We investigated the associations between brain iron levels, as measured by QSM MRI, and amyloid-β plaque load as measured by 11C-PiB PET imaging, and their possible synergistic effect on both global composite and domain specific cognitive functions, including memory, visuospatial processing and language. Various association patterns were observed between iron load and amyloid-β deposition in voxel-based analysis. More importantly, in cognitively normal adults, iron levels in several brain regions were found negatively associated with cognition. This was independent of amyloid-β load, suggesting that the impact of iron on cognition may be related to other known molecular changes during early aging.
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