“…This study demonstrates whole-hippocampus volume reductions of ~18% in the PAE group relative to controls, as measured from manual segmentation on DWIs. Volume reductions in the hippocampus have likewise been found in many previous human MRI studies, which report whole structure volume reductions of 5% to 25% in children, adolescents, and young adults with PAE (Astley et al, 2009;Biffen et al, 2018Biffen et al, , 2020Coles et al, 2011;Dodge et al, 2020;Dudek et al, 2014;Gross et al, 2018;Krueger et al, 2020;McLachlan et al, 2020;Nardelli et al, 2011;Roussotte et al, 2012;Treit et al, 2013Treit et al, , 2017Uban et al, 2020;Willoughby et al, 2008). However, the majority of these studies (11/15;Biffen et al, 2020;Coles et al, 2011;Dodge et al, 2020;Gross et al, 2018;Krueger et al, 2020;McLachlan et al, 2020;Nardelli et al, 2011;Roussotte et al, 2012;Treit et al, 2013Treit et al, , 2017Uban et al, 2020) measure hippocampal volume from automated segmentation on anatomical MRI (T1 or T2), whereas our study found no significant group differences with automated segmentation on T1-weighted images.…”