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Loss of Bone Mineral Density Linked to Cognitive Decline

A study published in the journal Radiology, led by radiologists at Johns Hopkins University, used a deep-learning algorithm to analyze chest CT scans from more than 2,000 patients and found that lower vertebral bone mineral density was associated with steeper cognitive decline and more white matter hyperintensities in the corpus callosum among 715 participants who also received brain MRIs and cognitive testing. Study author Shadpour Demehri said the work is "the first longitudinal secondary analysis linking baseline vertebral bone mineral density to changes in white matter structure, white matter hyperintensity progression, and cognition," while stressing the findings show co-occurrence, not causation, possibly reflecting shared metabolic drivers of aging such as insulin resistance, dyslipidemia, and menopausal change. The researchers suggest routine chest scans could serve as an early warning system for age-related cognitive decline.

by read2 min views1 publishedSep 22, 2026
Loss of Bone Mineral Density Linked to Cognitive Decline
Image: Nautil (auto-discovered)

Fear of rogue agentic AI may have exploded over the past few months, but there are still some things their (hopefully) more benign predecessors can do to help humanity. For example, they can assist radiologists with interpreting medical images and developing new diagnostic tools. For example, a new study published in the journal Radiology used AI to uncover a link between bone mineral density and cognitive decline.

The multidisciplinary team, led by radiologists at Johns Hopkins University, used a deep-learning algorithm to calculate the bone density of vertebrae based on chest CT scans from more than 2,000 patients. They then focused their study on 715 members of this group who received brain MRIs in addition to cognitive testing.

Read more: “Financial Struggle Can Age Your Brain” Not only did they find that those who had less bone mineral density in their spines demonstrated a steeper drop in cognitive ability, this cohort also had marked neurological differences. Analysis of their brain MRIs showed more white matter hyperintensities—bright spots that can indicate damage—in those with reduced bone mineral density. According to the team, these bright spots accumulated in the corpus callosum, a region involved in executive functioning, working memory, and attention.

“This study is the first longitudinal secondary analysis linking baseline vertebral bone mineral density to changes in white matter structure, white matter hyperintensity progression, and cognition,” study author Shadpour Demehri said in a statement. “This comprehensive study using both imaging and clinical assessments sends a clear signal that bone density at baseline is associated with both functional and imaging measures of age-related brain degeneration.”

Importantly, the researchers stressed that this doesn’t mean that osteoporosis or other conditions marked by deteriorating bone mineral density cause cognitive decline. Instead the two are likely both symptoms of underlying age-related problems. “This study is not about cause and effect, but rather the observation of a metabolic syndrome that may cause both bone and brain degeneration,” Demehri explained. “The co-occurrence observed in the study may reflect shared metabolic drivers of aging, including insulin resistance, dyslipidemia, and menopausal change, rather than a direct bone-to-brain effect.”

It’s also good news. Chest scans are non-invasive and performed on aging people all the time for a variety of issues. Armed with these new findings, doctors may be able to use them as an early warning system against age-related cognitive decline. So until the AI apocalypse is upon us, maybe we can maintain an uneasy alliance with our silicon assistants—in this case, for the greater good.

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