Evidence map›Paper›PMID 27807186›Full record

ArticleNeurology2016

Hippocampal volumes predict risk of dementia with Lewy bodies in mild cognitive impairment.

Kejal Kantarci, Timothy Lesnick, Tanis J Ferman, Scott A Przybelski, Bradley F Boeve, Glenn E Smith, Walter K Kremers, David S Knopman, Clifford R Jack, Ronald C Petersen

Open access · hybridAbstract read
In one paragraph

Article in Neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Implications and opportunities regarding biological frameworks in overt and prodromal dementia with Lewy bodies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Longitudinal Free-Water Changes in Dementia with Lewy Bodies.Movement disorders : official journal of the Movement Disorder Society · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Lewy Body Dementias: A Coin with Two Sides?Behavioral sciences (Basel, Switzerland) · 2021
    Review
  17. Article
  18. Article
  19. Prodromal Dementia With Lewy Bodies: Clinical Characterization and Predictors of Progression.Movement disorders : official journal of the Movement Disorder Society · 2020
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Kejal KantarciFrom the Departments of Radiology (K.K., C.R.J.), Health Sciences Research (T.L., S.A.P., W.K.K.), and Neurology (B.F.B., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN; Department of Psychology and Psychiatry (T.J.F.), Mayo Clinic Jacksonville; and Department of Psychology (G.E.S.), University of Florida, Gainesville. kantarci.kejal@mayo.edu.
Timothy LesnickFrom the Departments of Radiology (K.K., C.R.J.), Health Sciences Research (T.L., S.A.P., W.K.K.), and Neurology (B.F.B., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN; Department of Psychology and Psychiatry (T.J.F.), Mayo Clinic Jacksonville; and Department of Psychology (G.E.S.), University of Florida, Gainesville.
Tanis J FermanFrom the Departments of Radiology (K.K., C.R.J.), Health Sciences Research (T.L., S.A.P., W.K.K.), and Neurology (B.F.B., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN; Department of Psychology and Psychiatry (T.J.F.), Mayo Clinic Jacksonville; and Department of Psychology (G.E.S.), University of Florida, Gainesville.
Scott A PrzybelskiFrom the Departments of Radiology (K.K., C.R.J.), Health Sciences Research (T.L., S.A.P., W.K.K.), and Neurology (B.F.B., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN; Department of Psychology and Psychiatry (T.J.F.), Mayo Clinic Jacksonville; and Department of Psychology (G.E.S.), University of Florida, Gainesville.
Bradley F BoeveFrom the Departments of Radiology (K.K., C.R.J.), Health Sciences Research (T.L., S.A.P., W.K.K.), and Neurology (B.F.B., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN; Department of Psychology and Psychiatry (T.J.F.), Mayo Clinic Jacksonville; and Department of Psychology (G.E.S.), University of Florida, Gainesville.
Glenn E SmithFrom the Departments of Radiology (K.K., C.R.J.), Health Sciences Research (T.L., S.A.P., W.K.K.), and Neurology (B.F.B., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN; Department of Psychology and Psychiatry (T.J.F.), Mayo Clinic Jacksonville; and Department of Psychology (G.E.S.), University of Florida, Gainesville.
Walter K KremersFrom the Departments of Radiology (K.K., C.R.J.), Health Sciences Research (T.L., S.A.P., W.K.K.), and Neurology (B.F.B., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN; Department of Psychology and Psychiatry (T.J.F.), Mayo Clinic Jacksonville; and Department of Psychology (G.E.S.), University of Florida, Gainesville.
David S KnopmanFrom the Departments of Radiology (K.K., C.R.J.), Health Sciences Research (T.L., S.A.P., W.K.K.), and Neurology (B.F.B., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN; Department of Psychology and Psychiatry (T.J.F.), Mayo Clinic Jacksonville; and Department of Psychology (G.E.S.), University of Florida, Gainesville.
Clifford R JackFrom the Departments of Radiology (K.K., C.R.J.), Health Sciences Research (T.L., S.A.P., W.K.K.), and Neurology (B.F.B., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN; Department of Psychology and Psychiatry (T.J.F.), Mayo Clinic Jacksonville; and Department of Psychology (G.E.S.), University of Florida, Gainesville.
Ronald C PetersenFrom the Departments of Radiology (K.K., C.R.J.), Health Sciences Research (T.L., S.A.P., W.K.K.), and Neurology (B.F.B., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN; Department of Psychology and Psychiatry (T.J.F.), Mayo Clinic Jacksonville; and Department of Psychology (G.E.S.), University of Florida, Gainesville.
Jacksonville College · US

Funding

SUPPLEMENT TO ALZHEIMERS DISEASE PATIENT REGISTRYU01AG006786 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN, JACK, CLIFFORD R. · 1986 to 2023
$49.6M
THE PGRN/TDP-43 AXIS IN ALZHEIMER?S DISEASE AND NEURODEGENERATIONP50AG016574 · NIA · MAYO CLINIC ROCHESTER · PI PETERSEN, RONALD C · 1999 to 2018
$36.9M
Longitudinal Evaluation of Familial Frontotemporal Dementia Subjects (LEFFTDS)U01AG045390 · NIA · MAYO CLINIC ROCHESTER · PI BOEVE, BRADLEY F, ROSEN, HOWARD J · 2014 to 2018
$16.9M
PREDICTING ALZHEIMERS DISEASE WITH MAGNETIC RESONANCER01AG011378 · NIA · MAYO CLINIC ROCHESTER · PI JACK, CLIFFORD R. · 1993 to 2017
$12.1M
The Frontotemporal Lobar Degeneration Neuroimaging InitiativeR01AG032306 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ROSEN, HOWARD J · 2009 to 2013
$10.0M
Training - The Frontotemporal Lobar Degeneration Clinical Research ConsortiumU54NS092089 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BOXER, ADAM L. · 2014 to 2018
$6.4M
Sex-specific Risk for Vascular Dysfunction and Cognitive DeclineP50AG044170 · NIA · MAYO CLINIC ROCHESTER · PI MILLER, VIRGINIA M · 2012 to 2017
$6.1M
Epidemiology of Familial Late-Onset Alzheimer's DiseaseR01AG041797 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P · 2012 to 2016
$4.2M
NEUROPSYCHOLOGY OF DEMENTIA WITH LEWY BODIESR01AG015866 · NIA · MAYO CLINIC JACKSONVILLE · PI FERMAN, TANIS JILL · 1999 to 2009
$2.6M
EXTRAMURAL RES FACIL IMPROVEMENT PROG: POLYCYSTIC KIDNEY DISEASE, RENAL STUDIES,C06RR018898 · NCRR · MAYO CLINIC · PI BURNETT, JOHN C · 2004 to 2004
$2.3M
Pathological basis of MRS and DTI changes in neurodegenerative dementiaR01AG040042 · NIA · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2011 to 2015
$1.6M
Effects of estrogen on brain morphology and neuronal integrity in early menopauseR21NS066147 · NINDS · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2011
$405k
NCRR NIH HHS C06 RR018898NIA NIH HHS P50 AG016574NIA NIH HHS P50 AG044170NIA NIH HHS R01 AG011378NIA NIH HHS R01 AG015866NIA NIH HHS R01 AG032306NIA NIH HHS R01 AG040042NIA NIH HHS R01 AG041797NIA NIH HHS U01 AG006786NIA NIH HHS U01 AG045390NINDS NIH HHS R21 NS066147NINDS NIH HHS U54 NS092089
6 · The paper itself

Abstract

objectiveTo predict the risk of probable dementia with Lewy bodies (DLB) competing with Alzheimer disease (AD) dementia by hippocampal volume (HV) in patients with mild cognitive impairment (MCI) with impairments in amnestic or nonamnestic cognitive domains.

methodsPatients with MCI (n = 160) from the Mayo Clinic Alzheimer's Disease Research Center, who participated in an MRI study at baseline from 2005 to 2014, were followed with approximately annual clinical evaluations. HVs were analyzed from 3T MRIs using FreeSurfer (5.3). Hippocampal atrophy was determined from the most normal 10th percentile of the measurement distributions in a separate cohort of clinically diagnosed patients with AD dementia. The subdistribution hazard ratios for progression to probable DLB and AD dementia were estimated by taking into account the competing risks.

resultsDuring a median (range) follow-up of 2.0 (0.7-8.1) years, 20 (13%) patients with MCI progressed to probable DLB, and 61 (38%) progressed to AD dementia. The estimated subdistribution hazard ratio (95% confidence interval) for normal HV relative to hippocampal atrophy for progression to AD dementia was 0.56 (0.34-0.91; p = 0.02) after taking into account the competing risks. The estimated hazard ratio for normal HV relative to hippocampal atrophy for progression to probable DLB was 4.22 (1.42-12.6; p = 0.01) after adjusting for age and after including the MCI subtype in the model.

conclusionsPreserved hippocampal volumes are associated with increased risk of probable DLB competing with AD dementia in patients with MCI. Preservation of HV may support prodromal DLB over AD, particularly in patients with MCI with nonamnestic features.

Indexed as

AgedAlzheimer DiseaseAtrophyCognitive DysfunctionDisease ProgressionFemaleFollow-Up StudiesHippocampusHumansImaging, Three-DimensionalIncidenceLewy Body DiseaseMagnetic Resonance ImagingMaleMiddle AgedMultivariate Analysis

Identifiers

PMID27807186
PMCPMC5135023
OpenAlexW2548627762

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.