Low cerebral blood flow (CBF) is associated with poor cognitive performance in patients with Alzheimer disease (AD), a new report in Alzheimer's & Dementia indicates. The study included patients with AD (n = 161), mild cognitive impairment (n = 95) and subjective cognitive decline (n = 43). CBF reduction was found to correlate with cognitive decline in the participants with AD, but not in the other two groups. The authors propose that CBF could be used as a marker of disease severity in AD.