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White Matter Alterations Are More Robust Than Gray Matter Differences in Tinnitus and Hearing Loss: An MRI Study of Military Personnel.

Overview

Authors: Emilia Kaniewska1,2, Gibbeum Kim1,2, Rafay A Khan2,3, Yihsin Tai4, Caterina M Willson5, Carlos Esquivel6, Paul M Sherman7,8,9, Fatima T Husain1,2
  1. Department of Speech and Hearing Science, University of Illinois Urbana-Champaign, 901 S. Sixth Street, Champaign, IL 61820 USA
  2. Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Champaign, IL 61801 USA
  3. Neuroscience Program, University of Illinois at Urbana-Champaign, Champaign, IL 61801 USA
  4. Department of Speech Pathology and Audiology, Ball State University, Muncie, IN 47306 USA
  5. Department of Defense Hearing Center of Excellence, San Antonio- Lackland, TX 78236 USA
  6. Department of Otolaryngology, UT Health San Antonio, San Antonio, TX 78249 USA
  7. United States Air Force, Arlington County, VA USA
  8. American College of Radiology, Preston White Dr, Reston, VA 20191 USA
  9. Aerospace Medical Association, North Palm Beach, FL USA
Journal: Journal of the Association for Research in Otolaryngology : JARO, volume 27, issue 4, pages 611-629
Dates: received 16 December 2025; accepted 21 April 2026; published online 13 May 2026; in print August 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1007/s10162-026-01052-0 · PMID 42128994 · PMCID PMC13504148 · OpenAlex W7160995038
Open access: hybrid, a free copy (OpenAlex)
Status: data only
Categories: structural MRI / diffusion (modality), human (organism), other condition (population)
Methods: Statistics, fMRI & imaging, Preprocessing
Keywords: Tinnitus, Hearing loss, Gray matter, White matter, Voxel-based morphometry, Diffusion tensor imaging
MeSH: Gray Matter*, Hearing Loss*, Military Personnel*, Tinnitus*, White Matter*, Adult, Diffusion Tensor Imaging, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged (* major topic)
Topic: Hearing, Cochlea, Tinnitus, Genetics (Sensory Systems, Neuroscience), according to OpenAlex
Funding: DoD CDMRP PRMRP (W81XWH-15-2-0032)
Citations: not cited yet (Europe PMC); 63 references in the paper

Abstract

Purpose: Tinnitus and hearing loss are the most prevalent service-related auditory disabilities among American veterans. Previous studies have examined gray matter or white matter alterations in tinnitus and hearing loss relative to healthy controls, but typically in isolation, and none of them have focused specifically on a military-affiliated population.

Methods: We employed voxel-based morphometry to assess gray matter differences and diffusion tensor imaging to evaluate white matter integrity in tinnitus and/or hearing loss compared to controls in a sample of 68 military-affiliated adults (56 men, 10 women, two identifying as ‘other’ gender). Additionally, we conducted an exploratory, hypothesis-generating effect size analysis to describe the magnitude of group differences.

Results: Combined tinnitus and hearing loss was associated with decreased gray matter volume in the thalamus. White matter integrity was reduced in the forceps minor, right superior longitudinal fasciculus, and left inferior longitudinal fasciculus. Hearing loss alone was associated with white matter orientation changes in the right anterior thalamic radiation, left superior longitudinal fasciculus, and right corticospinal tract. Larger effect sizes were noted in white matter comparisons across tinnitus, hearing loss, and combined conditions, suggesting that white matter differences may be of greater magnitude than gray matter alterations.

Conclusion: These findings advance the understanding of the neural correlates of tinnitus and hearing loss in the military population, an understudied group with a high prevalence of tinnitus and hearing loss. They also present preliminary effect size estimates that may inform future studies on the neural correlates of tinnitus and hearing loss, indicating a larger overall magnitude in white matter and more subtle contributions from gray matter.

Supplementary Information: The online version contains supplementary material available at 10.1007/s10162-026-01052-0.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

The paper links to its data, not to its authors' code: see the Data section.

Tracing map

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Data

Datasets cited

Data Availability Statement

The data that support the findings of this study are available on request from the corresponding author, Dr. Fatima T Husain.

Not applicable.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 28 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 8 authors, 6 keywords, 12 MeSH terms, 1 funder, 60 references.

Cite

This paper

Kaniewska, E., Kim, G., Khan, R. A., Tai, Y., Willson, C. M., Esquivel, C., Sherman, P. M., & Husain, F. T. (2026). White Matter Alterations Are More Robust Than Gray Matter Differences in Tinnitus and Hearing Loss: An MRI Study of Military Personnel. Journal of the Association for Research in Otolaryngology : JARO, 27(4), 611-629. https://doi.org/10.1007/s10162-026-01052-0

BibTeX

@article{kaniewska2026white,
author = {Kaniewska, Emilia and Kim, Gibbeum and Khan, Rafay A and Tai, Yihsin and Willson, Caterina M and Esquivel, Carlos and Sherman, Paul M and Husain, Fatima T},
title = {{White Matter Alterations Are More Robust Than Gray Matter Differences in Tinnitus and Hearing Loss: An MRI Study of Military Personnel}},
journal = {Journal of the Association for Research in Otolaryngology : JARO},
year = {2026},
month = may,
volume = {27},
number = {4},
pages = {611--629},
publisher = {Springer},
issn = {1525-3961},
doi = {10.1007/s10162-026-01052-0},
url = {https://doi.org/10.1007/s10162-026-01052-0},
pmid = {42128994},
pmcid = {PMC13504148}
}

RIS

TY - JOUR
AU - Kaniewska, Emilia
AU - Kim, Gibbeum
AU - Khan, Rafay A
AU - Tai, Yihsin
AU - Willson, Caterina M
AU - Esquivel, Carlos
AU - Sherman, Paul M
AU - Husain, Fatima T
TI - White Matter Alterations Are More Robust Than Gray Matter Differences in Tinnitus and Hearing Loss: An MRI Study of Military Personnel
T2 - Journal of the Association for Research in Otolaryngology : JARO
J2 - J Assoc Res Otolaryngol
PY - 2026
DA - 2026/05/13
VL - 27
IS - 4
SP - 611
EP - 629
SN - 1525-3961
PB - Springer
DO - 10.1007/s10162-026-01052-0
UR - https://doi.org/10.1007/s10162-026-01052-0
LA - en
ER -

CSL-JSON

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