Alzheimer’s disease (AD) is the most prominent cause of dementia worldwide, affecting up to 5.3 million elderly Americans. AD pathology includes decreased neuronal count and synaptic connections, intracellular pathology and increased affinity for neurofibrillary tangles resulting in cognitive deterioration. The hippocampus is known to be particularly vulnerable and is an early structural biomarker of AD. Our aim is to investigate the longitudinal relationships between hippocampal volume and memory performance using neuroimaging data from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database. The ADNI database contains biomarker, neuroimaging, cognitive, and behavioral data from hundreds of elderly individuals, divided into groups including normal/normal aging (CN), Alzheimer’s Disease (AD), Early Mild Cognitive Impairment (EMCI), and Late Mild Cognitive Impairment (LMCI). Cerebrospinal fluid biomarkers are a “gold standard” for detecting the presence of amyloid and tau pathology. Neuroimaging methods include amyloid PET tracers (i.e. F-18 florbetapir), which detects amyloid beta plaques and FDG-PET imaging which measures metabolic activity within the brain. Both techniques reflect neurodegeneration and synaptic dysfunction. Structural MRI imaging is used to assess neuroanatomy as a measure of brain atrophy and changes in neuronal density. Cognitive assessment data quantifies the extent of memory loss and general cognitive decline. Using the R programming language, we will conduct longitudinal analyses of neuroimaging analyses to examine the relationship between cognitive, structural and metabolic neuroimaging variables across different diagnostic groups over time. This initial investigation is preparation for learning longitudinal methods that will later be applied to physiological measures within the entire brain. Our hypothesis is that a decrease in hippocampal volume will be less correlated to decline in memory in CN than in other groups. If our hypothesis is correct, it suggests that compensatory mechanisms preserve cognition in early stages of AD, which we can explore using subsequent extended analyses of functional connectivity.