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Detailed studies on the spatiotemporal patterns of urban agglomeration in the Middle Yangtze River Basin (MYRB) are rare. This paper analyzed the spatiotemporal patterns of urbanization in the MYRB using multi-temporal remote sensing data circa 2000, 2008 and 2016 integrated with geographic information system (GIS) techniques and landscape analysis approaches. A multi-level analysis of the rate and intensity, type as well as the landscape changes of urban expansion at regional, prefectural and inner-city levels was performed. Results show that the MYRB experienced rapid urban expansion with an annual expansion rate of 3.199%, especially in the Chang-Zhu-Tan and Poyang Lake metropolitan areas. The small and medium cities presented faster urban expansion than the larger cities with annual growth rates three times the average level. Urban expansion within the three capital cities was further analyzed in detail. It is found that outlying expansion and edge-expansion were the dominant growth patterns at all the three levels. Although urbanization in the MYRB has a remarkable increase in the past sixteen years, its annual growth rate of urban land expansion has fallen behind the three other large urban agglomerations in China as a result. Finally, the spatial evolution of the socioeconomic structure of the MYRB was further explored. It indicated that urban land was distributed mainly along the "northwest-southeast" direction and that the economic spatial interactions among cities showed a pattern of "multi-polarization and fragmentation", which illustrates the weak radiative driving forces of the central cities. The MYRB urban agglomeration faces a great challenge to manage trades-offs between narrowing the intra-regional disparity and maintaining synergetic development among cities. [ABSTRACT FROM AUTHOR]