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bioRxiv · 10.64898/2026.03.06.710136

Multi-site MRI analysis of morphometric differences in brain regions in the presence of hearing loss and tinnitus across the adult lifespan

Abraham, I.·Ajmera, S.·Zhang, W.·Leaver, A. M.·Sutton, B. P.·Peelle, J. E.·Husain, F. T.
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Abstract

The impact of age and hearing loss on the brain has garnered significant attention, as both factors have been implicated in the development of cognitive impairment or dementia. In this study, we investigated the impact of hearing loss and tinnitus on gray matter in the brain, while accounting for age. We used a comprehensive secondary analysis of structural MRI data obtained from multiple research sites (256 unique individuals) using voxel-based and surface-based morphology. After harmonization of this multi-site brain data, our research replicated the previously reported finding of age-related decline in total cortical volume, but there was no significant effect of either hearing loss or tinnitus on total cortical volume. When a region of interest analysis was conducted, the hippocampus emerged as the only brain region that showed a direct impact of hearing loss, after accounting for variance associated with age. This effect on hippocampal volume was evident in our sample from age 52 years onwards; when adjusted for hearing loss, the decline began at age 56 years. For the presence of tinnitus, ventral posterior cingulate gyrus showed main effects with respect to cortical volume and surface area while medial occipito-temporal gyrus and operculum of the inferior frontal gyrus showed significant main effects only with surface area. Post-hoc analysis revealed that posterior cingulate gyrus showed significantly higher volume and larger surface area in individuals with tinnitus compared to those without tinnitus. Similarly medial occipito-temporal gyrus surface area was increased whereas surface area of the inferior frontal opercular gyrus was reduced in those with tinnitus when compared to those without tinnitus. Notably, while past studies have reported that the presence of tinnitus appeared to moderate some of these effects in certain participant groups, our results suggest a more complex relationship between sensory degradation, chronic tinnitus, and brain structure in individuals across the adult lifespan. HighlightsO_LIHearing loss and tinnitus can exacerbate regional brain atrophy in the adult lifespan. C_LIO_LIHigh-frequency hearing loss affects auditory cortex gray matter volume to a larger degree in older age. C_LIO_LIHearing loss may accelerate decline in hippocampal volume by about 4 years. C_LIO_LIChronic subjective tinnitus is associated with a larger volume of cingulate cortex, increased surface area in cingulate cortex and the lingual gyrus, and decreased surface area of frontal operculum compared to controls. C_LIO_LITinnitus-related effects on regional brain atrophy are not modified by the degree of hearing deficits. C_LI

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Abraham, I., Ajmera, S., Zhang, W., Leaver, A. M., Sutton, B. P., Peelle, J. E., Husain, F. T.. 2026-03-10. Multi-site MRI analysis of morphometric differences in brain regions in the presence of hearing loss and tinnitus across the adult lifespan. https://doi.org/10.64898/2026.03.06.710136

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