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Clinical and neuroimaging measures were acquired from 301 CN adults who converted to CI within 15\u00a0years of baseline, and 294 who did not. Regional volumes and brain age measures were extracted from <jats:italic>T<\/jats:italic>\n            <jats:sub>1<\/jats:sub>-weighted magnetic resonance images. Linear discriminant analysis compared non-converters\u2019 characteristics against those of short-, mid-, and long-term converters. Conversion was associated with clinical measures such as hearing impairment and self-reported memory decline. Converters\u2019 brain volumes were smaller than non-converters\u2019 across 48 frontal, temporal, and subcortical structures. Brain age measures of 12 structures were correlated with shorter times to conversion. Conversion prediction accuracy increased from 81.5% to 90.5% as time to conversion decreased. 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