Cortical thickness in perirhinal area BA35 predicts adaptive episodic memory-guided decision making in older adults.

Objectives To make adaptive decisions, it is often necessary to retrieve episodic memories, for example, about whether an item was previously associated with reward. Compared to young adults, older adults are impaired at making adaptive episodic memory-based choices. There are substantial individual...

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Published in:Journals of Gerontology Series B: Psychological Sciences & Social Sciences Vol. 81; no. 8; pp. 1 - 8
Main Authors: Lempert, Karolina M, Cohen, Michael S, MacNear, Kameron A, Reckers, Frances M, Zaneski, Laura, Xie, Long, Das, Sandhitsu R, Yushkevich, Paul A, Wolk, David A, Kable, Joseph W
Format: Article
Published: Oxford University Press / USA Aug2026
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Online Access:View this record in EBSCOhost
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        atl: Cortical thickness in perirhinal area BA35 predicts adaptive episodic memory-guided decision making in older adults.
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          Lempert, Karolina M
          Cohen, Michael S
          MacNear, Kameron A
          Reckers, Frances M
          Zaneski, Laura
          Xie, Long
          Das, Sandhitsu R
          Yushkevich, Paul A
          Wolk, David A
          Kable, Joseph W
        affil:
          Gordon F. Derner School of Psychology, Adelphi University, Garden City, New York, United StatesDepartment of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania, United States
          Department of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania, United States
          Department of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania, United StatesDepartment of Psychology, University of Illinois—Urbana-Champaign, Champaign, Illinois, United States
          Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
          Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States
      su:
        United States
        Cross-sectional method
        Task performance
        Episodic memory
        Old age
        Cerebral cortex anatomy
        Research funding
        Diagnostic imaging
        Brain
        Magnetic resonance imaging
        Descriptive statistics
        Temporal lobe
        Decision making in old age
        Cognition disorders
        Brain cortical thickness
        Hippocampus (Brain)
      sug:
        subj:
          Cross-sectional method
          Task performance
          Episodic memory
          Old age
          United States
          Diagnostic Imaging Centers
          Other Electronic and Precision Equipment Repair and Maintenance
          Cerebral cortex anatomy
          Research funding
          Diagnostic imaging
          Brain
          Magnetic resonance imaging
          Descriptive statistics
          Temporal lobe
          Decision making in old age
          Cognition disorders
          Brain cortical thickness
          Hippocampus (Brain)
      keyword:
        aged
        atrophy
        brodmann area
        Brodmann Area BA35
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        decision making
        entorhinal cortex
        episodic memory
        hippocampus
        https://dx.doi.org/10.1093/geronb/gbag044
        inLanguage:en
        Learning
        magnetic resonance imaging
        memory
        perirhinal cortex
        publisher:Oxford University Press
        reward
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42330332/
        Structural MRI
        young adult
        aged
        atrophy
        brodmann area
        Brodmann Area BA35
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        decision making
        entorhinal cortex
        episodic memory
        hippocampus
        https://dx.doi.org/10.1093/geronb/gbag044
        inLanguage:en
        Learning
        magnetic resonance imaging
        memory
        perirhinal cortex
        publisher:Oxford University Press
        reward
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42330332/
        Structural MRI
        young adult
      ab: Objectives To make adaptive decisions, it is often necessary to retrieve episodic memories, for example, about whether an item was previously associated with reward. Compared to young adults, older adults are impaired at making adaptive episodic memory-based choices. There are substantial individual differences across older adults, however. In this study, we examined whether hippocampal volume or extrahippocampal cortical thickness in the medial temporal lobe (MTL) is associated with better episodic memory-based decision making in cognitively unimpaired older adults. Methods Older adults (n  = 87; aged 61–88) completed a decision making task and a T1-weighted anatomical MRI scan. In the task, they studied images of houses paired with arbitrary reward values ($5 or $0). Later, they made incentivized approach/avoid decisions about these items. Finally, their memory for the items and their values was assessed. MTL structural data were segmented with the ASHS-T1 pipeline to obtain volume measures for anterior and posterior hippocampus, and cortical thickness measures in entorhinal cortex, parahippocampal cortex, and perirhinal cortex Brodmann areas (BAs) 35 and 36. Results BA35 cortical thickness was associated with better performance in the decision making task. This effect persisted after adjusting for memory performance, suggesting that BA35 thickness is specifically linked to the retrieval and use of episodic memories at the time of choice. Discussion Although this study is cross-sectional, it suggests that atrophy in BA35 may contribute to subtle changes in the ability to use memory to make reward-maximizing choices, even in individuals who do not yet show evident cognitive impairment.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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