Evidence map›Paper›PMID 34689831›Full record

ArticleActa neuropathologica communications2021

Ex vivo MRI atlas of the human medial temporal lobe: characterizing neurodegeneration due to tau pathology.

Sadhana Ravikumar, Laura E M Wisse, Sydney Lim, Ranjit Ittyerah, Long Xie, Madigan L Bedard, Sandhitsu R Das, Edward B Lee, M Dylan Tisdall, Karthik Prabhakaran and 21 more

Open access · goldAbstract read
In one paragraph

Article in Acta neuropathologica communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

44 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Review
  3. Post mortem MRI of cholinergic white matter pathways across neurodegenerative diseases.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Brain morphometry patterns in the presence of Alzheimer's disease and/or LATE neuropathologic changes.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
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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

31 authors at 3 institutions in 3 countries.

Sadhana RavikumarDepartment of Bioengineering, University of Pennsylvania, Richards Building 6th Floor, Suite D, 3700 Hamilton Walk, Philadelphia, PA, 19104, USA. sadhanar@seas.upenn.edu.ORCID 0000-0002-9858-4731
Laura E M WisseDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Sydney LimDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Ranjit IttyerahDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Long XieDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Madigan L BedardDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Sandhitsu R DasDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Edward B LeeDepartment of Pathology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
M Dylan TisdallDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Karthik PrabhakaranDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Jacqueline LaneDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
John A DetreDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Gabor MizseiDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
John Q TrojanowskiDepartment of Pathology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
John L RobinsonDepartment of Pathology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Theresa SchuckDepartment of Pathology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Murray GrossmanDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Emilio Artacho-PérulaHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
Maria Mercedes Iñiguez de Onzoño MartinHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
María Del Mar Arroyo JiménezHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
Monica MuñozHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
Francisco Javier Molina RomeroHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
Maria Del Pilar Marcos RabalHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
Sandra Cebada SánchezHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
José Carlos Delgado GonzálezHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
Carlos de la Rosa PrietoHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
Marta Córcoles ParadaHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
David J IrwinDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
David A WolkDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Ricardo InsaustiHuman Neuroanatomy Laboratory, CSIC Neuromax Associated Unit, University of Castilla La Mancha, 02008, Albacete, Spain.
Paul A YushkevichDepartment of Bioengineering, University of Pennsylvania, Richards Building 6th Floor, Suite D, 3700 Hamilton Walk, Philadelphia, PA, 19104, USA.
University of Pennsylvania · USUniversity of Castilla-La Mancha · ESLund University · SE

Funding

Transgenic Mouse Models of Tau PathologiesP01AG017586 · NIA · UNIVERSITY OF PENNSYLVANIA · PI LEE, VIRGINIA M · 2000 to 2021
$37.3M
UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI XIE, SHARON XIANGWEN · 1991 to 2020
$35.1M
Research Education ComponentP30AG072979 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVID A WOLK · 2021 to 2026
$24.8M
Understanding Environmental Contributions to Heterogeneity in bvFTD.P01AG066597 · NIA · UNIVERSITY OF PENNSYLVANIA · PI David John Irwin, Corey T McMillan · 2020 to 2026
$18.8M
Spreading Tau Pathology in Non-Amnestic Alzheimer's DiseaseR01AG054519 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Jeffrey S Phillips · 2018 to 2026
$7.4M
Ex Vivo Imaging of the Aging Brain to Discover Morphology/Pathology AssociationsR01AG056014 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Paul A. Yushkevich · 2017 to 2026
$4.5M
Microscopic and Large-Scale Networks of Molecular Pathology in Frontotemporal Lobar DegenerationR01NS109260 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI IRWIN, DAVID JOHN · 2019 to 2023
$3.8M
Adaptive Large-Scale Framework for Automatic Biomedical Image SegmentationR01EB017255 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI YUSHKEVICH, PAUL A. · 2014 to 2018
$3.0M
Improving the sensitivity and specificity of MRI-based biomarkers in Alzheimer's diseaseRF1AG069474 · NIA · UNIVERSITY OF PENNSYLVANIA · PI WOLK, DAVID A, YUSHKEVICH, PAUL A. · 2021 to 2021
$2.1M
NIA NIH HHS P01 AG017586NIA NIH HHS P01 AG066597NIA NIH HHS P30 AG010124NIA NIH HHS P30 AG072979NIA NIH HHS R01 AG054519NIA NIH HHS R01 AG056014NIA NIH HHS RF1 AG069474NIBIB NIH HHS R01 EB017255NIH HHS P01 AG017586NIH HHS R01 EB017255NINDS NIH HHS R01 NS109260
6 · The paper itself

Abstract

Tau neurofibrillary tangle (NFT) pathology in the medial temporal lobe (MTL) is closely linked to neurodegeneration, and is the early pathological change associated with Alzheimer's disease (AD). To elucidate patterns of structural change in the MTL specifically associated with tau pathology, we compared high-resolution ex vivo MRI scans of human postmortem MTL specimens with histology-based pathological assessments of the MTL. MTL specimens were obtained from twenty-nine brain donors, including patients with AD, other dementias, and individuals with no known history of neurological disease. Ex vivo MRI scans were combined using a customized groupwise diffeomorphic registration approach to construct a 3D probabilistic atlas that captures the anatomical variability of the MTL. Using serial histology imaging in eleven specimens, we labelled the MTL subregions in the atlas based on cytoarchitecture. Leveraging the atlas and neuropathological ratings of tau and TAR DNA-binding protein 43 (TDP-43) pathology severity, morphometric analysis was performed to correlate regional MTL thickness with the severity of tau pathology, after correcting for age and TDP-43 pathology. We found significant correlations between tau pathology and thickness in the entorhinal cortex (ERC) and stratum radiatum lacunosum moleculare (SRLM). When focusing on cases with low levels of TDP-43 pathology, we found strong associations between tau pathology and thickness in the ERC, SRLM and the subiculum/cornu ammonis 1 (CA1) subfields of the hippocampus, consistent with early Braak stages.

Indexed as

AdultAgedAged, 80 and overAtlases as TopicFemaleHumansImaging, Three-DimensionalMagnetic Resonance ImagingMaleMiddle AgedNeurofibrillary TanglesNeuroimagingtau ProteinsTemporal LobeMAPT protein, humantau ProteinsAlzheimer’s diseaseBiomarkersCo-morbiditiesEx vivo MRINeurodegenerationNeurofibrillary tangles

Identifiers

PMID34689831
PMCPMC8543911
OpenAlexW3208880243

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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.