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We examine subcortical and limbic volumetry in neurodegenerative diseases involving phosphorylated tau (p\u2010tau), \u03b1\u2010synuclein, and transactive response DNA binding protein 43 (TDP\u201043).<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n \n We acquired neuropathological measures and brain segmentations from\n postmortem<\/jats:italic>\n analysis of 132 donors with Alzheimer's disease (AD), Lewy body disease (LBD), frontotemporal lobar degeneration with TDP\u201043 (FTLD\u2010TDP), and FTLD\u2010tau.\n <\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n LBD had the least subcortical, limbic, and cortical atrophy compared to AD, FTLD\u2010TDP, and FTLD\u2010tau. In donors with both AD and LBD pathologies, primary LBD was associated with less atrophy than primary AD. While AD had cortico\u2010subcortical and cortico\u2010limbic morphometric associations, LBD had more limited parieto\u2010occipital cortico\u2010limbic associations. FTLD\u2010TDP had cortico\u2010subcortical while FTLD\u2010tau had cortico\u2010subcortical and cortico\u2010limbic associations. In AD and FTLD\u2010tau, hippocampal volumes correlated with p\u2010tau burden, neuron loss, and gliosis. In LBD, thalamic \u03b1\u2010synuclein severity was associated with subcortical\/limbic volumes.<\/jats:p>\n <\/jats:sec>\n \n DISCUSSION<\/jats:title>\n \n Postmortem<\/jats:italic>\n neuroimaging reveals disease\u2010 and region\u2010specific structure\u2013pathology relationships.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/alz.71649","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T17:30:37Z","timestamp":1783531837000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postmortem<\/i>\n brain MRI reveals differential associations of subcortical and limbic volumes with cortical thinning and neurodegenerative pathologies"],"prefix":"10.1002","volume":"22","author":[{"given":"Pulkit","family":"Khandelwal","sequence":"first","affiliation":[{"name":"University of Pennsylvania Philadelphia Pennsylvania USA"},{"name":"Athinoula A. 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