Apoliprotein E (APOE) genotype status, a predictor of Alzheimer's disease, has been associated with brain structural alterations. Supplementing previous research that primarily focused on hippocampal morphometry, we found a widespread effect of APOE allele status on cortical surface area and white matter microstructure. There is a significant cortical surface area decrease in 57 out of 68 cortical brain regions in APOE ε4 homozygous carriers. Furthermore, APOE ε4 homozygous carriers showed significant and widespread reductions in fractional anisotropy in corpus callosum, right internal and external capsule, left corona radiata and right fornix.
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