Evidence map›Paper›PMID 38487076›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

Alzheimer's disease heterogeneity revealed by neuroanatomical normative modeling.

Flavia Loreto, Serena Verdi, Seyed Mostafa Kia, Aleksandar Duvnjak, Haneen Hakeem, Anna Fitzgerald, Neva Patel, Johan Lilja, Zarni Win, Richard Perry and 3 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
8.5field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Normative Modeling of Static and Dynamic Functional Connectivity.bioRxiv : the preprint server for biology · 2026
    Article
  2. Article
  3. Spatially and temporally progressive hypoperfusion in Alzheimer's disease revealed by normative modeling.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Article
  5. Structural similarity networks reveal brain vulnerability in dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Personalizing progressive changes to brain structure in Alzheimer's disease using normative modeling.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  14. Article
  15. Article
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

13 authors at 7 institutions in 3 countries.

Flavia LoretoDepartment of Brain Sciences Faculty of Medicine Imperial College London London UK.
Serena VerdiCentre for Medical Image Computing Medical Physics and Biomedical Engineering University College London London UK.
Seyed Mostafa KiaDonders Centre for Cognitive Neuroimaging Donders Institute for Brain Cognition and Behaviour Radboud University Nijmegen The Netherlands.
Aleksandar DuvnjakDepartment of Brain Sciences Faculty of Medicine Imperial College London London UK.
Haneen HakeemDepartment of Brain Sciences Faculty of Medicine Imperial College London London UK.
Anna FitzgeraldDepartment of Brain Sciences Faculty of Medicine Imperial College London London UK.
Neva PatelDepartment of Nuclear Medicine Imperial College Healthcare NHS Trust London UK.
Johan LiljaHermes Medical Solutions Stockholm Sweden.
Zarni WinDepartment of Nuclear Medicine Imperial College Healthcare NHS Trust London UK.
Richard PerryDepartment of Brain Sciences Faculty of Medicine Imperial College London London UK.
Andre F MarquandDonders Centre for Cognitive Neuroimaging Donders Institute for Brain Cognition and Behaviour Radboud University Nijmegen The Netherlands.
James H ColeCentre for Medical Image Computing Medical Physics and Biomedical Engineering University College London London UK.
Paresh MalhotraDepartment of Brain Sciences Faculty of Medicine Imperial College London London UK.
Imperial College London · GBImperial College Healthcare NHS Trust · GBHermes Medical Solutions (Sweden) · SENational Hospital for Neurology and Neurosurgery · GBRadboud University Nijmegen · NLUK Dementia Research Institute · GBUniversity Medical Center Utrecht · NL

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
NIA NIH HHS U01 AG024904
6 · The paper itself

Abstract

introductionOverlooking the heterogeneity in Alzheimer's disease (AD) may lead to diagnostic delays and failures. Neuroanatomical normative modeling captures individual brain variation and may inform our understanding of individual differences in AD-related atrophy.

methodsWe applied neuroanatomical normative modeling to magnetic resonance imaging from a real-world clinical cohort with confirmed AD (

resultsThe superior temporal sulcus contained the highest proportion of outliers (60%). Elsewhere, overlap between patient atrophy patterns was low. Mean total outlier count was higher in patients who were non-amnestic, at more advanced disease stages, and without depressive symptoms. Amyloid burden was negatively associated with outlier count. DISCUSSION: Brain atrophy in AD is highly heterogeneous and neuroanatomical normative modeling can be used to explore anatomo-clinical correlations in individual patients.

Indexed as

Alzheimer's diseaseamyloid PETheterogeneityMRIneuroanatomical normative modelingneurodegeneration

Identifiers

PMID38487076
PMCPMC10937817
OpenAlexW4392813943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.