Evidence map›Paper›PMID 41807023›Full record

ArticleJournal of Korean medical science2026

Free Water Elevation in Alzheimer's Disease: Influence of Amyloid-Beta Deposition Beyond Brain Cell Loss.

Jieun Park, Min Jeong Kwon, Sungman Jo, Jun Sung Kim, Hae In Kim, Yejung Kim, Ji Won Han, Ki Woong Kim

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jieun ParkDepartment of Brain and Cognitive Science, Seoul National University College of Natural Science, Seoul, Korea.ORCID https://orcid.org/0009-0005-5204-3541
Min Jeong KwonDepartment of Brain and Cognitive Science, Seoul National University College of Natural Science, Seoul, Korea.ORCID https://orcid.org/0009-0009-5473-7001
Sungman JoDepartment of Health Science and Technology, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Korea.ORCID https://orcid.org/0009-0001-9733-0473
Jun Sung KimDepartment of Neuropsychiatry, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0002-4579-8218
Hae In KimDepartment of Brain and Cognitive Science, Seoul National University College of Natural Science, Seoul, Korea.ORCID https://orcid.org/0009-0001-7777-2100
Yejung KimDepartment of Brain and Cognitive Science, Seoul National University College of Natural Science, Seoul, Korea.ORCID https://orcid.org/0009-0006-9778-3145
Ji Won HanDepartment of Neuropsychiatry, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0003-2418-4257
Ki Woong KimDepartment of Brain and Cognitive Science, Seoul National University College of Natural Science, Seoul, Korea.ORCID https://orcid.org/0000-0002-1103-3858

Funding

Korea Dementia Research Center RS-2020-KH095941Korea Health Industry Development Institute RS-2020-KH095941Ministry of Health & Welfare HI09C1379 [A092077]
6 · The paper itself

Abstract

backgroundTo investigate whether amyloid-beta (Aβ) deposition in Alzheimer's disease (AD) increases free water (FW) before cell loss, we examined regional Aβ levels, volume, and FW of the posterior cingulate cortex (PCC) and medial and inferior temporal cortex (MITC) across AD stages.

methodsAβ, volume, and FW in PCC and MITC were compared between normal cognition (NC), preclinical AD, prodromal AD, and dementia due to Alzheimer's disease (DEMAD) groups. Multiple linear regression was used to analyze the effect of Aβ and volume on FW.

resultsContinuous increases were observed in the regional standardized uptake value ratio of ¹⁸F-Florbetaben (SUVR) and regional volume loss in all regions of interest. Also, there was a consistent rise in the MITC FW. However, in PCC volume, only DEMAD showed a significant decrease. In the context of multiple linear regression, the study found that both SUVR and volume were significant predictors of FW in the MITC. However, in PCC, only SUVR was able to predict FW without considering volume.

conclusionThis study demonstrated that after Aβ deposition in AD, an increase in FW can occur not only due to brain cell loss but also through other Aβ-induced mechanisms, even in cases where brain cell loss has not yet occurred.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesWaterAgedAged, 80 and overAniline CompoundsBrainFemaleGyrus CinguliHumansLinear ModelsMagnetic Resonance ImagingMalePositron-Emission TomographyStilbenesTemporal Lobe4-(N-methylamino)-4'-(2-(2-(2-fluoroethoxy)ethoxy)ethoxy)stilbeneAmyloid beta-PeptidesAniline CompoundsStilbenesWaterAlzheimer's DiseaseAmyloid Beta-ProteinDiffusion Tensor ImagingFree WaterInflammationNerve Degeneration

Identifiers

PMID41807023
PMCPMC12976634

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.