Evidence map›Paper›PMID 42767982›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Post mortem MRI of cholinergic white matter pathways across neurodegenerative diseases.

Francisco J López-González, Milan Nemy, Cene Jerele, Andrés Jiménez-Pérez, María José López-Martínez, Laura Jonkman, Alberto Rábano, Pascual Sánchez-Juan, Michel J Grothe, Daniel Ferreira

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Francisco J López-González *Reina Sofia Alzheimer Center, CIEN Foundation, ISCIII, Madrid, Spain.
Milan Nemy *Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Cene JereleDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Andrés Jiménez-PérezReina Sofia Alzheimer Center, CIEN Foundation, ISCIII, Madrid, Spain.
María José López-MartínezReina Sofia Alzheimer Center, CIEN Foundation, ISCIII, Madrid, Spain.
Laura JonkmanDepartment of Anatomy and Neurosciences, Amsterdam UMC, Amsterdam, the Netherlands.
Alberto RábanoReina Sofia Alzheimer Center, CIEN Foundation, ISCIII, Madrid, Spain.
Pascual Sánchez-JuanReina Sofia Alzheimer Center, CIEN Foundation, ISCIII, Madrid, Spain.
Michel J Grothe *Reina Sofia Alzheimer Center, CIEN Foundation, ISCIII, Madrid, Spain.
Daniel Ferreira *Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Funding

Center for Innovative Medicine 20200505Center for Innovative Medicine FoUI-988826Czech Science Foundation 25-18359 MEuropean Social Fund (ESF)European Union's Horizon Europe research and innovation programme 101155955Institute of Health Carlos III - European Regional Development Fund PI24/00089ISCIII PI20/01011ISCIII PI23/01314ISCIII PMP22/00022ISCIII TED2021-131676B-100Next Generation funding UE/Mecanismo de Recuperación y ResilienciaRamón and Cajal" fellowship RYC2023-043746-Iregional agreement on medical training and clinical research of Stockholm Region FoUI-1023640regional agreement on medical training and clinical research of Stockholm Region FoUI-962240regional agreement on medical training and clinical research of Stockholm Region FoUI-987534Reina Sofia FoundationSpanish Ministry of Science, Innovation and Universities CNS2024-154295Swedish Alzheimer Foundation AF-1010553Swedish Alzheimer Foundation AF-1031740Swedish Alzheimer Foundation AF-968032Swedish Alzheimer Foundation AF-980580Swedish Alzheimer Foundation AF-994058Swedish Brain Foundation FO2021-0131Swedish Brain Foundation FO2022-0175Swedish Brain Foundation FO2023-0261Swedish Brain Foundation FO2025-0214Swedish Research Council 2022-00916Swedish Research Council 2025-02984
6 · The paper itself

Abstract

introductionCholinergic white matter pathway (CWMP) degeneration is central in Alzheimer's disease (AD) and Lewy body disease (LBD). CWMP degeneration can be assessed in vivo using magnetic resonance imaging (MRI) proxies, but neuropathological validation is limited.

methodsWe studied post mortem in situ 3T MRIs of 55 brain donors with standardized neuropathologic assessment (AD, LBD, AD+LBD, other dementias, controls). CWMP integrity was assessed quantitatively using diffusion tensor imaging and visually using the Cholinergic Pathways Hyperintensities Scale (CHIPS) on fluid-attenuated inversion recovery MRI.

resultsCWMP diffusivity was strongly associated with CHIPS (p < 0.001), independent of global white matter damage. AD and AD+LBD showed greater CWMP degeneration than LBD, other dementias, and controls (p < 0.05). Multivariate analyses across neuropathological variables identified hippocampal sclerosis and vascular co-pathology as strongest predictors for CWMP degeneration. DISCUSSION: CWMP degeneration is pronounced in AD and mixed AD+LBD pathology and is additionally affected by vascular co-pathology and hippocampal sclerosis. CHIPS may serve as a clinically accessible MRI-based proxy of CWMP integrity.

Indexed as

Alzheimer DiseaseBrainLewy Body DiseaseMagnetic Resonance ImagingNeurodegenerative DiseasesWhite MatterAgedAged, 80 and overAutopsyDiffusion Tensor ImagingFemaleHumansMaleMiddle AgedNeural PathwaysAlzheimer's diseaseCholinergic Pathways Hyperintensities Scalecholinergic white matter pathwaysLewy body diseasepost mortem magnetic resonance imaging

Identifiers

PMID42767982
PMCPMC13593583

What Socratic holds

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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 Socratic graph.