“…All research with human participants was reviewed and approved by the Duke University Institutional Review Board, and informed consent was obtained for all participants. 35,41,43,46,49,51,[55][56][57]. This decrease in parenchymal volume has generally been attributed to atrophy of gray matter [5,8,21,28,35,41,43,45,48; but see [23] for an exception], particularly cortical thinning [50], and may result from cell-body atrophy or the outright death of cells [44].…”