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Updated: Apr 20, 2026

Full- versus Sub-Regional Quantification of Amyloid-Beta Load on Mouse Brain Sections
Published on: May 19, 2022
Amyloid burden in cognitively normal elderly is associated with preferential hippocampal subfield volume loss
Phillip J Hsu1, Haochang Shou2, Tammie Benzinger3
1Department of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
Abstract:
The earliest sites of brain atrophy in Alzheimer's disease are in the medial temporal lobe, following widespread cerebral cortical amyloid deposition. We assessed 74 cognitively normal participants with clinical measurements, amyloid-β-PET imaging, MRI, and a newly developed technique for MRI-based hippocampal subfield segmentation to determine the differential association of amyloid deposition and hippocampal subfield volume. Compared to amyloid-negative participants, amyloid-positive participants had significantly smaller hippocampal tail, presubiculum, subiculum, and total hippocampal gray matter volumes. We conclude that, prior to the development of cognitive impairment, atrophy in particular hippocampal subfields occurs preferentially with amyloid-β accumulation.
Insights
Early Alzheimer's disease shows brain atrophy in specific hippocampal subfields, even before cognitive decline. Amyloid-beta plaque buildup is linked to this early brain shrinkage in normal individuals.
Area of Science:
- Neuroscience
- Neurology
- Radiology
Background:
- Alzheimer's disease (AD) is characterized by brain atrophy, particularly in the medial temporal lobe.
- Widespread amyloid-beta (Aβ) deposition in the cerebral cortex precedes significant atrophy.
Purpose of the Study:
- To investigate the association between amyloid deposition and hippocampal subfield volumes in cognitively normal individuals.
- To determine if Aβ accumulation correlates with atrophy in specific hippocampal subfields before cognitive impairment.
Main Methods:
- Assessed 74 cognitively normal participants using clinical evaluations, amyloid-beta positron emission tomography (Aβ-PET) imaging, and magnetic resonance imaging (MRI).
- Employed a novel MRI-based technique for detailed hippocampal subfield segmentation.
Main Results:
- Amyloid-positive participants exhibited significantly smaller volumes in the hippocampal tail, presubiculum, and subiculum compared to amyloid-negative participants.
- Total hippocampal gray matter volume was also significantly reduced in amyloid-positive individuals.
Conclusions:
- Amyloid-beta accumulation is associated with preferential atrophy in specific hippocampal subfields in cognitively normal individuals.
- These volumetric changes in the hippocampus occur early in the Alzheimer's disease process, preceding clinical symptoms.
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