14:04 Figure 531-02-013.  Patterns of Deep Brain Stimulation Target Engagement Correlate with Postoperative Cognitive Change in Parkinson’s Disease
Magna Cum Laude
Devin Schoen, Meenakshi Singhal, Skyler Deutsch, Deborah Cahn, Caroline Racine, Sarah Wang, Ian Bledsoe, Jill Ostrem, Philip Starr, Doris Wang, Melanie Morrison
University of California San Francisco, San Francisco, United States of America
Impact: Identifying how motor, associative, and limbic engagement differentially shape cognitive and mood changes post-DBS can inform surgical targeting and postoperative programming, helping clinicians optimize benefit while minimizing cognitive side effects.
14:06 Figure 531-02-014.  Investigating Cerebral Blood Flow Changes in Alzheimer's Patients Undergoing Anti-Amyloid Therapy
Magna Cum Laude
Elena Andree, Conan Chen, Katherine Bangen, Ryan Barnes, Jason Handwerker, Eric Wong, Thomas Liu, Divya Bolar
University of Oxford, Oxford, United Kingdom
Impact: Our results suggest a correlation between CBF and cognitive changes in Lecanemab therapy, supporting the idea of CBF as an imaging biomarker for clinicians to identify patients most likely to benefit from treatment and elucidate neurovascular contributors to AD pathophysiology.
14:08 Figure 531-02-015.  Brain Pulsation Imaging: Initial Results at 3T
Pål Erik Goa, Abdul Nashirudeen Mumuni, Simon Blömer, Rüdiger Stirnberg, Tony Stoecker
Norwegian University of Science and Technology NTNU, Norway
Impact: First results at 3T with the recently introduced Brain Pulsation Imaging method reveal high sensitivity and repeatability in quantitative imaging of tissue and fluid pulsatile motion. The method has significant potential for research and clinical applications within brain pulsation.
14:10 Figure 531-02-016.  Postmortem Insights into CSF Diffusion Across Aging
Jose Henrique Monteiro de Azevedo, Khallil Chaim, Maria Garcia Otaduy, Carlos Salmon
Inbrain lab, Faculty of Philosophy, Sciences and Letters of Ribeirao Preto, University of Sao Paulo, Ribeirão Preto, Brazil, Brazil
Impact: Our postmortem findings suggest that CSF-to-eye ADC ratio may reflect age-related barrier permeability and protein equilibration, offering new insights into brain aging and neurodegenerative processes. Such effects may be harder to detect in vivo due to CSF flow.
14:12 Figure 531-02-017.  Age-related Changes in Relaxation Do Not Drive Metabolite Aging Findings
Yulu Song, Christopher Davies-Jenkins, Gizeaddis Simegn, Steve Hui, Tao Gong, Saipavitra Murali-Manohar, Vivek Yedavalli , Helge Zoellner, Zahra Shams, Abdelrahman Gad, Dunja Simicic, Aaron Gudmundson, Georg Oeltzschner, guangbin wang, Eric Porges, Richard AE Edden
Johns Hopkins University School of Medicine, Baltimore, United States of America
Impact: MRS-measured metabolite levels in the brain change significantly over the lifespan. Are age-metabolite correlations driven by concentration levels or confounded by relaxation changes? We investigated the extent to which previous findings were driven by age-dependent errors in relaxation weighting corrections.

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