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markers are needed to select people with early\u2010stage AD for clinical trials and as quantitative endpoint measures in trials. Using 10 clinical cohorts (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u20099140) and the community volunteer UK Biobank (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u200937,664) we performed region of interest (ROI) and vertex\u2010wise analyses of grey\u2010matter structure (thickness, surface area and volume). We identified 94 trait\u2010ROI significant associations, and 307 distinct cluster of vertex\u2010associations, which partly overlap the ROI associations. For AD versus controls, smaller hippocampus, amygdala and of the medial temporal lobe (fusiform and parahippocampal gyri) was confirmed and the vertex\u2010wise results provided unprecedented localisation of some of the associated region. We replicated AD associated differences in several subcortical (putamen, accumbens) and cortical regions (inferior parietal, postcentral, middle temporal, transverse temporal, inferior temporal, paracentral, superior frontal). These grey\u2010matter regions and their relative effect sizes can help refine our understanding of the brain regions that may drive or precede the widespread brain atrophy observed in AD. An AD grey\u2010matter score evaluated in independent cohorts was significantly associated with cognition, MCI status, AD conversion (progression from cognitively normal or MCI to AD), genetic risk, and tau concentration in individuals with none or mild cognitive impairments (AUC in 0.54\u20130.70,\n                    <jats:italic>p<\/jats:italic>\n                    \u2010value\u2009&lt;\u20095e\u20104). In addition, some of the grey\u2010matter regions associated with cognitive impairment, progression to AD (\u2018conversion\u2019), and cognition\/functional scores were also associated with AD, which sheds light on the grey\u2010matter markers of disease stages, and their relationship with cognitive or functional impairment. Our multi\u2010cohort approach provides robust and fine\u2010grained maps the grey\u2010matter structures associated with AD, symptoms, and progression, and calls for even larger initiatives to unveil the full complexity of grey\u2010matter structure in AD.\n                  <\/jats:p>","DOI":"10.1002\/hbm.70089","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T07:26:25Z","timestamp":1738740385000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Grey\u2010Matter Structure Markers of Alzheimer's Disease, Alzheimer's Conversion, Functioning and Cognition: A Meta\u2010Analysis Across 11 Cohorts"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0719-9302","authenticated-orcid":false,"given":"Baptiste","family":"Couvy\u2010Duchesne","sequence":"first","affiliation":[{"name":"Institute for Molecular Bioscience The University of Queensland  St Lucia Queensland Australia"},{"name":"Paris Brain Institute \u2013 ICM, CNRS, Inria, Inserm, AP\u2010HP, H\u00f4pital de la Piti\u00e9 Salp\u00eatri\u00e8re Sorbonne University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Frouin","sequence":"additional","affiliation":[{"name":"CEA, CNRS, Neurospin, Baobab Paris\u2010Saclay University  Saclay France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Bouteloup","sequence":"additional","affiliation":[{"name":"Univ. 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Mental Health, School of Clinical Medicine, Faculty of Medicine and Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Neuropsychiatric Institute Prince of Wales Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Brodaty","sequence":"additional","affiliation":[{"name":"Centre for Healthy Brain Ageing, Discipline of Psychiatry &amp; Mental Health, School of Clinical Medicine, Faculty of Medicine and Health University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle K.","family":"Lupton","sequence":"additional","affiliation":[{"name":"QIMR Berghofer Medical Research Institute  Brisbane Queensland Australia"},{"name":"School of Biomedical Sciences, Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"School of Biomedical Sciences, Faculty of Health Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Breakspear","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences The University of Newcastle  Callaghan New South Wales Australia"},{"name":"Hunter Medical Research Institute  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Colliot","sequence":"additional","affiliation":[{"name":"Paris Brain Institute \u2013 ICM, CNRS, Inria, Inserm, AP\u2010HP, H\u00f4pital de la Piti\u00e9 Salp\u00eatri\u00e8re Sorbonne University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter M.","family":"Visscher","sequence":"additional","affiliation":[{"name":"Institute for Molecular Bioscience The University of Queensland  St Lucia Queensland Australia"},{"name":"Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi R.","family":"Wray","sequence":"additional","affiliation":[{"name":"Institute for Molecular Bioscience The University of Queensland  St Lucia Queensland Australia"},{"name":"Department of Psychiatry University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the Alzheimer's Disease Neuroimaging Initiative","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Australian Imaging Biomarkers and Lifestyle flagship study of ageing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Alzheimer's Disease Repository Without Borders Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the MEMENTO cohort Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2020.117002"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.media.2020.101848"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/CON.0000000000000307"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebmental\u20102019\u2010300117"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awx243"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2020.117477"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1117\/1.JMI.7.1.014005"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00367450"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurobiolaging.2008.06.015"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.21955"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/hbm.25109"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1109\/ISBI45749.2020.9098719"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1117\/1.JMI.9.5.052404"},{"key":"e_1_2_11_15_1","doi-asserted-by":"crossref","unstructured":"Couvy\u2010Duchesne B. 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