Brain atrophy remains an ominous and incompletely understood consequence of aging. Magnetic resonance (MR) imaging of the brain in cross-sectional and longitudinal cohort investigations has demonstrated that brain atrophy is a sensitive indicator of mild cognitive impairment and dementia. Whole-brain atrophy, and hippocampus atrophy in particular, is greater in individuals with Alzheimer disease compared with healthy aged control subjects.
1-3 Findings from studies
4-6 of individuals at risk for familial Alzheimer disease suggest that atrophy of certain brain regions may precede the generalized cerebral atrophy seen at the time of diagnosis. The mechanisms that underlie accelerated global and regional brain atrophy are incompletely understood.