Evidence map›Paper›PMID 39938492›Full record

SynthesisDementia and geriatric cognitive disorders2025

Structural Neuroimaging Correlates of Neuropsychiatric Symptoms in Alzheimer's Disease: A Systematic Literature Review.

Meghan K Ramirez, Connor J Phipps, Daniel L Murman, Janelle N Beadle, Vaishali S Phatak, David E Warren

Abstract readSystematic Review
In one paragraph

Synthesis in Dementia and geriatric cognitive disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

6 authors.

Meghan K RamirezDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska, USA, meghan.ramirez@unmc.edu.
Connor J PhippsDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Daniel L MurmanDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Janelle N BeadleDepartment of Gerontology, University of Nebraska-Omaha, Omaha, Nebraska, USA.
Vaishali S PhatakDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska, USA.
David E WarrenDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Funding

Translational Imaging and Behavioral Assessment (TIBA) CoreP20GM130447 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI CHRISTOPHER K KOVACH · 2020 to 2026
$20.7M
Measuring neurodevelopmental effects of polygenic risk for Alzheimer's disease via longitudinal study of brain and cognitive variables in periadolescent childrenR01AG064247 · NIA · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI WARREN, DAVID E · 2019 to 2023
$3.0M
Understanding the developmental impact of environmental risk factors on brain and cognitive systems vulnerable to Alzheimers disease in childrenF99NS139537 · NINDS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI RAMIREZ, MEGHAN · 2024 to 2025
$101k
NIA NIH HHS R01 AG064247NIGMS NIH HHS P20 GM130447NINDS NIH HHS F99 NS139537
6 · The paper itself

Abstract

introductionNeuropsychiatric symptoms (NPS) such as increased apathy, affective symptoms, psychosis and hyperactivity are common in Alzheimer's disease (AD) and are associated with increased disease severity and caregiver burden. In contrast to well-characterized associations between AD-related cognitive deficits and focal neuropathology (e.g., memory and hippocampal atrophy), fewer studies have focused on associations between NPS-brain associations in AD. Furthermore, studies focusing on magnetic resonance imaging measures of gray matter (GM) abnormalities associated with NPS in AD have not been systematically reviewed.

methodsTo address this gap, a systematic literature review was undertaken to identify articles that assessed structural brain differences associated with NPS in AD. This review identified 29 such articles that tested associations between NPS and gray matter loss (GML: reduced GM density, reduced GM volume, decreased cortical thickness, etc.).

resultsAcross all NPS, most symptoms were associated with GML in the prefrontal cortex and medial temporal lobe, highlighting key limbic/limbic adjacent structures including orbitofrontal cortex and parahippocampal regions. Other regions exhibiting associations included the superior and middle temporal gyri as well as anterior and posterior cingulate cortex.

conclusionUnderstanding how GM changes in the brain relate to NPS in AD may not only improve our understanding of NPS and AD but may also provide help identify homologies/correspondence with brain changes in psychiatric diseases.

Indexed as

Alzheimer DiseaseBrainAtrophyGray MatterHumansMagnetic Resonance ImagingNeuroimagingAlzheimer’s diseaseMagnetic resonance imagingNeuropsychiatric symptoms

Identifiers

PMID39938492
PMCPMC12324975

What OpenQuestion holds

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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.