Evidence map›Paper›PMID 41890223›Full record

ArticleIBRO neuroscience reports2026

Glymphatic dysfunction is associated with cognitive impairment in white matter hyperintensities: A DTI-based study.

Baogen Du, Weiqiang Li, Xin Wang, Shihao Ruan, Wenchen Sun, Yuanyuan Liu, Shanshan Cao, Ying Zhang, Jinying Yang, Gong-Jun Ji and 6 more

Abstract read
In one paragraph

Article in IBRO neuroscience reports, 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

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

16 authors.

Baogen DuDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Weiqiang LiDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Xin WangDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China.
Shihao RuanDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Wenchen SunDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Yuanyuan LiuWuhan Wudong Hospital, Wuhan 430084, China.
Shanshan CaoDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Ying ZhangDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Jinying YangLaboratory Center for Information Science, University of Science and technology of China, Hefei 230026, China.
Gong-Jun JiDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Xingqi WuDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Panpan HuDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Jun ZhangDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China.
Chunhua XiDepartment of Neurology, the Third Affiliated Hospital of Anhui Medical University, Hefei 230061, China.
Kai WangDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Qiang WeiDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The underlying mechanisms of cognitive impairment in patients with white matter hyperintensities (WMHs) remain largely elusive. Glymphatic dysfunction, as measured by the diffusion tensor imaging along the perivascular space (DTI-ALPS) index, has been associated with cognitive decline across various neurological and psychiatric disorders. Objective: This study aims to examine the potential association between glymphatic dysfunction, as measured by the DTI-ALPS index, and cognitive impairment in patients with WMHs. Methods: A total of 88 patients with varying degrees of WMHs (Mild = 25, Moderate = 34, Severe = 29) and 32 matched healthy controls were recruited. Comprehensive neuropsychological assessments and MRI scans were performed on all participants. We compared demographic information, cognitive function, and DTI-ALPS indices between patients with WMHs and controls, and evaluated the correlation between cognitive impairment and the DTI-ALPS index. Results: Apart from hypertension, demographic characteristics were comparable across the four groups. Patients with WMHs showed significant impairments in emotional status, global function, language function, memory function, processing speed and cognitive flexibility. A reduction in Left_ALPS, Right_ALPS, and Mean_ALPS was observed in patients with WMHs, with these decreases significantly and negatively correlated with the WMHs volume (Left_ALPS, R = -0.381, Conclusion: Cognitive impairment in patients with WMHs is closely linked to decreased DTI-ALPS index, especially as white matter lesions worsen. Glymphatic dysfunction may play a critical role in this cognitive impairment, positioning the DTI-ALPS index may serve as a potential biomarker for cognitive impairment in patients with WMHs.

Indexed as

Along the perivascular spaceCognitive impairmentDiffusion tensor imagingGlymphatic systemWhite matter hyperintensities

Identifiers

PMID41890223
PMCPMC13014955

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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.