Cortical Morphometry in Neuroimaging and Neurodegeneration

Summary

Cortical morphometry encompasses quantitative measurement of cortical architecture, capturing features such as thickness, surface area and folding patterns via high-resolution MRI. Automated pipelines have matured to facilitate large-scale studies spanning health and disease, offering insights into normal development, ageing and pathology. Cortical thickness quantifies the distance between white matter and pial surfaces, while surface area reflects the expanse of cortical tissue; gyrification indices assess folding complexity. Voxel-based and surface-based methods complement each other by focusing on tissue concentration versus anatomical geometry. Harmonised acquisition protocols and advanced segmentation tools improve reproducibility, enabling longitudinal tracking of subtle changes. In Alzheimer’s, Parkinson’s and frontotemporal dementia, region-specific thinning and atrophy progress in characteristic patterns, serving as biomarkers for early diagnosis, prognosis and therapeutic monitoring. Emerging approaches include fractal-based multiscale descriptors of folding, rapid imaging protocols that reduce motion artefacts, and standardisation efforts for multicentre cohorts. By refining sensitivity and reliability, these developments extend the translational potential of cortical morphometry, informing global efforts in neurodegenerative disease research and clinical application.

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Cortical Morphometry in Neuroimaging and Neurodegeneration publication trend

The graph below shows the total number of articles in cortical morphometry in neuroimaging and neurodegeneration across all publications each year (not limited to Nature Index journals).

Technical terms

Cortical thickness: Distance between the white matter boundary and pial surface of the cerebral cortex.

Cortical surface area: Total area of the cerebral cortex reflecting the extent of the cortical sheet.

Gyrification: Measure of the complexity of cortical folding patterns.

Voxel-based morphometry (VBM): Voxel-wise statistical analysis of local tissue volume or density in MRI scans.

Surface-based morphometry (SBM): Analysis of cortical metrics derived from reconstructed cortical surfaces.

References

  1. Neuro-evolutionary evidence for a universal fractal primate brain shape. eLife (2024).
  2. Brain morphometry in older adults with and without dementia using extremely rapid structural scans. NeuroImage (2023).
  3. Influence of Processing Pipeline on Cortical Thickness Measurement. Cerebral Cortex (2020).
  4. Cortical Thickness Estimations of FreeSurfer and the CAT12 Toolbox in Patients with Alzheimer's Disease and Healthy Controls. Journal of Neuroimaging (2018).
  5. A comparison between voxel-based cortical thickness and voxel-based morphometry in normal aging. NeuroImage (2009).

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