Detecting short-interval longitudinal cortical atrophy in neurodegenerative dementias via cluster scanning: A proof of concept
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Updated: Jun 14, 2026

Identification of Disease-related Spatial Covariance Patterns using Neuroimaging Data
Published on: June 26, 2013
Yuta Katsumi1, Michael Brickhouse1, Lindsay C Hanford2
1Frontotemporal Disorders Unit, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
Abstract:
Regional brain atrophy estimated from structural magnetic resonance imaging (MRI) is a widely used measure of neurodegeneration in Alzheimer's disease (AD), Frontotemporal Lobar Degeneration (FTLD), and other dementias. Yet, traditional MRI-derived morphometric estimates are susceptible to measurement errors, posing a challenge for reliably detecting longitudinal atrophy, particularly over short intervals. Here, we examined the utility of multiple MRI scans acquired in rapid succession (i.e., cluster scanning) for detecting longitudinal cortical atrophy over 3- and 6-month intervals within individual patients. Four individuals with mild cognitive impairment or mild dementia likely due to AD or FTLD participated in this study. At baseline, 3 months, and 6 months, structural MRI data were collected on a 3 Tesla scanner using a fast 1.2-mm T1-weighted multi-echo magnetization-prepared rapid gradient echo (MEMPRAGE) sequence (acquisition time = 2'23"). At each timepoint, participants underwent up to 32 MEMPRAGE scans acquired in four separate sessions over two days. Using linear mixed-effects models, phenotypically vulnerable cortical ("core atrophy") regions exhibited statistically significant longitudinal atrophy in all participants (i.e., decreased cortical thickness) by 3 months and further demonstrated preferential vulnerability compared to control regions in three of the participants over at least one of the 3-month intervals. These findings provide proof-of-concept evidence that pooling multiple morphometric estimates derived from cluster scanning can detect longitudinal cortical atrophy over short intervals in individual patients with neurodegenerative dementias.
Insights
Cluster scanning with multiple MRI scans improves detection of brain atrophy in neurodegenerative diseases like Alzheimer's. This method reliably tracks cortical thickness changes over short 3-month intervals in individual patients.
Area of Science:
- Neuroimaging
- Neurology
- Biomedical Engineering
Background:
- Structural MRI measures regional brain atrophy, crucial for diagnosing neurodegenerative diseases such as Alzheimer's disease (AD) and Frontotemporal Lobar Degeneration (FTLD).
- Traditional MRI morphometry faces challenges in reliably detecting longitudinal atrophy over short periods due to measurement errors.
- Accurate detection of early neurodegeneration is vital for timely intervention and disease management.
Purpose of the Study:
- To evaluate the effectiveness of cluster scanning, using multiple rapid MRI acquisitions, for detecting longitudinal cortical atrophy over 3- and 6-month intervals.
- To assess the utility of this advanced MRI technique in individual patients with mild cognitive impairment or dementia.
- To determine if cluster scanning enhances the sensitivity of morphometric estimates for tracking neurodegeneration.
Main Methods:
- Employed a fast 1.2-mm T1-weighted multi-echo magnetization-prepared rapid gradient echo (MEMPRAGE) sequence on a 3 Tesla scanner.
- Acquired up to 32 MEMPRAGE scans per timepoint across four sessions over two days for four participants.
- Utilized linear mixed-effects models to analyze cortical thickness changes and identify regions of significant atrophy.
Main Results:
- Statistically significant longitudinal cortical atrophy (decreased cortical thickness) was detected in vulnerable regions within 3 months in all participants.
- Preferential vulnerability of specific cortical regions to atrophy was observed over 3-month intervals in three participants.
- Cluster scanning demonstrated the ability to detect atrophy in core neurodegenerative regions over short intervals.
Conclusions:
- Cluster scanning, by pooling multiple MRI morphometric estimates, offers a reliable method for detecting longitudinal cortical atrophy over short intervals.
- This approach shows promise for improving the monitoring of neurodegenerative dementias, including AD and FTLD, in individual patients.
- These findings provide proof-of-concept for using rapid, repeated MRI acquisitions to enhance the detection of subtle neurodegenerative changes.
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