Cerebral network topology and peak width of skeletonized mean diffusivity changes associated with cognitive impairment in patients with obstructive sleep apnea.

Objectives: To characterize the network topology and peak width of skeletonized mean diffusivity (PSMD) and their correlation with cognitive impairment in obstructive sleep apnea (OSA) patients and to assess whether such impairments are reversible after treatment.

Methods: Ninety-one OSA patients and 30 healthy controls (HCs) participated. Patients were classified into mild group (n = 37) and moderate-severe group (n = 54) based on apnea-hypopnea index.

Decoupling of global signal and cerebrospinal fluid inflow is associated with cognitive decline in patients with obstructive sleep apnoea.

Objectives: The role of cortical glymphatic dysfunction in the cognitive impairment of the obstructive sleep apnea (OSA) requires further study. To compare the coupling between the resting-state blood-oxygen-level-dependent (BOLD) signals and cerebrospinal fluid (CSF) signals (BOLD-CSF coupling), a proxy for the cortical glymphatic function, across patients with differing severities of OSA and relate them with disease characteristics and treatment.

Methods: A total of 153 participants (89 OSA patients and 64 matched controls) were prospectively included.

Association of MRI Indexes of the Perivascular Space Network and Cognitive Impairment in Patients with Obstructive Sleep Apnea.

Background The role of perivascular space (PVS) dysfunction in obstructive sleep apnea (OSA) requires further study. Purpose To compare MRI indexes of PVS across patients with differing severities of OSA and relate them with disease characteristics and treatment. Materials and Methods This single-center prospective study included healthy controls (HCs) and patients with complaints of snoring who underwent MRI and cognitive evaluation between June 2021 and December 2022.