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Cognition at a macroscale emerges from local interactions. Alzheimer’s disease (AD)
results in clinical deficits in cognition through disruption of this emergent global
architecture. However, the neurobiology of cognition and AD at the macroscale is poorly
understood. In this study, we used global patterns of glucose uptake as an observable
feature of macroscale AD pathophysiology. Glucose uptake variability across individuals
encodes the macroscale consequence of AD. Parameterization of patterns in glucose
uptake decodes this pathophysiology revealing fundamental large-scale axes of functional
brain organization and allowing estimation of a global functional state space (GFSS)
that captures central features of the neurobiology of AD.
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