Journal of Sleep Research,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 18, 2025
Summary
Brain
clearance
involves
the
drainage
of
waste
molecules
from
brain,
a
process
that
is
suggested
to
be
amplified
during
sleep.
Recently
proposed
MRI‐based
methods
attempt
approximate
human
brain
with
surrogate
measures.
The
current
study
aimed
explore
whether
two
surrogates
are
altered
in
narcolepsy.
We
processed
diffusion‐weighted
and
functional
resting‐state
images
extract
surrogates:
Diffusion
Tensor
Imaging
Along
Perivascular
Space
(DTI‐ALPS
index),
dBOLD‐CSF
coupling.
Both
measures
were
analysed
12
drug‐free,
awake
people
narcolepsy
type
1
11
age‐
sex‐matched
controls,
as
well
relation
clinical
features.
also
assessed
correlation
between
DTI‐ALPS
index
coupling
amplitude
did
not
show
significant
differences
nor
relations
severity
excessive
daytime
sleepiness.
found
sleep
efficiency,
hypothesis
supported
by
evidence
study.
correlated
each
other,
suggesting
both
offer
different
perspectives
same
underlying
physiology.
Yet,
suitability
markers
remains
debatable.
Whereas
DTI
exclusively
sensitive
perivascular
fluid,
reflecting
large‐scale
CSF
motion.
Future
work
should
other
markers,
preferably
sleep,
better
understand
possible
role
symptomatology.