Single-subject analysis of regional brain volumetric measures can be strongly influenced by the method for head size adjustment.

Purpose : Total intracranial volume (TIV) is often a nuisance covariate in MRI-based brain volumetry. This study compared two TIV adjustment methods with respect to their impact on z-scores in single subject analyses of regional brain volume estimates. Methods: Brain parenchyma, hippocampus, thalamu...

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Publicado en:Neuroradiology Vol. 64; no. 10; pp. 2001 - 2010
Autores principales: Opfer, Roland, Krüger, Julia, Spies, Lothar, Kitzler, Hagen H., Schippling, Sven, Buchert, Ralph
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Oct2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2022
      vid: 64
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-022-02961-6
        159104043
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        atl: Single-subject analysis of regional brain volumetric measures can be strongly influenced by the method for head size adjustment.
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          Opfer, Roland
          Krüger, Julia
          Spies, Lothar
          Kitzler, Hagen H.
          Schippling, Sven
          Buchert, Ralph
        affil: Jung Diagnostics GmbH, Hamburg, Germany
      sug:
        subj:
          Brain Anatomy and Histology
          Sex Factors
          Brain Radiography
          Thalamus Pathology
          Multiple Sclerosis Physiopathology
          Age Factors
          Human
          Female
          Male
          Magnetic Resonance Imaging
          Funding Source
          Regression
          ROC Curve
          Hippocampus Pathology
          Female
          Male
      ab: Purpose : Total intracranial volume (TIV) is often a nuisance covariate in MRI-based brain volumetry. This study compared two TIV adjustment methods with respect to their impact on z-scores in single subject analyses of regional brain volume estimates. Methods: Brain parenchyma, hippocampus, thalamus, and TIV were segmented in a normal database comprising 5059 T1w images. Regional volume estimates were adjusted for TIV using the residual method or the proportion method. Age was taken into account by regression with both methods. TIV- and age-adjusted regional volumes were transformed to z-scores and then compared between the two adjustment methods. Their impact on the detection of thalamus atrophy was tested in 127 patients with multiple sclerosis. Results: The residual method removed the association with TIV in all regions. The proportion method resulted in a switch of the direction without relevant change of the strength of the association. The reduction of physiological between-subject variability was larger with the residual method than with the proportion method. The difference between z-scores obtained with the residual method versus the proportion method was strongly correlated with TIV. It was larger than one z-score point in 5% of the subjects. The area under the ROC curve of the TIV- and age-adjusted thalamus volume for identification of multiple sclerosis patients was larger with the residual method than with the proportion method (0.84 versus 0.79). Conclusion: The residual method should be preferred for TIV and age adjustments of T1w-MRI-based brain volume estimates in single subject analyses.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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