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@ARTICLE{Akl:282326,
author = {Akl, Estelle and Dyrba, Martin and Görß, Doreen and
Schumacher, Julia and Weber, Marc-André},
title = {{MRI} for diagnosing dementia - update 2025 | {MRT} zur
{D}emenzdiagnostik – {U}pdate 2025},
journal = {RöFo},
volume = {197},
number = {12},
issn = {1438-9029},
address = {Stuttgart [u.a.]},
publisher = {Thieme},
reportid = {DZNE-2025-01287},
pages = {1378 - 1387},
year = {2025},
abstract = {Magnetic resonance imaging (MRI) plays a crucial role
alongside clinical and neuropsychological assessments in
diagnosing dementia. The recent and ongoing advancements in
MRI technology have significantly enhanced the detection and
characterization of the specific neurostructural changes
seen in various neurodegenerative diseases, thereby
significantly increasing the precision of diagnosis. Within
this context of perpetual evolution, this review article
explores the recent advances in MRI with regard to
diagnosing dementia.A retrospective literature review was
conducted by searching the PubMed and ScienceDirect
databases for the keywords 'dementia', 'imaging', and 'MRI'.
The inclusion criteria were scientific papers in English
that revolved around the role of MRI as a diagnostic tool in
the field of dementia. A specific time frame was not
determined but the focus was on current articles, with an
overall of 20 articles dating from the last 6 years (after
2018), corresponding to $55\%$ of the total number of
articles.This review provides a comprehensive overview of
the latest advances in the radiologic diagnosis of dementia
using MRI, with a particular focus on the last 6 years.
Technical aspects of image acquisition for clinical and
research purposes are discussed. MRI findings typical of
dementia are described. The findings are divided into
non-specific findings of dementia and characteristic
findings for certain dementia subtypes. This provides
information about possible causes of dementia. In addition,
developed scoring systems that support MRI findings are
presented, including the MTA score for Alzheimer's disease
with corresponding illustrative figures.The symbiosis of
clinical evaluation with high-field MRI methodologies
enhances dementia diagnosis and offers a holistic and
nuanced understanding of structural brain changes associated
with dementia and its various subtypes. The latest advances,
mainly involving the emergence of ultra-high-field (7T) MRI,
despite having limited use in clinical practice, mark a
pragmatic shift in the field of research. · High-field MRI
(3T) and specialized sequences allow for the detection of
early structural changes indicative of dementia.. ·
Characteristic neuroanatomical MRI patterns enable the
differentiation between various subtypes of dementia.. ·
Established scales provide added value to the quantification
and categorization of MRI findings in dementia.. · Akl E,
Dyrba M, Görß D et al. MRI for diagnosing dementia -
update 2024. Rofo 2025; 197: 1378-1387.},
subtyp = {Review Article},
keywords = {Humans / Magnetic Resonance Imaging: methods / Magnetic
Resonance Imaging: trends / Dementia: diagnostic imaging /
Brain: diagnostic imaging / Alzheimer Disease: diagnostic
imaging / Diagnosis, Differential},
cin = {AG Teipel / AG Storch},
ddc = {610},
cid = {I:(DE-2719)1510100 / I:(DE-2719)5000014},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40209752},
doi = {10.1055/a-2563-0725},
url = {https://pub.dzne.de/record/282326},
}