Cited by 16Olfactory and Sensory Function StudiesDementia and Cognitive Impairment ResearchAlzheimer's disease research and treatments

Olfactory bulb integrity in frontotemporal dementia and Alzheimer’s disease

Carnemolla, Sarah E., Kumfor, Fiona, Liang, Cheng Tao, Foxe, David, Ahmed, Rebekah M., Piguet, Olivier·2022·Journal of 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.

Integrity signals

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Crossref · 10.3233/jad-220080

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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
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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