Basic MR sequence parameters systematically bias automated brain volume estimation.

Introduction: Automated brain MRI morphometry, including hippocampal volumetry for Alzheimer disease, is increasingly recognized as a biomarker. Consequently, a rapidly increasing number of software tools have become available. We tested whether modifications of simple MR protocol parameters typical...

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Publicado en:Neuroradiology Vol. 58; no. 11; pp. 1153 - 1161
Autores principales: Haller, Sven, Falkovskiy, Pavel, Meuli, Reto, Thiran, Jean-Philippe, Krueger, Gunnar, Lovblad, Karl-Olof, Kober, Tobias, Roche, Alexis, Marechal, Bénédicte
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Nov2016
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-016-1737-3
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        atl: Basic MR sequence parameters systematically bias automated brain volume estimation.
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          Haller, Sven
          Falkovskiy, Pavel
          Meuli, Reto
          Thiran, Jean-Philippe
          Krueger, Gunnar
          Lovblad, Karl-Olof
          Kober, Tobias
          Roche, Alexis
          Marechal, Bénédicte
        affil: Department of Radiology , University Hospital (CHUV) , Lausanne Switzerland
      sug:
        subj:
          Gray Matter
          Alzheimer's Disease
          Brain
          Image Enhancement
          Magnetic Resonance Imaging
          Female
          Data Analysis, Statistical
          Data Analysis
          Descriptive Statistics
          Reliability
          Female
      ab: Introduction: Automated brain MRI morphometry, including hippocampal volumetry for Alzheimer disease, is increasingly recognized as a biomarker. Consequently, a rapidly increasing number of software tools have become available. We tested whether modifications of simple MR protocol parameters typically used in clinical routine systematically bias automated brain MRI segmentation results. Methods: The study was approved by the local ethical committee and included 20 consecutive patients (13 females, mean age 75.8 ± 13.8 years) undergoing clinical brain MRI at 1.5 T for workup of cognitive decline. We compared three 3D T1 magnetization prepared rapid gradient echo (MPRAGE) sequences with the following parameter settings: ADNI-2 1.2 mm iso-voxel, no image filtering, LOCAL− 1.0 mm iso-voxel no image filtering, LOCAL+ 1.0 mm iso-voxel with image edge enhancement. Brain segmentation was performed by two different and established analysis tools, FreeSurfer and MorphoBox, using standard parameters. Results: Spatial resolution (1.0 versus 1.2 mm iso-voxel) and modification in contrast resulted in relative estimated volume difference of up to 4.28 % ( p < 0.001) in cortical gray matter and 4.16 % ( p < 0.01) in hippocampus. Image data filtering resulted in estimated volume difference of up to 5.48 % ( p < 0.05) in cortical gray matter. Conclusion: A simple change of MR parameters, notably spatial resolution, contrast, and filtering, may systematically bias results of automated brain MRI morphometry of up to 4-5 %. This is in the same range as early disease-related brain volume alterations, for example, in Alzheimer disease. Automated brain segmentation software packages should therefore require strict MR parameter selection or include compensatory algorithms to avoid MR parameter-related bias of brain morphometry results.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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