Evidence map›Paper›PMID 40189812›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Quantification of perforant path fibers for early detection of Alzheimer's disease.

Yuto Uchida, Zhipeng Hou, Laura Gomez-Isaza, Maria Luongo, Juan C Troncoso, Michael I Miller, Susumu Mori, Kenichi Oishi

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Evolutionary implications ofBrain communications · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Neutrophil-to-Lymphocyte Ratio in the Alzheimer's Disease Continuum.International journal of molecular sciences · 2025
    Review
  11. Quantification of perforant path fibers for early detection of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  12. 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

8 authors.

Yuto UchidaDepartment of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Zhipeng HouDepartment of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Laura Gomez-IsazaDepartment of Pathology, Division of Neuropathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Maria LuongoDepartment of Pathology, Division of Neuropathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Juan C TroncosoDepartment of Pathology, Division of Neuropathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Michael I MillerDepartment of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland, USA.
Susumu MoriDepartment of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Kenichi OishiDepartment of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Funding

Project 2 MeasurementU19AG033655 · NIA · JOHNS HOPKINS UNIVERSITY · PI Abhay Moghekar · 2014 to 2026
$51.5M
Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI JUAN TRONCOSO · 2020 to 2026
$29.3M
TRD 4: Platforms for multi-modal and multi-scale imaging dataP41EB031771 · NIBIB · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI Hanzhang Lu, Peter CM Van Zijl · 2021 to 2026
$9.9M
Quantification of microstructures in the entorhinal-hippocampus pathway as a sensitive biomarker for neurodegeneration during the preclinical stage of Alzheimer's diseaseK99AG088363 · NIA · JOHNS HOPKINS UNIVERSITY · PI UCHIDA, YUTO · 2024 to 2025
$195k
Alzheimer's Association and the National Alzheimer's Coordinating Center NIAP24-1268927NIA NIH HHS K99 AG088363NIA NIH HHS P30 AG066507NIA NIH HHS U19 AG033655NIBIB NIH HHS P41 EB031771the National Institute on Aging K99AG088363the National Institute on Aging P30AG066507the National Institute on Aging U01AG033655
6 · The paper itself

Abstract

introductionThe entorhinal cortex (ERC) and perforant path (PP) fibers are critical structures in the pathology of Alzheimer's disease (AD). This study aims to explore these regions using high-field magnetic resonance imaging (MRI), with the goal of identifying reliable biomarkers based on histopathological observations.

methodsTwenty post mortem brain specimens were scanned with 11.7T MRI, including diffusion tensor imaging and tractography, and were cut for subsequent histological examinations. The entorhinal cortical thickness and number of PP fibers derived from MRI were compared across neuropathological and premortem clinical diagnoses of AD.

resultsThe entorhinal cortical thickness and number of PP fibers decreased along with severities of neurofibrillary tangles in the ERC. Meanwhile, a reduction in the number of PP fibers, but not the entorhinal cortical thickness, was observed during the preclinical stage of AD.

conclusionsDegeneration of PP fibers was observed in early AD and progressed along with neuropathological changes. HIGHLIGHTS: Twenty post mortem brain tissues were scanned with 11.7T MRI. Degeneration of PP fibers was observed at 250 µm isotropic resolution. PP fiber indices were linked with severities of NFTs. The number of PP fibers was decreased in preclinical AD.

Indexed as

Alzheimer DiseaseEntorhinal CortexPerforant PathwayAgedAged, 80 and overAutopsyDiffusion Tensor ImagingEarly DiagnosisFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeurofibrillary TanglesAlzheimer's diseasediffusion tensor imagingentorhinal cortexhistologymagnetic resonance imagingneurodegenerationperforant pathtractography

Identifiers

PMID40189812
PMCPMC11972979

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.