使用定位器图像对阿尔茨海默病进行基于体素的形态测量:与磁化准备梯度回波快速采集的比较研究

Shohei Inui, Daita Kaneda, Keita Sakurai, Yuto Uchida, Osamu Abe, Yoshio Hashizume
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引用次数: 0

摘要

目的:磁化准备梯度回波快速采集(MPRAGE)序列具有高空间分辨率和出色的组织对比度,尤其是灰质(GM)和白质(WM)之间的对比度,因此是基于体素的形态测量(VBM)的黄金标准技术。尽管 MPRAGE 有很多优点,但由于扫描时间长和运动伪影,对于一些神经系统疾病患者的 VBM 来说,它是一个明显的挑战。快速获取定位图像可以缓解这一问题。本研究旨在评估使用三维快速低角度拍摄定位图像(L3DFLASH)进行 VBM 的可行性:本研究连续纳入了 13 名经病理证实的阿尔茨海默病(AD)患者(82 ± 9 岁)和 21 名健康对照组(HC)(79 ± 4 岁)。使用计算解剖工具箱 12 (CAT12) 采集并预处理全脑 L3DFLASH 和 MPRAGE。使用分割脑区的区域归一化体积评估 L3DFLASH 与 MPRAGE 的一致性。除了 VBM 上的脑容量差异和 Bland-Altman 分析外,还使用 L3DFLASH 和 MPRAGE 评估了 VBM 上 AD 的萎缩模式:L3DFLASH和MPRAGE的采集时间分别为18秒和288秒。L3DFLASH 和 MPRAGE 的所有区域归一化体积均存在轻微的系统性差异。就整个队列而言,在 VBM 上的大多数区域,MPRAGE 测量的 GM 体积大于 L3DFLASH 测量的 GM 体积。将AD和HC进行比较,在VBM上,L3DFLASH和MPRAGE均显示出与AD相关的萎缩模式,但两者之间存在显著的集群差异:结论:虽然 L3DFLASH 和 MPRAGE 测量的区域脑容量存在系统性差异,但在 VBM 上,L3DFLASH 仍保留了与 AD 相关的萎缩模式。使用快速获取的定位器图像进行 VBM 可为评估脑萎缩提供有限但有用的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Voxel-based Morphometry of Alzheimer's Disease Using a Localizer Image: A Comparative Study with Magnetization Prepared Rapid Acquisition with Gradient Echo.

Purpose: Magnetization prepared rapid acquisition with gradient echo (MPRAGE) sequence is a gold-standard technique for voxel-based morphometry (VBM) because of high spatial resolution and excellent tissue contrast, especially between gray matter (GM) and white matter (WM). Despite its benefits, MPRAGE exhibits distinct challenge for VBM in some patients with neurological disease because of long scan time and motion artifacts. Speedily acquired localizer images may alleviate this problem. This study aimed to evaluate the feasibility of VBM using 3D Fast Low Angle Shot image captured for localizer (L3DFLASH).

Methods: Consecutive 13 patients with pathologically confirmed Alzheimer's disease (AD) (82 ± 9 years) and 21 healthy controls (HC) (79 ± 4 years) were included in this study. Whole-brain L3DFLASH and MPRAGE were captured and preprocessed using the Computational Anatomy Toolbox 12 (CAT12). Agreement with MPRAGE was evaluated for L3DFLASH using regional normalized volume for segmented brain areas. In addition to brain volume difference on VBM and Bland-Altman analysis, atrophic pattern of AD on VBM was evaluated using L3DFLASH and MPRAGE.

Results: Acquisition time was 18 s for L3DFLASH and 288 s for MPRAGE. There was a slight systematic difference in all regional normalized volumes from L3DFLASH and MPRAGE. For the whole cohort, GM volume measured from MPRAGE was greater than that from L3DFLASH in most of the region on VBM. When AD and HC were compared, AD-related atrophic pattern was demonstrated in both L3DFLASH and MPRAGE on VBM, although the difference was noted in significant clusters between them.

Conclusion: Although systematic difference was noted in regional brain volume measured from L3DFLASH and MPRAGE, AD-related atrophic pattern was preserved in L3DFLASH on VBM. VBM, using speedily acquired localizer image, may provide limited but useful information for evaluating brain atrophy.

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