Madden · Neuropsychology review 2009 · narrative review · n=?

Cerebral white matter integrity and cognitive aging: contributions from diffusion tensor imaging.

Cited 478 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of neuroimaging literature without systematic review methodology.

PubMed 19705281 · doi:10.1007/s11065-009-9113-2 · record verified 2026-08-26

What was done

This narrative review examined published diffusion tensor imaging (DTI) studies to evaluate how changes in cerebral white matter microstructural integrity relate to adult age differences in cognitive performance.

What was found

The abstract reports no numerical values or effect sizes. It notes qualitatively that age-related loss of white matter integrity contributes to disconnection across distributed neural systems, consistently affecting perceptual speed and executive functioning, with regional variation suggesting an anterior-to-posterior gradient.

Why it matters

It emphasizes white matter tract degradation as a primary structural contributor to cognitive aging, offering a framework to connect brain microstructural alterations with specific cognitive deficits.

Limits

The abstract reports no quantitative data, search strategy, or study selection criteria. Individual study sample sizes, participant characteristics, and distinctions between cross-sectional and longitudinal findings are omitted.

Cited by