Measurement characteristics and genome-wide correlates of lifetime brain atrophy estimated from a single MRI

Anna E. Fürtjes*, Isabelle F. Foote, Charley Xia, Gail Davies, Joanna Moodie, Adele Taylor, David C. Liewald, Paul Redmond, Janie Corley, Andrew M. McIntosh, Heather C. Whalley, Susana Muñoz Maniega, Maria Valdés Hernández, Ellen Backhouse, Karen Ferguson, Mark E. Bastin, Joanna Wardlaw, Javier de la Fuente, Andrew D. Grotzinger, Michelle LucianoW. David Hill, Ian J. Deary, Elliot M. Tucker-Drob, Simon R. Cox

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

As a cardinal marker of brain ageing, lifetime brain atrophy obtained from a cross-sectional magnetic resonance image promises to boost statistical power to uncover novel genetic mechanisms of neurodegeneration. By analysing five young and old adult cohorts, we perform the most definitive study on lifetime brain atrophy’s measurement and correlates. It is simply calculated from the relationship between total brain volume and intracranial volume, using the difference, ratio, or regression-residual method. Lifetime brain atrophy is correlated with well-validated neuroradiological atrophy ratings (r = 0.37–0.44), cognitive decline (r = 0.36), frailty (r = 0.24), and longitudinally-measured atrophic changes (r = 0.36). Lifetime brain atrophy computed with the difference method yields phenotypic and genetic signal similar to baseline intracranial volume (rg = 0.75), in contrast to the residual method, which also best captures brain shrinkage. Lifetime brain atrophy is highly heritable (h2SNP = 41%[95%CI = 38–43%]), and the strongest genome-wide association (N = 43,110) implicates WNT16, a gene linked with neurodegenerative diseases.
Original languageEnglish
Article number6725
Number of pages15
JournalNature Communications
Volume16
Issue number1
Early online date21 Jul 2025
DOIs
Publication statusPublished - 2025

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