Glymphatic system responsible for brain waste clearance may play an important role in the development of Alzheimer's disease (AD). However, this possibility has not been sufficiently studied in AD patients due to a lack of non-invasive tools for gauging glymphatic function. Low-frequency (<0.1 Hz) fMRI signals have been recently linked to glymphatic function, and its global signal was found to be coupled with CSF flow known to be essential for glymphatic clearance. Here, we used the coupling of global BOLD signal and CSF to quantify glymphatic function and found this BOLD-CSF coupling metric is significantly correlated with various AD pathologies.
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