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Here we, the Enhancing NeuroImaging Genetics through Meta\u2010Analysis Bipolar Disorder workinggroup, study hippocampal subfield volumetry in BD. T1\u2010weighted magnetic resonance imaging scans from 4,698 individuals (BD\u00a0=\u00a01,472, healthy controls [HC]\u00a0=\u00a03,226) from 23 sites worldwide were processed with FreeSurfer. We used linear mixed\u2010effects models and mega\u2010analysis to investigate differences in hippocampal subfield volumes between BD and HC, followed by analyses of clinical characteristics and medication use. BD showed significantly smaller volumes of the whole hippocampus (Cohen's <jats:italic>d\u2009=<\/jats:italic>\u2009\u22120.20), cornu ammonis (CA)1 (<jats:italic>d\u2009=<\/jats:italic>\u2009\u22120.18), CA2\/3 (<jats:italic>d\u2009=<\/jats:italic>\u2009\u22120.11), CA4 (<jats:italic>d\u2009=<\/jats:italic>\u2009\u22120.19), molecular layer (<jats:italic>d\u2009=<\/jats:italic>\u2009\u22120.21), granule cell layer of dentate gyrus (<jats:italic>d\u2009=<\/jats:italic>\u2009\u22120.21), hippocampal tail (<jats:italic>d\u2009=<\/jats:italic>\u2009\u22120.10), subiculum (<jats:italic>d\u2009=<\/jats:italic>\u2009\u22120.15), presubiculum (<jats:italic>d\u2009=<\/jats:italic>\u2009\u22120.18), and hippocampal amygdala transition area (<jats:italic>d\u2009=<\/jats:italic>\u2009\u22120.17) compared to HC. Lithium users did not show volume differences compared to HC, while non\u2010users did. Antipsychotics or antiepileptic use was associated with smaller volumes. In this largest study of hippocampal subfields in BD to date, we show widespread reductions in nine of 12 subfields studied. The associations were modulated by medication use and specifically the lack of differences between lithium users and HC supports a possible protective role of lithium in BD.<\/jats:p>","DOI":"10.1002\/hbm.25249","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T17:33:57Z","timestamp":1603128837000},"page":"385-398","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":69,"title":["In vivo hippocampal subfield volumes in bipolar disorder\u2014A mega\u2010analysis from The Enhancing Neuro Imaging Genetics through <scp>Meta\u2010Analysis<\/scp> Bipolar Disorder Working Group"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0363-4127","authenticated-orcid":false,"given":"Unn K.","family":"Haukvik","sequence":"first","affiliation":[{"name":"Department of Adult Mental Health Institute of Clinical Medicine, University of Oslo  Oslo Norway"},{"name":"Norwegian Centre for Mental Disorders Research (NORMENT) Division of Mental Health and Addiction, Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1272-7616","authenticated-orcid":false,"given":"Tiril P.","family":"Gurholt","sequence":"additional","affiliation":[{"name":"Norwegian Centre for Mental Disorders Research (NORMENT) Division of Mental Health and Addiction, Oslo University Hospital  Oslo Norway"},{"name":"Norwegian Centre for Mental Disorders Research (NORMENT) Institute of Clinical Medicine, University of Oslo  Oslo Norway"},{"name":"Department of Psychiatric Research Diakonhjemmet Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stener","family":"Nerland","sequence":"additional","affiliation":[{"name":"Norwegian Centre for Mental Disorders Research (NORMENT) Institute of Clinical Medicine, University of Oslo  Oslo Norway"},{"name":"Department of Psychiatric Research Diakonhjemmet Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torbj\u00f8rn","family":"Elvs\u00e5shagen","sequence":"additional","affiliation":[{"name":"Norwegian Centre for Mental Disorders Research (NORMENT) Division of Mental Health and Addiction, Oslo University Hospital  Oslo Norway"},{"name":"Department of Neurology Oslo University Hospital  Oslo Norway"},{"name":"Institute of Clinical Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theophilus N.","family":"Akudjedu","sequence":"additional","affiliation":[{"name":"Centre for Neuroimaging &amp; 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