Scientific article
Review
OA Policy
English

Emerging non-invasive MRI techniques for glymphatic system assessment in neurodegenerative disease

Published inJournal of neuroradiology, vol. 52, no. 3, 101322
Publication date2025-05
First online date2025-01-31
Abstract

The discovery of the glymphatic system has revolutionized our understanding of brain physiology, particularly in waste clearance and fluid dynamics within the central nervous system. This pathway, essential for nutrient distribution and waste removal, operates predominantly during sleep and has been implicated in neurodegenerative diseases like Alzheimer's and Parkinson's. Recent advances in non-invasive MRI techniques, including diffusion tensor imaging along the perivascular space (DTI-ALPS), perivascular space (PVS) analysis, and free water (FW) indices, have improved our ability to study glymphatic function and its alterations in disease states. This review discusses the glymphatic system's ultrastructure, physiology, and the latest imaging methods to assess this critical pathway. We highlight how these non-invasive MRI techniques can enhance the understanding of glymphatic function in health and disease, with a focus on neurodegenerative conditions. By integrating insights from current research, this review underscores the diagnostic and therapeutic implications of glymphatic dysfunction. Understanding these mechanisms can pave the way for novel strategies to enhance waste clearance and improve neurological health, offering potential benefits for early diagnosis and intervention in neurodegenerative diseases.

Keywords
  • Free water
  • Glymphatic system
  • MRI, DTI ALPS
  • Neurodegenerative disease
  • Perivascular spaces
  • Humans
  • Glymphatic System / diagnostic imaging
  • Glymphatic System / physiopathology
  • Neurodegenerative Diseases / diagnostic imaging
  • Neurodegenerative Diseases / physiopathology
  • Neurodegenerative Diseases / pathology
  • Magnetic Resonance Imaging / methods
  • Diffusion Tensor Imaging / methods
Citation (ISO format)
BOTTA, Daniele et al. Emerging non-invasive MRI techniques for glymphatic system assessment in neurodegenerative disease. In: Journal of neuroradiology, 2025, vol. 52, n° 3, p. 101322. doi: 10.1016/j.neurad.2025.101322
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Article (Published version)
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Journal ISSN0150-9861
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