# Microstructural MRI Microscopy of Post-mortem Specimens to Identify and Improve Markers of Alzheimer's Disease Pathology

> **NIH NIH R03** · UNIVERSITY OF ARIZONA · 2021 · $161,530

## Abstract

Summary
Microstructural MRI techniques are unique among neuroimaging modalities because they probe tissue
features at the micron scale that are invisible using other methods. This class of MRI methods is therefore
promising to address the unmet needs for neuroimaging in Alzheimer’s disease (AD) and related
dementias: 1. early detection of subtle cellular and protein alterations and 2. delineation of comorbid
pathologies in AD. In particular, diffusion MRI (dMRI) is sensitive to alterations in cellularity, cell
morphology, and other microstructural changes and relaxometery MRI (rMRI) is sensitive to
macromolecular content. Both of these microstructural MRI techniques are relevant for detecting AD
pathology, namely beta-amyloid (Ab) plaques and Tau tangles, as well as comorbid pathologies such as
Lewy body disease (LBD), hippocampal sclerosis (HS) and TDP-43 proteinopathy. While studies in humans
have begun to use some of these approaches, there is a need to understand the radiologic-pathologic
correspondence of MRI changes with the underlying tissue pathology and also to determine which of the
more advanced dMRI and rMRI methods are the most promising for translation to human studies. In order
to meet these challenges, we propose a “bottom-up” study using MRI microscopy to image post-mortem
temporal lobe and brainstem tissue from humans with and without a clinical diagnosis of AD in life. Our
first aim is the identification of dMRI and rMRI markers of AD pathology in which we will optimize and
apply acquisition, processing and analysis strategies for post-mortem tissue for diffusion tensor MRI (DTI),
mean apparent propagator MRI (MAP-MRI), q-space trajectory imaging (QTI), bound pool fraction (BPF)
and myelin water fraction (MWF) mapping. Then the tissue will be stained for phosphorylated Tau (pTau)
and Ab and undergo neuropathologic review and scoring as well as quantitative histology. Correlation
statistics will be performed between MRI metrics and neuropathologic outcomes to identify radiologic-
pathologic relationships. In our second aim, we will investigate comorbid pathologies by the additional
staining and scoring of a-synuclein and TDP-43. Similar correlation analysis will be used to determine the
dMRI and rMRI metric profiles associated with LBD and TDP-43 proteinopathy. Our final aim will then
compare these radiologic-pathologic signatures in different temporal lobe structures (e.g. hippocampus,
amygdala, cortex and white matter) and in brainstem regions (locus coeruleus, dorsal raphe nucleus and
white matter tracts). Overall, our goal is to establish initial findings about the most promising MRI
methods for further development and translation of improved MRI markers for AD research and diagnosis.

## Key facts

- **NIH application ID:** 10190347
- **Project number:** 1R03AG071903-01
- **Recipient organization:** UNIVERSITY OF ARIZONA
- **Principal Investigator:** ELIZABETH B HUTCHINSON
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $161,530
- **Award type:** 1
- **Project period:** 2021-06-01 → 2023-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10190347

## Citation

> US National Institutes of Health, RePORTER application 10190347, Microstructural MRI Microscopy of Post-mortem Specimens to Identify and Improve Markers of Alzheimer's Disease Pathology (1R03AG071903-01). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10190347. Licensed CC0.

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