Robust atrophy rate measurement in Alzheimer's disease using multi-site serial MRI: Tissue-specific intensity normalization and parameter selection

We describe an improved method of measuring brain atrophy rates from serial MRI for multi-site imaging studies of Alzheimer's disease (AD). The method (referred to as KN-BSI) improves an existing brain atrophy measurement technique—the boundary shift integral (classic-BSI), by performing tissue...

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Veröffentlicht in:NeuroImage (Orlando, Fla.) Fla.), 2010-04, Vol.50 (2), p.516-523
Hauptverfasser: Leung, Kelvin K., Clarkson, Matthew J., Bartlett, Jonathan W., Clegg, Shona, Jack, Clifford R., Weiner, Michael W., Fox, Nick C., Ourselin, Sébastien
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container_title NeuroImage (Orlando, Fla.)
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creator Leung, Kelvin K.
Clarkson, Matthew J.
Bartlett, Jonathan W.
Clegg, Shona
Jack, Clifford R.
Weiner, Michael W.
Fox, Nick C.
Ourselin, Sébastien
description We describe an improved method of measuring brain atrophy rates from serial MRI for multi-site imaging studies of Alzheimer's disease (AD). The method (referred to as KN-BSI) improves an existing brain atrophy measurement technique—the boundary shift integral (classic-BSI), by performing tissue-specific intensity normalization and parameter selection. We applied KN-BSI to measure brain atrophy rates of 200 normal and 141 AD subjects using baseline and 1-year MRI scans downloaded from the Alzheimer's Disease Neuroimaging Initiative database. Baseline and repeat images were reviewed as pairs by expert raters and given quality scores. Including all image pairs, regardless of quality score, mean KN-BSI atrophy rates were 0.09% higher (95% CI 0.03% to 0.16%, p=0.007) than classic-BSI rates in controls and 0.07% higher (−0.01% to 0.16%, p=0.07) higher in ADs. The SD of the KN-BSI rates was 22% lower (15% to 29%, p
doi_str_mv 10.1016/j.neuroimage.2009.12.059
format Article
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The method (referred to as KN-BSI) improves an existing brain atrophy measurement technique—the boundary shift integral (classic-BSI), by performing tissue-specific intensity normalization and parameter selection. We applied KN-BSI to measure brain atrophy rates of 200 normal and 141 AD subjects using baseline and 1-year MRI scans downloaded from the Alzheimer's Disease Neuroimaging Initiative database. Baseline and repeat images were reviewed as pairs by expert raters and given quality scores. Including all image pairs, regardless of quality score, mean KN-BSI atrophy rates were 0.09% higher (95% CI 0.03% to 0.16%, p=0.007) than classic-BSI rates in controls and 0.07% higher (−0.01% to 0.16%, p=0.07) higher in ADs. The SD of the KN-BSI rates was 22% lower (15% to 29%, p&lt;0.001) in controls and 13% lower (6% to 20%, p=0.001) in ADs, compared to classic-BSI. Using these results, the estimated sample size (needed per treatment arm) for a hypothetical trial of a treatment for AD (80% power, 5% significance to detect a 25% reduction in atrophy rate) would be reduced from 120 to 81 (a 32% reduction, 95% CI=18% to 45%, p&lt;0.001) when using KN-BSI instead of classic-BSI. 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The method (referred to as KN-BSI) improves an existing brain atrophy measurement technique—the boundary shift integral (classic-BSI), by performing tissue-specific intensity normalization and parameter selection. We applied KN-BSI to measure brain atrophy rates of 200 normal and 141 AD subjects using baseline and 1-year MRI scans downloaded from the Alzheimer's Disease Neuroimaging Initiative database. Baseline and repeat images were reviewed as pairs by expert raters and given quality scores. Including all image pairs, regardless of quality score, mean KN-BSI atrophy rates were 0.09% higher (95% CI 0.03% to 0.16%, p=0.007) than classic-BSI rates in controls and 0.07% higher (−0.01% to 0.16%, p=0.07) higher in ADs. The SD of the KN-BSI rates was 22% lower (15% to 29%, p&lt;0.001) in controls and 13% lower (6% to 20%, p=0.001) in ADs, compared to classic-BSI. 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subjects Aged
Aging
Algorithms
Alzheimer Disease - pathology
Alzheimer's disease
Atrophy
Atrophy - pathology
Automation
Biomedical research
Boundary shift integral
Brain - pathology
Brain research
BSI
Dementia
Humans
Image Interpretation, Computer-Assisted - methods
Intensity normalization
KN-BSI
Magnetic Resonance Imaging - methods
Medical imaging
MRI
NMR
Noise
Nuclear magnetic resonance
Pharmaceutical industry
Quality control
Registration
Scanners
Studies
title Robust atrophy rate measurement in Alzheimer's disease using multi-site serial MRI: Tissue-specific intensity normalization and parameter selection
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