age-related changes in the hippocampal shapes of healthy subjects across lifespan. Methods: We automatically delineate hippocampi from 302 MRI scans of healthy subjects (18-94 years; 114 males and 188 females) and apply LDDMM to find the optimal initial momentum that describes the hippocampal shape, referred as shape descriptor. We then apply LLDME to embed the high-dimensional hippocampal shape descriptor to a low dimensional space whose first few dimensions characterize the most of age-related variations of the hippocampal shape. Line arregression is performed with linear, quadratic, cubic terms of age as main factors and the embedding dimensions of hippocampal shapes as dependent variable. Hippocampi are first segmented from MRI scans by atlas-based segmentation approach, then hippocampal surface sare registered to a common template hippocampal surface through large diffeomorphic metric surface-based mapping LDDMM. Each hippocampal surfaceis then represented by the initial momentum computed from LDDMM, which encodes full information needed to transform the template to the target surface.Dimensionality of the high dimensional shape space is reduced by the locally linear diffeomorphic metric embedding (LLDME) approach that we developed recently in order to map anatomical variations onto low dimensional space for visualization and analysis. After projection, statistical association between low dimensional embedding and age is explored by regression analysis using polynomial model. Aging groups are also classified based on the low dimensional embeddings, and leave-one-out approach is used to estimate the classification error. Results: The shape descriptor of the hippocampus is projected to a low dimensional space whose first dimension is highly correlated with age (r 1⁄4 0.76, p < 0.0001). Figure 1 shows its distribution with respect to age. When it is fitted with age, a third-order polynomial model gives the best fit (R1⁄4 0.66), suggesting age-related processes of the hippocampal shape are non-linear throughout the lifespan with no/slow change before 50s, but accelerated change after 50s. In contrast, such nonlinear age-related processes are not clearly apparent in the hippocampal volume normalized by the total brain volume (Figure 2). The linear (green line) and quadratic fittings (redline) of the normalized hippocampal volume are very close to each other with R 1⁄4 0.014and R 1⁄4 0.03. Conclusions: Nonlinear age-related changes of hippocampal morphology are similar to those of whole brain. Such nonlinear relation is present in terms of the local hippocampal shape but not obvious in its size.
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