“…Although the relationship between baseline hippocampal volume and fornix FA with long-term memory change were in the expected direction, baseline hippocampal free-water was the only metric that reached significance in MA+ ASD. Our findings agree with our previous work and others who have shown free-water is more sensitive for detecting neurodegeneration in mild cognitive impairment, Alzheimer's, and Parkinson's disease than traditional MRI metrics, such as hippocampal volume and FA (Ofori et al, 2015a(Ofori et al, , 2017(Ofori et al, , 2019Guttuso et al, 2018;Reas et al, 2018;Archer et al, 2021;Dzieciol et al, 2021;Shahid et al, 2022;Zhou et al, 2022). We have previously shown baseline free-water in the substantia nigra predicts cognitive decline associated with Parkinson's disease (Ofori et al, 2015b), and others have demonstrated that baseline hippocampal free-water was a stronger predictor of follow-up cognitive status in Parkinson's disease than hippocampal volume or conventional DTI metrics (Guttuso et al, 2021).…”