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June 16, 2025 5 mins

What if we could map the quiet, hidden changes in brain wiring that predict who’s at risk for memory loss? In this episode, we explore a groundbreaking study that analyzed over 9,000 cognitive sessions from 4,467 participants, uncovering how subtle changes in the brain’s white matter—especially in the limbic system—signal cognitive decline.

Using harmonized diffusion MRI from nine major cohorts, the team found that free water (FW) in tracts like the cingulum and fornix was a powerful indicator of both baseline memory and future decline. These white matter markers interacted with other Alzheimer's disease biomarkers, including APOE ε4, hippocampal volume, and amyloid levels, revealing a complex biological web behind aging and dementia.

This summary was AI-generated and reviewed by a contributing author. Interpretations reflect individual perspectives and not official statements from all authors or affiliated institutions.

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