Hippocampal Atrophy Patterns Across the Alzheimer's Disease Spectrum: A Voxel-Based Morphometry Analysis

Fuente: arXiv
Saved in:
Bibliographic Details
Main Author: Niraula, Trishna
Format: Preprint
Published: 2026
Subjects:
Online Access:
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1866908754733170688
author Niraula, Trishna
author_facet Niraula, Trishna
contents Alzheimer's disease (AD) and mild cognitive impairment (MCI) are associated with progressive gray matter loss, particularly in medial temporal structures. In this study, CAT12/SPM12 voxel-based morphometry was applied to baseline T1-weighted MRI scans from 249 ADNI participants (CN = 90, MCI = 129, AD = 30). Gray matter volume was analyzed using a general linear model, with the diagnostic group as primary predictor and age and total intracranial volume as covariates. Statistical maps were thresholded at p < 0.001 (voxelwise) and corrected for multiple comparisons at the cluster level using family-wise error (FWE) correction (p < 0.05). Significant hippocampal atrophy was observed in AD relative to CN and MCI (Cohen's d = 2.03 and 1.61, respectively). Hippocampal volume demonstrated moderate predictive value for conversion from MCI to AD (AUC = 0.66). Stratification by APOE4 status did not reveal significant genetic effects on cross-sectional hippocampal volume. These results support medial temporal degeneration as a key feature of AD progression and provide insights into predictive biomarkers and genetic influences.
format Preprint
id arxiv_https___arxiv_org_abs_2601_05494
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Hippocampal Atrophy Patterns Across the Alzheimer's Disease Spectrum: A Voxel-Based Morphometry Analysis
Niraula, Trishna
Computer Vision and Pattern Recognition
Alzheimer's disease (AD) and mild cognitive impairment (MCI) are associated with progressive gray matter loss, particularly in medial temporal structures. In this study, CAT12/SPM12 voxel-based morphometry was applied to baseline T1-weighted MRI scans from 249 ADNI participants (CN = 90, MCI = 129, AD = 30). Gray matter volume was analyzed using a general linear model, with the diagnostic group as primary predictor and age and total intracranial volume as covariates. Statistical maps were thresholded at p < 0.001 (voxelwise) and corrected for multiple comparisons at the cluster level using family-wise error (FWE) correction (p < 0.05). Significant hippocampal atrophy was observed in AD relative to CN and MCI (Cohen's d = 2.03 and 1.61, respectively). Hippocampal volume demonstrated moderate predictive value for conversion from MCI to AD (AUC = 0.66). Stratification by APOE4 status did not reveal significant genetic effects on cross-sectional hippocampal volume. These results support medial temporal degeneration as a key feature of AD progression and provide insights into predictive biomarkers and genetic influences.
title Hippocampal Atrophy Patterns Across the Alzheimer's Disease Spectrum: A Voxel-Based Morphometry Analysis
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2601.05494