Quantitative Intensity Harmonization of Dopamine Transporter SPECT Images Using Gamma Mixture Models.

Purpose: Differences in site, device, and/or settings may cause large variations in the intensity profile of dopamine transporter (DAT) single-photon emission computed tomography (SPECT) images. However, the current standard to evaluate these images, the striatal binding ratio (SBR), does not effici...

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Publicado en:Molecular Imaging & Biology Vol. 21; no. 2; pp. 339 - 348
Autores principales: Llera, Alberto, Huertas, Ismael, Mir, Pablo, Beckmann, Christian F.
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Apr2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Quantitative Intensity Harmonization of Dopamine Transporter SPECT Images Using Gamma Mixture Models.
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          Llera, Alberto
          Huertas, Ismael
          Mir, Pablo
          Beckmann, Christian F.
        affil: Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands
      sug:
        subj:
          Tomography, Emission-Computed, Single-Photon
          Dopamine Plasma Membrane Transport Proteins Metabolism
          Models, Theoretical
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          Basal Ganglia
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          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
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          Middle Aged: 45-64 years
          Female
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      ab: Purpose: Differences in site, device, and/or settings may cause large variations in the intensity profile of dopamine transporter (DAT) single-photon emission computed tomography (SPECT) images. However, the current standard to evaluate these images, the striatal binding ratio (SBR), does not efficiently account for this heterogeneity and the assessment can be unequivalent across distinct acquisition pipelines. In this work, we present a voxel-based automated approach to intensity normalize such type of data that improves on cross-session interpretation.Procedures: The normalization method consists of a reparametrization of the voxel values based on the cumulative density function (CDF) of a Gamma distribution modeling the specific region intensity. The harmonization ability was tested in 1342 SPECT images from the PPMI repository, acquired with 7 distinct gamma camera models and at 24 different sites. We compared the striatal quantification across distinct cameras for raw intensities, SBR values, and after applying the Gamma CDF (GDCF) harmonization. As a proof-of-concept, we evaluated the impact of GCDF normalization in a classification task between controls and Parkinson disease patients.Results: Raw striatal intensities and SBR values presented significant differences across distinct camera models. We demonstrate that GCDF normalization efficiently alleviated these differences in striatal quantification and with values constrained to a fixed interval [0, 1]. Also, our method allowed a fully automated image assessment that provided maximal classification ability, given by an area under the curve (AUC) of AUC = 0.94 when used mean regional variables and AUC = 0.98 when used voxel-based variables.Conclusion: The GCDF normalization method is useful to standardize the intensity of DAT SPECT images in an automated fashion and enables the development of unbiased algorithms using multicenter datasets. This method may constitute a key pre-processing step in the analysis of this type of images.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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