Automatic estimation of brain parenchymal fraction in patients with multple sclerosis: a comparison between synthetic MRI and an established automated brain segmentation software based on FSL.

Purpose: We aimed to validate the estimation of the brain parenchymal fraction (BPF) in patients with multiple sclerosis (MS) using synthetic magnetic resonance imaging (SyMRI) by comparison with software tools of the FMRIB Software Library (FSL). In addition to a cross-sectional method comparison,...

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Publicado en:Neuroradiology Vol. 66; no. 2; pp. 193 - 206
Autores principales: Yazici, Ilyas, Krieger, Britta, Bellenberg, Barbara, Ladopoulos, Theodoros, Gold, Ralf, Schneider, Ruth, Lukas, Carsten
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-023-03264-0
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        atl: Automatic estimation of brain parenchymal fraction in patients with multple sclerosis: a comparison between synthetic MRI and an established automated brain segmentation software based on FSL.
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          Yazici, Ilyas
          Krieger, Britta
          Bellenberg, Barbara
          Ladopoulos, Theodoros
          Gold, Ralf
          Schneider, Ruth
          Lukas, Carsten
        affil: Institute of Neuroradiology, St. Josef Hospital, Ruhr-University Bochum, Gudrunstrasse 56, 44791, Bochum, Germany
      sug:
        subj:
          Multiple Sclerosis Diagnosis
          Atrophy Pathology
          Brain Pathology
          Brain Diseases Diagnosis
          Magnetic Resonance Imaging Methods
          Software Methods
          Human
          Prospective Studies
          Cross Sectional Studies
          Descriptive Statistics
          Confidence Intervals
          Funding Source
          Male
          Female
          Middle Age
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: We aimed to validate the estimation of the brain parenchymal fraction (BPF) in patients with multiple sclerosis (MS) using synthetic magnetic resonance imaging (SyMRI) by comparison with software tools of the FMRIB Software Library (FSL). In addition to a cross-sectional method comparison, longitudinal volume changes were assessed to further elucidate the suitability of SyMRI for quantification of disease-specific changes. Methods: MRI data from 216 patients with MS and 28 control participants were included for volume estimation by SyMRI and FSL-SIENAX. Moreover, longitudinal data from 35 patients with MS were used to compare registration-based percentage brain volume changes estimated using FSL-SIENA to difference-based calculations of volume changes using SyMRI. Results: We observed strong correlations of estimated brain volumes between the two methods. While SyMRI overestimated grey matter and BPF compared to FSL-SIENAX, indicating a systematic bias, there was excellent agreement according to intra-class correlation coefficients for grey matter and good agreement for BPF and white matter. Bland–Altman plots suggested that the inter-method differences in BPF were smaller in patients with brain atrophy compared to those without atrophy. Longitudinal analyses revealed a tendency for higher atrophy rates for SyMRI than for SIENA, but SyMRI had a robust correlation and a good agreement with SIENA. Conclusion: In summary, BPF based on data from SyMRI and FSL-SIENAX is not directly transferable because an overestimation and higher variability of SyMRI values were observed. However, the consistency and correlations between the two methods were satisfactory, and SyMRI was suitable to quantify disease-specific atrophy in MS.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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