Olfactory bulb integrity in frontotemporal dementia and Alzheimer’s disease
Abstract
Background: Olfactory dysfunction is highly prevalent in dementia syndromes, including Alzheimer’s disease (AD) and frontotemporal dementia (FTD). The structural integrity of the olfactory bulb (OB) is thought to play a critical role in odor detection and identification, but no MRI study has measured OB volume in FTD, or measured OB volume longitudinally in AD. Objective: To measure OB volume in FTD and AD patients longitudinally using MRI. Methods: This study measured OB volumes using MRI in patients diagnosed with behavioral-variant FTD ( n = 55), semantic dementia ( n = 34), progressive non-fluent aphasia ( n = 30), AD ( n = 50), and healthy age-matched controls ( n = 55) at their first visit to a dementia research clinic (‘baseline’). Imaging data in patients 12-months later were analyzed where available ( n = 84) for longitudinal assessment. Volumes of subcortical and cortical olfactory regions (‘olfactory network’) were obtained via surface-based morphometry. Results: Results revealed that in AD and FTD at baseline, OB volumes were similar to controls, whereas volumes of olfactory network regions were significantly reduced in all patient groups except in progressive non-fluent aphasia. Longitudinal data revealed that OB volume became significantly reduced (10–25% volume reduction) in all dementia groups with disease progression. Conclusion: Olfactory dysfunction is common in patients diagnosed with AD or FTD, but our results indicate that there is no detectable volume loss to the OBs upon first presentation to the clinic. Our findings indicate that the OBs become detectably atrophied later in the disease process. OB atrophy indicates the potential usefulness for OBs to be targeted in interventions to improve olfactory function.
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Olfactory bulb atrophy, specific to more severe disease stages, and olfactory dysfunction have been correlated over 1 year in bvFTD.
“olfactory bulb atrophy (specific to more severe disease stages) and olfactory dysfunction (loss of smell) over 1 year (Carnemolla et al., 2022)”
From The pursuit for markers of disease progression in behavioral variant frontotemporal dementia: a scoping review to optimize outcome measures for clinical trials (2024) · cites this paper as Carnemolla et al., 2022
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Self-citationOlfactory Network Disruptions as Mediators of Cognitive Impairment in De Novo Parkinson's Disease
Xing, Y., Zhou, H., Chen, S., Wang, Y., Ren, J., Cao, Y., Li, J., & Liu, W. (2025) · CNS Neuroscience & Therapeutics · doi:10.1111/cns.70198 · Cited by 4 · see citing works
“Carnemolla et al. found that in patients with AD and fron-totemporal dementia [19], the volumes of olfactory network regions significantly reduced.”
Multifactorial Causation of Alzheimer’s Disease Due to COVID-19
Monllor, P., Kumar, P., Lloret, M.-Á., Ftara, A., Leon, J.-L., Lopez, B., Cervera‐Ferri, A., & Lloret, A. (2023) · Journal of Alzheimer s Disease · doi:10.3233/jad-230396 · Cited by 4 · see citing works
Preliminary Findings on the Morphometric Characteristics of the Olfactory Bulb in the Cat
Alvites, R., CAINE, A. R., Cherubini, G. B., Varejão, A. S. P., & Maurício, A. C. (2024) · Animals · doi:10.3390/ani14243590 · Cited by 2 · see citing works
“…other evidence in animals and humans indicating that cellular activity in the OB and the capacity for long-time memory of odors is greater in adults than in juvenile animals [38], although OB volume tends to decrease in older adults [40], particularly in cases of neurodegenerative evolution [24].”
Asghar, A., Narayan, R. K., Kumar, R., Sarangi, P. K., Patra, A., Kumar, A., & Zabihullah, M. (2025) · Indian journal of radiology and imaging - new series/Indian journal of radiology and imaging/Indian Journal of Radiology & Imaging · doi:10.1055/s-0045-1811932 · Cited by 1 · see citing works
Zecca, V., Palombelli, G., Vanacore, N., & Canese, R. (2026) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.70296 · Cited by 2 · see citing works
Wu, J., Liu, Y.-J., He, J., Shi, Y.-Q., & Zhao, B.-X. (2026) · Frontiers in Neuroscience · doi:10.3389/fnins.2026.1759500
“Olfactory and cognitive deficits in AD are closely related to lesions of the olfactory bulb and hippocampus (Attems et al., 2014; Carnemolla et al., 2022; Salimi et al., 2022).”
Görgülü, F. F., & Görgülü, O. (2026) · Medicina · doi:10.3390/medicina62081615
“Some have found no significant difference in OB volume between patients with AD or MCI and controls, particularly in the earliest stages, and have suggested that detectable OB atrophy may emerge only later in the disease course [11,22].”
Chmiel, J., & Kładna, A. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27188043
- Authors
- Carnemolla, S. E., Kumfor, F., Liang, C. T., Foxe, D., Ahmed, R. M., & Piguet, O.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Piguet, Olivier
- Venue
- Journal of Alzheimer’s Disease
- Publisher
- SAGE Publications
- Published
- 2022-07-11
- Volume
- 89
- Issue
- 1
- Pages
- 51-66
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- OpenAlex
- W4285095414
- Cited by
- 16
- References
- 81
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 7 · 2023: 2
- FWCI
- 1.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Olfactory and Sensory Function Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- olfactory bulb, olfactory dysfunction
- MeSH terms
- Alzheimer Disease, Olfaction Disorders, Aphasia, Atrophy, Humans, Magnetic Resonance Imaging, Olfactory Bulb, Frontotemporal Dementia
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