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Greiser A, Christensen J, Fuglsig JMCS, Johannsen KM, Nixdorf DR, Burzan K, Lauer L, Krueger G, Hayes C, Kettless K, Ulrici J, Spin-Neto R. Dental-dedicated MRI, a novel approach for dentomaxillofacial diagnostic imaging: technical specifications and feasibility. Dentomaxillofac Radiol 2024; 53:74-85. [PMID: 38214941 PMCID: PMC11003656 DOI: 10.1093/dmfr/twad004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 09/12/2023] [Accepted: 10/06/2023] [Indexed: 01/13/2024] Open
Abstract
MRI is a noninvasive, ionizing radiation-free imaging modality that has become an indispensable medical diagnostic method. The literature suggests MRI as a potential diagnostic modality in dentomaxillofacial radiology. However, current MRI equipment is designed for medical imaging (eg, brain and body imaging), with general-purpose use in radiology. Hence, it appears expensive for dentists to purchase and maintain, besides being complex to operate. In recent years, MRI has entered some areas of dentistry and has reached a point in which it can be provided following a tailored approach. This technical report introduces a dental-dedicated MRI (ddMRI) system, describing how MRI can be adapted to fit dentomaxillofacial radiology through the appropriate choice of field strength, dental radiofrequency surface coil, and pulse sequences. Also, this technical report illustrates the possible application and feasibility of the suggested ddMRI system in some relevant diagnostic tasks in dentistry. Based on the presented cases, it is fair to consider the suggested ddMRI system as a feasible approach to introducing MRI to dentists and dentomaxillofacial radiology specialists. Further studies are needed to clarify the diagnostic accuracy of ddMRI considering the various diagnostic tasks relevant to the practice of dentistry.
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Affiliation(s)
| | - Jennifer Christensen
- Section for Oral Radiology and Endodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, 8000, Denmark
| | - João M C S Fuglsig
- Section for Oral Radiology and Endodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, 8000, Denmark
| | - Katrine M Johannsen
- Section for Oral Radiology and Endodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, 8000, Denmark
| | - Donald R Nixdorf
- Division of TMD & Orofacial Pain, School of Dentistry, University of Minnesota Twin Cities, MN, 55455, United States
- Department of Radiology, Medical School, University of Minnesota Twin Cities, MN, 55455, United States
| | - Kim Burzan
- Sirona Dental Systems GmbH, Bensheim, 64625, Germany
| | - Lars Lauer
- Siemens Healthcare GmbH, Erlangen, 91052, Germany
| | | | - Carmel Hayes
- Siemens Healthcare GmbH, Erlangen, 91052, Germany
| | | | | | - Rubens Spin-Neto
- Section for Oral Radiology and Endodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, 8000, Denmark
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2
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Todea RA, Lu PJ, Fartaria MJ, Bonnier G, Du Pasquier R, Krueger G, Bach Cuadra M, Psychogios MN, Kappos L, Kuhle J, Granziera C. Evolution of Cortical and White Matter Lesion Load in Early-Stage Multiple Sclerosis: Correlation With Neuroaxonal Damage and Clinical Changes. Front Neurol 2020; 11:973. [PMID: 33013644 PMCID: PMC7498574 DOI: 10.3389/fneur.2020.00973] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 07/24/2020] [Indexed: 11/13/2022] Open
Abstract
Introduction: Changes in cortical and white matter lesion (CL, WML) load are pivotal metrics to diagnose and monitor multiple sclerosis patients. Yet, the relationship between (i) changes in CL/WML load and disease progression and between (ii) changes in CL/WML load and neurodegeneration at early MS stages is not yet established. In this work, we have assessed the hypothesis that the combined CL and WML load as well as their 2-years evolution are surrogate markers of neurodegeneration and clinical progression at early MS stages. To achieve this goal, we have studied a group of RRMS patients and have investigated the impact of both CL and WML load on neuroaxonal damage as measured by serum neurofilament light chain (sNfL). Next, we have explored whether changes in CL/WML load over 2 years in the same cohort of early-MS are related to motor and cognitive changes. Methods: Thirty-two RRMS patients (<5 years disease duration) underwent: (i) 3T MRI for CL/WML detection and clinical assessment at baseline and 2-years follow-up; and (ii) baseline blood test for sNfL. The correlation between the number and volume of CL/WML and sNfL was assessed by using the Spearman's rank correlation coefficient and a generalized linear model (GLM). A GLM was also used to assess the relationship between (i) the number/volume of new, enlarged, resolved, shrunken, stable lesions and (ii) the difference in clinical scores between two time-points. Results: At baseline, sNfL levels correlated with both total CL count/volume (ρ = 0.6/0.7, Corr-P <0.017/Corr-P < 0.001) and with total WML count/volume (ρ = 0.6/0.6, Corr-P < 0.01 for both). Baseline sNfL levels also correlated with new WML count/volume (ρ = 0.6/0.5, Corr-P < 0.01/Corr-P < 0.05) but not with new CL. Longitudinal changes in CL and WML count and volume were significantly associated with (i) sustained attention, auditory information, processing speed and flexibility (p < 0.01), (ii) verbal memory (p < 0.01); (iii) verbal fluency (p < 0.05); and (iv) hand-motor function (p < 0.05). Discussion: Changes in cortical and white matter focal damage in early MS patients correlate with global neuroaxonal damage and is associated to cognitive performances.
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Affiliation(s)
- Ramona-Alexandra Todea
- Translational Imaging in Neurology (ThINk) Basel, Department of Biomedical Engineering, Basel University Hospital, University of Basel, Basel, Switzerland.,Section of Neuroradiology, Department of Radiology, University Hospital of Basel, Basel, Switzerland
| | - Po-Jui Lu
- Translational Imaging in Neurology (ThINk) Basel, Department of Biomedical Engineering, Basel University Hospital, University of Basel, Basel, Switzerland.,Neurologic Clinic and Policlinic, Departments of Medicine, Clinical Research, and Biomedicine, University Hospital Basel, University of Basel, Basel, Switzerland
| | - Mario Joao Fartaria
- Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland.,Department of Radiology, University Hospital and University of Lausanne, Lausanne, Switzerland.,Signal Processing Laboratory (LTS 5), École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
| | - Guillaume Bonnier
- Translational Imaging in Neurology (ThINk) Basel, Department of Biomedical Engineering, Basel University Hospital, University of Basel, Basel, Switzerland
| | - Renaud Du Pasquier
- Service of Neurology, Department of Clinical Neurosciences, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | | | - Meritxell Bach Cuadra
- Department of Radiology, University Hospital and University of Lausanne, Lausanne, Switzerland.,Medical Image Analysis Laboratory (MIAL), Centre d'Imagerie BioMédicale (CIBM), Lausanne, Switzerland
| | - Marios Nikos Psychogios
- Section of Neuroradiology, Department of Radiology, University Hospital of Basel, Basel, Switzerland
| | - Ludwig Kappos
- Translational Imaging in Neurology (ThINk) Basel, Department of Biomedical Engineering, Basel University Hospital, University of Basel, Basel, Switzerland.,Neurologic Clinic and Policlinic, Departments of Medicine, Clinical Research, and Biomedicine, University Hospital Basel, University of Basel, Basel, Switzerland
| | - Jens Kuhle
- Neurologic Clinic and Policlinic, Departments of Medicine, Clinical Research, and Biomedicine, University Hospital Basel, University of Basel, Basel, Switzerland
| | - Cristina Granziera
- Translational Imaging in Neurology (ThINk) Basel, Department of Biomedical Engineering, Basel University Hospital, University of Basel, Basel, Switzerland.,Neurologic Clinic and Policlinic, Departments of Medicine, Clinical Research, and Biomedicine, University Hospital Basel, University of Basel, Basel, Switzerland
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3
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Hilbert T, Schulz J, Marques JP, Thiran J, Krueger G, Norris DG, Kober T. Fast model‐based T
2
mapping using SAR‐reduced simultaneous multislice excitation. Magn Reson Med 2019; 82:2090-2103. [DOI: 10.1002/mrm.27890] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Revised: 05/23/2019] [Accepted: 06/13/2019] [Indexed: 12/14/2022]
Affiliation(s)
- Tom Hilbert
- Advanced Clinical Imaging Technology Siemens Healthcare Lausanne Switzerland
- Department of Radiology Lausanne University Hospital Lausanne Switzerland
- Signal Processing Laboratory 5 École Polytechnique Fédérale de Lausanne Lausanne Switzerland
| | - Jenni Schulz
- Donders Institute for Brain, Cognition and Behavior Radboud University Nijmegen Nijmegen Netherlands
| | - José P. Marques
- Donders Institute for Brain, Cognition and Behavior Radboud University Nijmegen Nijmegen Netherlands
| | - Jean‐Philippe Thiran
- Department of Radiology Lausanne University Hospital Lausanne Switzerland
- Signal Processing Laboratory 5 École Polytechnique Fédérale de Lausanne Lausanne Switzerland
| | - Gunnar Krueger
- Technology and Innovation EMEA, Siemens Healthcare Lausanne Switzerland
| | - David G. Norris
- Donders Institute for Brain, Cognition and Behavior Radboud University Nijmegen Nijmegen Netherlands
| | - Tobias Kober
- Advanced Clinical Imaging Technology Siemens Healthcare Lausanne Switzerland
- Department of Radiology Lausanne University Hospital Lausanne Switzerland
- Signal Processing Laboratory 5 École Polytechnique Fédérale de Lausanne Lausanne Switzerland
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4
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Bonnier G, Fischi-Gomez E, Roche A, Hilbert T, Kober T, Krueger G, Granziera C. Personalized pathology maps to quantify diffuse and focal brain damage. Neuroimage Clin 2018; 21:101607. [PMID: 30502080 PMCID: PMC6413479 DOI: 10.1016/j.nicl.2018.11.017] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Revised: 10/02/2018] [Accepted: 11/18/2018] [Indexed: 01/04/2023]
Abstract
Background and objectives Quantitative MRI (qMRI) permits the quantification of brain changes compatible with inflammation, degeneration and repair in multiple sclerosis (MS) patients. In this study, we propose a new method to provide personalized maps of tissue alterations and longitudinal brain changes based on different qMRI metrics, which provide complementary information about brain pathology. Methods We performed baseline and two-years follow-up on (i) 13 relapsing-remitting MS patients and (ii) four healthy controls. A group consisting of up to 65 healthy controls was used to compute the reference distribution of qMRI metrics in healthy tissue. All subjects underwent 3T MRI examinations including T1, T2, T2* relaxation and Magnetization Transfer Ratio (MTR) imaging. We used a recent partial volume estimation algorithm to estimate the concentration of different brain tissue types on T1 maps; then, we computed a deviation map (z-score map) for each contrast at both time-points. Finally, we subtracted those deviation maps only for voxels showing a significant difference with healthy tissue in one of the time points, to obtain a difference map for each subject. Results and conclusion Control subjects did not show any significant z-score deviations or longitudinal z-score changes. On the other hand, MS patients showed brain regions with cross-sectional and longitudinal concomitant increase in T1, T2, T2* z-scores and decrease of MTR z-scores, suggesting brain tissue degeneration/loss. In the lesion periphery, we observed areas with cross-sectional and longitudinal decreased T1/T2 and slight decrease in T2* most likely related to iron accumulation. Moreover, we measured longitudinal decrease in T1, T2 - and to a lesser extent in T2* - as well as a concomitant increase in MTR, suggesting remyelination/repair. In summary, we have developed a method that provides whole-brain personalized maps of cross-sectional and longitudinal changes in MS patients, which are computed in patient space. These maps may open new perspectives to complement and support radiological evaluation of brain damage for a given patient.
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Affiliation(s)
- G Bonnier
- MGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States
| | - E Fischi-Gomez
- MGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States; Signal Processing Laboratory 5 (LTS5), École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
| | - A Roche
- Advanced Clinical Imaging Technology (HC CEMEA SUI DI PI), Siemens Healthcare AG, Switzerland; Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland; Signal Processing Laboratory 5 (LTS5), École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - T Hilbert
- Advanced Clinical Imaging Technology (HC CEMEA SUI DI PI), Siemens Healthcare AG, Switzerland; Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland; Signal Processing Laboratory 5 (LTS5), École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - T Kober
- Advanced Clinical Imaging Technology (HC CEMEA SUI DI PI), Siemens Healthcare AG, Switzerland; Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland; Signal Processing Laboratory 5 (LTS5), École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - G Krueger
- Siemens Healthcare AG (HC CEMEA DI), Zürich, Switzerland
| | - C Granziera
- MGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States; Neurologic Clinic and Policlinic, Departments of Medicine, Clinical Research and Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland; Translational Imaging in Neurology (ThINk) Basel, Department of Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland
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5
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Fartaria MJ, Todea A, Kober T, O'brien K, Krueger G, Meuli R, Granziera C, Roche A, Bach Cuadra M. Partial volume-aware assessment of multiple sclerosis lesions. Neuroimage Clin 2018; 18:245-253. [PMID: 29868448 PMCID: PMC5984601 DOI: 10.1016/j.nicl.2018.01.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Revised: 01/12/2018] [Accepted: 01/15/2018] [Indexed: 12/13/2022]
Abstract
White-matter lesion count and volume estimation are key to the diagnosis and monitoring of multiple sclerosis (MS). Automated MS lesion segmentation methods that have been proposed in the past 20 years reach their limits when applied to patients in early disease stages characterized by low lesion load and small lesions. We propose an algorithm to automatically assess MS lesion load (number and volume) while taking into account the mixing of healthy and lesional tissue in the image voxels due to partial volume effects. The proposed method works on 3D MPRAGE and 3D FLAIR images as obtained from current routine MS clinical protocols. The method was evaluated and compared with manual segmentation on a cohort of 39 early-stage MS patients with low disability, and showed higher Dice similarity coefficients (median DSC = 0.55) and higher detection rate (median DR = 61%) than two widely used methods (median DSC = 0.50, median DR < 45%) for automated MS lesion segmentation. We argue that this is due to the higher performance in segmentation of small lesions, which are inherently prone to partial volume effects. Modeling the partial volume improves lesion volumetric measurements. Higher detection of small lesions inherently prone to partial volume effects. Partial volume effects should be taken into account in early stages of MS.
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Affiliation(s)
- Mário João Fartaria
- Advanced Clinical Imaging Technology (HC CMEA SUI DI PI), Siemens Healthcare AG, Lausanne, Switzerland; Department of Radiology, Lausanne University Hospital (CHUV), and University of Lausanne (UNIL), Lausanne, Switzerland; Signal Processing Laboratory (LTS 5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
| | - Alexandra Todea
- Department of Radiology, Pourtalès Hospital, Neuchâtel, Switzerland
| | - Tobias Kober
- Advanced Clinical Imaging Technology (HC CMEA SUI DI PI), Siemens Healthcare AG, Lausanne, Switzerland; Department of Radiology, Lausanne University Hospital (CHUV), and University of Lausanne (UNIL), Lausanne, Switzerland; Signal Processing Laboratory (LTS 5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
| | - Kieran O'brien
- Centre for Advanced Imaging, University of Queensland, Queensland, Australia; Siemens Healthcare Pty. Ltd., Brisbane, Queensland, Australia
| | | | - Reto Meuli
- Department of Radiology, Lausanne University Hospital (CHUV), and University of Lausanne (UNIL), Lausanne, Switzerland
| | - Cristina Granziera
- Neurologic Clinic and Policlinic, Departments of Medicine, Clinical Research and Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland; Translational Imaging in Neurology (ThINK) Basel, Department of Medicine and Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland
| | - Alexis Roche
- Department of Radiology, Lausanne University Hospital (CHUV), and University of Lausanne (UNIL), Lausanne, Switzerland; Advanced Clinical Imaging Technology (HC CMEA SUI DI PI), Siemens Healthcare AG, Lausanne, Switzerland; Signal Processing Laboratory (LTS 5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
| | - Meritxell Bach Cuadra
- Department of Radiology, Lausanne University Hospital (CHUV), and University of Lausanne (UNIL), Lausanne, Switzerland; Medical Image Analysis Laboratory (MIAL), Centre d'Imagerie BioMédicale (CIBM), Lausanne, Switzerland; Signal Processing Laboratory (LTS 5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
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6
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Hilbert T, Sumpf TJ, Weiland E, Frahm J, Thiran JP, Meuli R, Kober T, Krueger G. Accelerated T 2 mapping combining parallel MRI and model-based reconstruction: GRAPPATINI. J Magn Reson Imaging 2018; 48:359-368. [PMID: 29446508 DOI: 10.1002/jmri.25972] [Citation(s) in RCA: 68] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2017] [Accepted: 01/24/2018] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND Quantitative T2 measurements are sensitive to intra- and extracellular water accumulation and myelin loss. Therefore, quantitative T2 promises to be a good biomarker of disease. However, T2 measurements require long acquisition times. PURPOSE To accelerate T2 quantification and subsequent generation of synthetic T2 -weighted (T2 -w) image contrast for clinical research and routine. To that end, a recently developed model-based approach for rapid T2 and M0 quantification (MARTINI) based on undersampling k-space, was extended by parallel imaging (GRAPPA) to enable high-resolution T2 mapping with access to T2 -w images in less than 2 minutes acquisition time for the entire brain. STUDY TYPE Prospective cross-sectional study. SUBJECTS/PHANTOM Fourteen healthy subjects and a multipurpose phantom. FIELD STRENGTH/SEQUENCE Carr-Purcell-Meiboom-Gill sequence at a 3T scanner. ASSESSMENT The accuracy and reproducibility of the accelerated T2 quantification was assessed. Validations comprised MRI studies on a phantom as well as the brain, knee, prostate, and liver from healthy volunteers. Synthetic T2 -w images were generated from computed T2 and M0 maps and compared to conventional fast spin-echo (SE) images. STATISTICAL TESTS Root mean square distance (RMSD) to the reference method and region of interest analysis. RESULTS The combination of MARTINI and GRAPPA (GRAPPATINI) lead to a 10-fold accelerated T2 mapping protocol with 1:44 minutes acquisition time and full brain coverage. The RMSD of GRAPPATINI increases less (4.3%) than a 10-fold MARTINI reconstruction (37.6%) in comparison to the reference. Reproducibility tests showed low standard deviation (SD) of T2 values in regions of interest between scan and rescan (<0.4 msec) and across subjects (<4 msec). DATA CONCLUSION GRAPPATINI provides highly reproducible and fast whole-brain T2 maps and arbitrary synthetic T2 -w images in clinically compatible acquisition times of less than 2 minutes. These abilities are expected to support more widespread clinical applications of quantitative T2 mapping. LEVEL OF EVIDENCE 2 Technical Efficacy: Stage 1 J. MAGN. RESON. IMAGING 2018;48:359-368.
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Affiliation(s)
- Tom Hilbert
- Advanced Clinical Imaging Technology (HC CEMEA SUI DI PI), Siemens Healthcare, Lausanne, Switzerland.,Department of Radiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.,LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Tilman J Sumpf
- Biomedizinische NMR Forschungs GmbH am Max-Planck-Institut für biophysikalische Chemie, Göttingen, Germany
| | | | - Jens Frahm
- Biomedizinische NMR Forschungs GmbH am Max-Planck-Institut für biophysikalische Chemie, Göttingen, Germany
| | - Jean-Philippe Thiran
- Department of Radiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.,LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Reto Meuli
- Department of Radiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland
| | - Tobias Kober
- Advanced Clinical Imaging Technology (HC CEMEA SUI DI PI), Siemens Healthcare, Lausanne, Switzerland.,Department of Radiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.,LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Gunnar Krueger
- Department of Radiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.,LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.,Siemens Medical Solutions USA, Boston, Massachusetts, USA
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7
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Boillat Y, Bazin PL, O'Brien K, Fartaria MJ, Bonnier G, Krueger G, van der Zwaag W, Granziera C. Surface-based characteristics of the cerebellar cortex visualized with ultra-high field MRI. Neuroimage 2018; 172:1-8. [PMID: 29339314 DOI: 10.1016/j.neuroimage.2018.01.016] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2017] [Revised: 01/04/2018] [Accepted: 01/07/2018] [Indexed: 12/23/2022] Open
Abstract
Although having a relatively homogeneous cytoarchitectonic organization, the cerebellar cortex is a heterogeneous region characterized by different amounts of myelin, iron and protein expression profiles. In this study, we used quantitative T1 and T2* mapping at ultra-high field (7T) MRI to investigate the tissue characteristics of the cerebellar gray matter surface and its layers. Detailed subject-specific surfaces were generated at three different cortical depths and averaged across subjects to create averaged T1- and T2*-maps on the cerebellar surface. T1 surfaces showed an alternation of lower and higher T1 values when going from the median to the lateral part of the cerebellar hemispheres. In addition, longer T1 values were observed in the more superficial gray matter layers. T2*-maps showed a similar longitudinal pattern, but no change related to the cortical depths. These patterns are possibly due to variations in the level of myelination, iron and zebrin protein expression.
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Affiliation(s)
- Yohan Boillat
- Laboratory for Functional and Metabolic Imaging, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
| | - Pierre-Louis Bazin
- Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany; Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Kieran O'Brien
- Siemens Healthcare Pty Ltd., Bowen Hills, Australia; Centre for Advanced Imaging, University of Queensland, Australia
| | - Mário João Fartaria
- Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland; Advanced Clinical Imaging Technology (ACIT, HC CEMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland
| | - Guillaume Bonnier
- A.A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA
| | - Gunnar Krueger
- Siemens Medical Solutions USA IM MR COL NEZ, Burlington, MA, USA
| | - Wietske van der Zwaag
- Biomedical Imaging Research Center, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland; Spinoza Centre for Neuroimaging, Amsterdam, Switzerland
| | - Cristina Granziera
- A.A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA; Neurology, Department of Clinical Neurosciences, CHUV and University of Lausanne, Netherlands
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8
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Perrotta G, Bonnier G, Meskaldji DE, Romascano D, Aydarkhanov R, Daducci A, Simioni S, Cavassini M, Metral M, Lazeyras F, Meuli R, Krueger G, Du Pasquier RA, Granziera C. Rivastigmine decreases brain damage in HIV patients with mild cognitive deficits. Ann Clin Transl Neurol 2017; 4:915-920. [PMID: 29296621 PMCID: PMC5740253 DOI: 10.1002/acn3.493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Revised: 08/25/2017] [Accepted: 09/22/2017] [Indexed: 11/08/2022] Open
Abstract
Rivastigmine has been shown to improve cognition in HIV+ patients with minor neurocognitive disorders; however, the mechanisms underlying such beneficial effect are currently unknown. To assess whether rivastigmine therapy is associated with decreased brain inflammation and damage, we performed T1/T2* relaxometry and magnetization transfer imaging in 17 aviremic HIV+ patients with minor neurocognitive disorders enrolled on a crossed over randomized rivastigmine trial. Rivastigmine therapy was associated with changes in MRI metrics indicating a decrease in brain water content (i.e., edema reabsorption) and/or reduced demyelination/axonal damage. Furthermore, MRI changes correlated with cognitive improvement on rivastigmine therapy.
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Affiliation(s)
- Gaetano Perrotta
- Department of Clinical Neurosciences, Service of Neurology, Neuroimmunology Unit Lausanne University Hospital and University of Lausanne Lausanne Vaud Switzerland
| | - Guillaume Bonnier
- A.A. Martinos Center for Biomedical Imaging Massachusetts General Hospital and Harvard Medical School Charlestown MA USA
| | - Djalel-Eddine Meskaldji
- Institute of Bioengineering École Polytechnique Fédérale de Lausanne Lausanne Vaud Switzerland.,Department of Radiology and Medical Informatics University of Geneva Geneva Switzerland.,Applied Statistics, Institute of Mathematics École Polytechnique Fédérale de Lausanne Lausanne Vaud Switzerland
| | - David Romascano
- Signal Processing Laboratory (LTS5) École Polytechnique Fédérale de Lausanne Lausanne Vaud Switzerland
| | | | - Alessandro Daducci
- Signal Processing Laboratory (LTS5) École Polytechnique Fédérale de Lausanne Lausanne Vaud Switzerland
| | - Samanta Simioni
- Department of Clinical Neurosciences, Service of Neurology, Neuroimmunology Unit Lausanne University Hospital and University of Lausanne Lausanne Vaud Switzerland
| | - Matthias Cavassini
- Department of Infectious Diseases Lausanne University Hospital and University of Lausanne Lausanne Vaud Switzerland
| | - Melanie Metral
- Department of Clinical Neurosciences, Service of Neurology, Neuroimmunology Unit Lausanne University Hospital and University of Lausanne Lausanne Vaud Switzerland
| | - François Lazeyras
- Department of Radiology Geneva University Hospital and University of Geneva Geneva Switzerland
| | - Reto Meuli
- Department of Radiology Lausanne University Hospital and University of Lausanne Lausanne Vaud Switzerland
| | | | - Renaud A Du Pasquier
- Department of Clinical Neurosciences, Service of Neurology, Neuroimmunology Unit Lausanne University Hospital and University of Lausanne Lausanne Vaud Switzerland
| | - Cristina Granziera
- Department of Clinical Neurosciences, Service of Neurology, Neuroimmunology Unit Lausanne University Hospital and University of Lausanne Lausanne Vaud Switzerland.,A.A. Martinos Center for Biomedical Imaging Massachusetts General Hospital and Harvard Medical School Charlestown MA USA
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9
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Bonnier G, Maréchal B, Fartaria MJ, Falkowskiy P, Marques JP, Simioni S, Schluep M, Du Pasquier R, Thiran JP, Krueger G, Granziera C. The Combined Quantification and Interpretation of Multiple Quantitative Magnetic Resonance Imaging Metrics Enlightens Longitudinal Changes Compatible with Brain Repair in Relapsing-Remitting Multiple Sclerosis Patients. Front Neurol 2017; 8:506. [PMID: 29021778 PMCID: PMC5623825 DOI: 10.3389/fneur.2017.00506] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Accepted: 09/08/2017] [Indexed: 12/25/2022] Open
Abstract
Objective Quantitative and semi-quantitative MRI (qMRI) metrics provide complementary specificity and differential sensitivity to pathological brain changes compatible with brain inflammation, degeneration, and repair. Moreover, advanced magnetic resonance imaging (MRI) metrics with overlapping elements amplify the true tissue-related information and limit measurement noise. In this work, we combined multiple advanced MRI parameters to assess focal and diffuse brain changes over 2 years in a group of early-stage relapsing-remitting MS patients. Methods Thirty relapsing-remitting MS patients with less than 5 years disease duration and nine healthy subjects underwent 3T MRI at baseline and after 2 years including T1, T2, T2* relaxometry, and magnetization transfer imaging. To assess longitudinal changes in normal-appearing (NA) tissue and lesions, we used analyses of variance and Bonferroni correction for multiple comparisons. Multivariate linear regression was used to assess the correlation between clinical outcome and multiparametric MRI changes in lesions and NA tissue. Results In patients, we measured a significant longitudinal decrease of mean T2 relaxation times in NA white matter (p = 0.005) and a decrease of T1 relaxation times in the pallidum (p < 0.05), which are compatible with edema reabsorption and/or iron deposition. No longitudinal changes in qMRI metrics were observed in controls. In MS lesions, we measured a decrease in T1 relaxation time (p-value < 2.2e−16) and a significant increase in MTR (p-value < 1e−6), suggesting repair mechanisms, such as remyelination, increased axonal density, and/or a gliosis. Last, the evolution of advanced MRI metrics—and not changes in lesions or brain volume—were correlated to motor and cognitive tests scores evolution (Adj-R2 > 0.4, p < 0.05). In summary, the combination of multiple advanced MRI provided evidence of changes compatible with focal and diffuse brain repair at early MS stages as suggested by histopathological studies.
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Affiliation(s)
- Guillaume Bonnier
- A.A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States
| | - Benedicte Maréchal
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare, Lausanne, Switzerland.,Signal Processing Laboratory 5 LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Mário João Fartaria
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare, Lausanne, Switzerland.,Signal Processing Laboratory 5 LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Pavel Falkowskiy
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare, Lausanne, Switzerland.,Signal Processing Laboratory 5 LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - José P Marques
- Donders Centre for Cognitive Neuroimaging, Radbound University, Nijmegen, Netherlands
| | - Samanta Simioni
- Neuropsychology, Institution de Lavigny, Denens, Switzerland
| | - Myriam Schluep
- Neurology Service and Neuroimmunology Laboratory, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
| | - Renaud Du Pasquier
- Neurology Service and Neuroimmunology Laboratory, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
| | - Jean-Philippe Thiran
- Signal Processing Laboratory 5 LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Gunnar Krueger
- Siemens Medical Solutions USA IM MR COL NEZ, Burlington, MA, United States
| | - Cristina Granziera
- A.A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.,Neurology Service and Neuroimmunology Laboratory, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
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Hilbert T, Nguyen D, Thiran J, Krueger G, Kober T, Bieri O. True constructive interference in the steady state (trueCISS). Magn Reson Med 2017; 79:1901-1910. [DOI: 10.1002/mrm.26836] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Revised: 06/01/2017] [Accepted: 06/22/2017] [Indexed: 11/11/2022]
Affiliation(s)
- Tom Hilbert
- Advanced Clinical Imaging Technology (HC CEMEA SUI DI PI), Siemens Healthcare AGLausanne Switzerland
- LTS5, École Polytechnique Fédérale de LausanneLausanne Switzerland
- Department of RadiologyUniversity Hospital (CHUV)Lausanne Switzerland
| | - Damien Nguyen
- Division of Radiological PhysicsDepartment of Radiology, University Hospital Basel, University of BaselBasel Switzerland
- Department of Biomedical EngineeringUniversity of BaselBasel Switzerland
| | - Jean‐Philippe Thiran
- LTS5, École Polytechnique Fédérale de LausanneLausanne Switzerland
- Department of RadiologyUniversity Hospital (CHUV)Lausanne Switzerland
| | - Gunnar Krueger
- LTS5, École Polytechnique Fédérale de LausanneLausanne Switzerland
- Department of RadiologyUniversity Hospital (CHUV)Lausanne Switzerland
- Siemens Medical Solutions USABoston Massachusetts USA
| | - Tobias Kober
- Advanced Clinical Imaging Technology (HC CEMEA SUI DI PI), Siemens Healthcare AGLausanne Switzerland
- LTS5, École Polytechnique Fédérale de LausanneLausanne Switzerland
- Department of RadiologyUniversity Hospital (CHUV)Lausanne Switzerland
| | - Oliver Bieri
- Division of Radiological PhysicsDepartment of Radiology, University Hospital Basel, University of BaselBasel Switzerland
- Department of Biomedical EngineeringUniversity of BaselBasel Switzerland
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11
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Milliken M, Feng B, Duffin K, Krueger G. 213 Initial explorations into genotype-phenotype correlations in psoriasis: The homozygous recessive model. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.02.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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12
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Waszak M, Falkovskiy P, Hilbert T, Bonnier G, Maréchal B, Meuli R, Gruetter R, Kober T, Krueger G. Prospective head motion correction using FID-guided on-demand image navigators. Magn Reson Med 2016; 78:193-203. [DOI: 10.1002/mrm.26364] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2016] [Revised: 06/19/2016] [Accepted: 07/11/2016] [Indexed: 12/30/2022]
Affiliation(s)
- Maryna Waszak
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology, University Hospital (CHUV); Lausanne Switzerland
| | - Pavel Falkovskiy
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology, University Hospital (CHUV); Lausanne Switzerland
| | - Tom Hilbert
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology, University Hospital (CHUV); Lausanne Switzerland
| | - Guillaume Bonnier
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology, University Hospital (CHUV); Lausanne Switzerland
| | - Bénédicte Maréchal
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology, University Hospital (CHUV); Lausanne Switzerland
| | - Reto Meuli
- Department of Radiology, University Hospital (CHUV); Lausanne Switzerland
| | - Rolf Gruetter
- Department of Radiology, University Hospital (CHUV); Lausanne Switzerland
- Centre d'Imagerie BioMedicale (CIBM), École Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology, University of Geneva; Geneva Switzerland
| | - Tobias Kober
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology, University Hospital (CHUV); Lausanne Switzerland
| | - Gunnar Krueger
- LTS5, École Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology, University Hospital (CHUV); Lausanne Switzerland
- Siemens Medical Solutions USA, Inc; Boston MA USA
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13
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Feng B, Milliken M, Safaee M, Walsh J, Hawkes J, Goldgar D, Duffin K, Krueger G. LB802 Whole exome sequencing of 16 psoriasis high-risk pedigrees. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.05.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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14
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Brusini L, Obertino S, Galazzo IB, Zucchelli M, Krueger G, Granziera C, Menegaz G. Ensemble average propagator-based detection of microstructural alterations after stroke. Int J Comput Assist Radiol Surg 2016; 11:1585-97. [DOI: 10.1007/s11548-016-1442-z] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 06/02/2016] [Indexed: 11/28/2022]
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15
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Strumia M, Schmidt FR, Anastasopoulos C, Granziera C, Krueger G, Brox T. White Matter MS-Lesion Segmentation Using a Geometric Brain Model. IEEE Trans Med Imaging 2016; 35:1636-1646. [PMID: 26829786 DOI: 10.1109/tmi.2016.2522178] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Brain magnetic resonance imaging (MRI) in patients with Multiple Sclerosis (MS) shows regions of signal abnormalities, named plaques or lesions. The spatial lesion distribution plays a major role for MS diagnosis. In this paper we present a 3D MS-lesion segmentation method based on an adaptive geometric brain model. We model the topological properties of the lesions and brain tissues in order to constrain the lesion segmentation to the white matter. As a result, the method is independent of an MRI atlas. We tested our method on the MICCAI MS grand challenge proposed in 2008 and achieved competitive results. In addition, we used an in-house dataset of 15 MS patients, for which we achieved best results in most distances in comparison to atlas based methods. Besides classical segmentation distances, we motivate and formulate a new distance to evaluate the quality of the lesion segmentation, while being robust with respect to minor inconsistencies at the boundary level of the ground truth annotation.
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Jack CR, Barnes J, Bernstein MA, Borowski BJ, Brewer J, Clegg S, Dale AM, Carmichael O, Ching C, DeCarli C, Desikan RS, Fennema-Notestine C, Fjell AM, Fletcher E, Fox NC, Gunter J, Gutman BA, Holland D, Hua X, Insel P, Kantarci K, Killiany RJ, Krueger G, Leung KK, Mackin S, Maillard P, Malone IB, Mattsson N, McEvoy L, Modat M, Mueller S, Nosheny R, Ourselin S, Schuff N, Senjem ML, Simonson A, Thompson PM, Rettmann D, Vemuri P, Walhovd K, Zhao Y, Zuk S, Weiner M. Magnetic resonance imaging in Alzheimer's Disease Neuroimaging Initiative 2. Alzheimers Dement 2016; 11:740-56. [PMID: 26194310 DOI: 10.1016/j.jalz.2015.05.002] [Citation(s) in RCA: 109] [Impact Index Per Article: 13.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2015] [Revised: 04/28/2015] [Accepted: 05/05/2015] [Indexed: 01/18/2023]
Abstract
INTRODUCTION Alzheimer's Disease Neuroimaging Initiative (ADNI) is now in its 10th year. The primary objective of the magnetic resonance imaging (MRI) core of ADNI has been to improve methods for clinical trials in Alzheimer's disease (AD) and related disorders. METHODS We review the contributions of the MRI core from present and past cycles of ADNI (ADNI-1, -Grand Opportunity and -2). We also review plans for the future-ADNI-3. RESULTS Contributions of the MRI core include creating standardized acquisition protocols and quality control methods; examining the effect of technical features of image acquisition and analysis on outcome metrics; deriving sample size estimates for future trials based on those outcomes; and piloting the potential utility of MR perfusion, diffusion, and functional connectivity measures in multicenter clinical trials. DISCUSSION Over the past decade the MRI core of ADNI has fulfilled its mandate of improving methods for clinical trials in AD and will continue to do so in the future.
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Affiliation(s)
| | - Josephine Barnes
- Department of Neurodegenerative Disease, Dementia Research Centre, Institute of Neurology, University College London, London, UK
| | | | | | - James Brewer
- Department of Neuroscience, University of California at San Diego, La Jolla, CA, USA
| | - Shona Clegg
- Department of Neurodegenerative Disease, Dementia Research Centre, Institute of Neurology, University College London, London, UK
| | - Anders M Dale
- Department of Neuroscience, University of California at San Diego, La Jolla, CA, USA
| | - Owen Carmichael
- Department of Neurology, University of California at Davis, Davis, CA, USA
| | - Christopher Ching
- Department of Neurology, Imaging Genetics Center, Institute for Neuroimaging & Informatics, University of Southern California, Marina del Rey, CA, USA
| | - Charles DeCarli
- Department of Neurology, University of California at Davis, Davis, CA, USA; Center for Neuroscience, University of California at Davis, Davis, CA, USA
| | - Rahul S Desikan
- Department of Radiology, University of California at San Diego, La Jolla, CA, USA
| | - Christine Fennema-Notestine
- Department of Radiology, University of California at San Diego, La Jolla, CA, USA; Department of Psychiatry, University of California at San Diego, La Jolla, CA, USA
| | - Anders M Fjell
- Department of Psychology, University of Oslo, Oslo, Norway
| | - Evan Fletcher
- Department of Neurology, University of California at Davis, Davis, CA, USA; Center for Neuroscience, University of California at Davis, Davis, CA, USA
| | - Nick C Fox
- Department of Neurodegenerative Disease, Dementia Research Centre, Institute of Neurology, University College London, London, UK
| | - Jeff Gunter
- Department of Radiology, Mayo Clinic, Rochester, MN, USA
| | - Boris A Gutman
- Department of Neurology, Imaging Genetics Center, Institute for Neuroimaging & Informatics, University of Southern California, Marina del Rey, CA, USA
| | - Dominic Holland
- Department of Neuroscience, University of California at San Diego, La Jolla, CA, USA
| | - Xue Hua
- Department of Neurology, Imaging Genetics Center, Institute for Neuroimaging & Informatics, University of Southern California, Marina del Rey, CA, USA
| | - Philip Insel
- Department of Radiology and Biomedical Imaging, Center for Imaging of Neurodegenerative Diseases, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
| | - Kejal Kantarci
- Department of Radiology, Mayo Clinic, Rochester, MN, USA
| | - Ron J Killiany
- Department of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, USA
| | | | - Kelvin K Leung
- Translational Imaging Group, Centre for Medical Image Computing, University College London, London, United Kingdom
| | - Scott Mackin
- Department of Radiology and Biomedical Imaging, Center for Imaging of Neurodegenerative Diseases, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA; Department of Psychiatry, University of California at San Francisco, San Francisco, CA, USA
| | - Pauline Maillard
- Department of Neurology, University of California at Davis, Davis, CA, USA; Center for Neuroscience, University of California at Davis, Davis, CA, USA
| | - Ian B Malone
- Department of Neurodegenerative Disease, Dementia Research Centre, Institute of Neurology, University College London, London, UK
| | - Niklas Mattsson
- Clinical Neurochemistry Laboratory, Institute of Neuroscience and Physiology, University of Gothenburg, Mölndal, Sweden
| | - Linda McEvoy
- Department of Radiology, University of California at San Diego, La Jolla, CA, USA
| | - Marc Modat
- Department of Neurodegenerative Disease, Dementia Research Centre, Institute of Neurology, University College London, London, UK; Translational Imaging Group, Centre for Medical Image Computing, University College London, London, United Kingdom
| | - Susanne Mueller
- Department of Radiology and Biomedical Imaging, Center for Imaging of Neurodegenerative Diseases, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA; Department of Radiology, University of California at San Francisco, San Francisco, CA, USA
| | - Rachel Nosheny
- Department of Radiology and Biomedical Imaging, Center for Imaging of Neurodegenerative Diseases, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA; Department of Radiology, University of California at San Francisco, San Francisco, CA, USA
| | - Sebastien Ourselin
- Department of Neurodegenerative Disease, Dementia Research Centre, Institute of Neurology, University College London, London, UK; Translational Imaging Group, Centre for Medical Image Computing, University College London, London, United Kingdom
| | - Norbert Schuff
- Department of Radiology and Biomedical Imaging, Center for Imaging of Neurodegenerative Diseases, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA; Department of Radiology, University of California at San Francisco, San Francisco, CA, USA
| | | | - Alix Simonson
- Department of Radiology and Biomedical Imaging, Center for Imaging of Neurodegenerative Diseases, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
| | - Paul M Thompson
- Department of Neurology, Imaging Genetics Center, Institute for Neuroimaging & Informatics, University of Southern California, Marina del Rey, CA, USA
| | - Dan Rettmann
- MR Applications and Workflow, GE Healthcare, Rochester, MN, USA
| | | | | | | | - Samantha Zuk
- Department of Radiology, Mayo Clinic, Rochester, MN, USA
| | - Michael Weiner
- Department of Radiology and Biomedical Imaging, Center for Imaging of Neurodegenerative Diseases, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA; Department of Psychiatry, University of California at San Francisco, San Francisco, CA, USA; Department of Radiology, University of California at San Francisco, San Francisco, CA, USA; Department of Medicine, University of California at San Francisco, San Francisco, CA, USA; Department of Neurology, University of California at San Francisco, San Francisco, CA, USA
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Bonnier G, Kober T, Schluep M, Du Pasquier R, Krueger G, Meuli R, Granziera C, Roche A. A New Approach for Deep Gray Matter Analysis Using Partial-Volume Estimation. PLoS One 2016; 11:e0148631. [PMID: 26845760 PMCID: PMC4741419 DOI: 10.1371/journal.pone.0148631] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2015] [Accepted: 01/21/2016] [Indexed: 01/16/2023] Open
Abstract
Introduction The existence of partial volume effects in brain MR images makes it challenging to understand physio-pathological alterations underlying signal changes due to pathology across groups of healthy subjects and patients. In this study, we implement a new approach to disentangle gray and white matter alterations in the thalamus and the basal ganglia. The proposed method was applied to a cohort of early multiple sclerosis (MS) patients and healthy subjects to evaluate tissue-specific alterations related to diffuse inflammatory or neurodegenerative processes. Method Forty-three relapsing-remitting MS patients and nineteen healthy controls underwent 3T MRI including: (i) fluid-attenuated inversion recovery, double inversion recovery, magnetization-prepared gradient echo for lesion count, and (ii) T1 relaxometry. We applied a partial volume estimation algorithm to T1 relaxometry maps to gray and white matter local concentrations as well as T1 values characteristic of gray and white matter in the thalamus and the basal ganglia. Statistical tests were performed to compare groups in terms of both global T1 values, tissue characteristic T1 values, and tissue concentrations. Results Significant increases in global T1 values were observed in the thalamus (p = 0.038) and the putamen (p = 0.026) in RRMS patients compared to HC. In the Thalamus, the T1 increase was associated with a significant increase in gray matter characteristic T1 (p = 0.0016) with no significant effect in white matter. Conclusion The presented methodology provides additional information to standard MR signal averaging approaches that holds promise to identify the presence and nature of diffuse pathology in neuro-inflammatory and neurodegenerative diseases.
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Affiliation(s)
- Guillaume Bonnier
- Advanced Clinical Imaging Technology, Siemens Healthcare IM BM PI, Lausanne, Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
- Department of Clinical Neurosciences, LREN and Neuroimmunology Laboratory, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland
- * E-mail:
| | - Tobias Kober
- Advanced Clinical Imaging Technology, Siemens Healthcare IM BM PI, Lausanne, Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
- Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland
| | - Myriam Schluep
- Department of Clinical Neurosciences, LREN and Neuroimmunology Laboratory, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland
| | - Renaud Du Pasquier
- Department of Clinical Neurosciences, LREN and Neuroimmunology Laboratory, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland
| | - Gunnar Krueger
- Siemens Medical Solutions USA IM MR COL NEZ, Burlington, MA, United States of America
| | - Reto Meuli
- Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland
| | - Cristina Granziera
- Advanced Clinical Imaging Technology, Siemens Healthcare IM BM PI, Lausanne, Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
- Department of Clinical Neurosciences, LREN and Neuroimmunology Laboratory, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland
| | - Alexis Roche
- Advanced Clinical Imaging Technology, Siemens Healthcare IM BM PI, Lausanne, Switzerland
- LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
- Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland
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Kuhle J, Barro C, Disanto G, Mathias A, Soneson C, Bonnier G, Yaldizli Ö, Regeniter A, Derfuss T, Canales M, Schluep M, Du Pasquier R, Krueger G, Granziera C. Serum neurofilament light chain in early relapsing remitting MS is increased and correlates with CSF levels and with MRI measures of disease severity. Mult Scler 2016; 22:1550-1559. [PMID: 26754800 DOI: 10.1177/1352458515623365] [Citation(s) in RCA: 179] [Impact Index Per Article: 22.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2015] [Accepted: 11/20/2015] [Indexed: 11/15/2022]
Abstract
BACKGROUND/OBJECTIVES Neurofilament light chain (NfL) levels in the cerebrospinal fluid (CSF) of multiple sclerosis (MS) patients correlate with the degree of neuronal injury. To date, little is known about NfL concentrations in the serum of relapsing remitting multiple sclerosis (RRMS) patients and their relationship with CSF levels and magnetic resonance imaging (MRI) measures of disease severity. We aimed to validate the quantification of NfL in serum samples of RRMS, as a biofluid source easily accessible for longitudinal studies. METHODS A total of 31 RRMS patients underwent CSF and serum sampling. After a median time of 3.6 years, 19 of these RRMS patients, 10 newly recruited RRMS patients and 18 healthy controls had a 3T MRI and serum sampling. NfL concentrations were determined by electrochemiluminescence immunoassay. RESULTS NfL levels in serum were highly correlated to levels in CSF (r = 0.62, p = 0.0002). Concentrations in serum were higher in patients than in controls at baseline (p = 0.004) and follow-up (p = 0.0009) and did not change over time (p = 0.56). Serum NfL levels correlated with white matter (WM) lesion volume (r = 0.68, p < 0.0001), mean T1 (r = 0.40, p = 0.034) and T2* relaxation time (r = 0.49, p = 0.007) and with magnetization transfer ratio in normal appearing WM (r = -0.41, p = 0.029). CONCLUSION CSF and serum NfL levels were highly correlated, and serum concentrations were increased in RRMS. Serum NfL levels correlated with MRI markers of WM disease severity. Our findings further support longitudinal studies of serum NfL as a potential biomarker of on-going disease progression and as a potential surrogate to quantify effects of neuroprotective drugs in clinical trials.
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Affiliation(s)
- Jens Kuhle
- Neurology, Departments of Medicine, Clinical Research and Biomedicine, University Hospital of Basel, Basel, Switzerland
| | - Christian Barro
- Neurology, Departments of Medicine, Clinical Research and Biomedicine, University Hospital of Basel, Basel, Switzerland
| | - Giulio Disanto
- Neurocenter of Southern Switzerland, Ospedale Civico, Lugano, Switzerland
| | - Amandine Mathias
- Laboratory of Neuroimmunology, Center of Research in Neurosciences, Department of Clinical Neurosciences, CHUV, Lausanne, Switzerland
| | - Charlotte Soneson
- Bioinformatics Core Facility, SIB Swiss Institute of Bioinformatics, Lausanne, Switzerland/University of Zurich, Zurich, Switzerland
| | - Guillaume Bonnier
- Advanced Clinical Imaging Technology Group, Siemens Healthcare IM BM PI, Lausanne, Switzerland/Neuro-Immunology, Neurology Division, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland/LTS5, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Özguer Yaldizli
- Neurology, Departments of Medicine, Clinical Research and Biomedicine, University Hospital of Basel, Basel, Switzerland
| | - Axel Regeniter
- Clinical Neurochemistry, University Hospital of Basel, Basel, Switzerland
| | - Tobias Derfuss
- Neurology, Departments of Medicine, Clinical Research and Biomedicine, University Hospital of Basel, Basel, Switzerland
| | - Mathieu Canales
- Laboratory of Neuroimmunology, Center of Research in Neurosciences, Department of Clinical Neurosciences, CHUV, Lausanne, Switzerland
| | - Myriam Schluep
- Service of Neurology, Department of Clinical Neurosciences, CHUV, Lausanne, Switzerland
| | - Renaud Du Pasquier
- Laboratory of Neuroimmunology, Center of Research in Neurosciences, Department of Clinical Neurosciences, CHUV, Lausanne, Switzerland/Service of Neurology, Department of Clinical Neurosciences, CHUV, Lausanne, Switzerland
| | - Gunnar Krueger
- Advanced Clinical Imaging Technology Group, Siemens Healthcare IM BM PI, Lausanne, Switzerland/Healthcare Sector IM&WS S, Siemens Schweiz AG, Renens, Switzerland
| | - Cristina Granziera
- Advanced Clinical Imaging Technology Group, Siemens Healthcare IM BM PI, Lausanne, Switzerland/Neuro-Immunology, Neurology Division, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland/LTS5, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
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Fartaria MJ, Bonnier G, Roche A, Kober T, Meuli R, Rotzinger D, Frackowiak R, Schluep M, Du Pasquier R, Thiran JP, Krueger G, Bach Cuadra M, Granziera C. Automated detection of white matter and cortical lesions in early stages of multiple sclerosis. J Magn Reson Imaging 2015; 43:1445-54. [DOI: 10.1002/jmri.25095] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2015] [Accepted: 10/31/2015] [Indexed: 11/10/2022] Open
Affiliation(s)
- Mário João Fartaria
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- Signal Processing Laboratory (LTS5), Ecole Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
| | - Guillaume Bonnier
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- Signal Processing Laboratory (LTS5), Ecole Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Laboratoire de Recherché en Neuroimagérie (LREN), Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
| | - Alexis Roche
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- Signal Processing Laboratory (LTS5), Ecole Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology; Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
| | - Tobias Kober
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- Signal Processing Laboratory (LTS5), Ecole Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology; Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
| | - Reto Meuli
- Department of Radiology; Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
| | - David Rotzinger
- Department of Radiology; Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
| | - Richard Frackowiak
- Department of Clinical Neurosciences; Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
| | - Myriam Schluep
- Neuroimmunology Unit; Neurology; Department of Clinical Neurosciences; Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
| | - Renaud Du Pasquier
- Neuroimmunology Unit; Neurology; Department of Clinical Neurosciences; Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
| | - Jean-Philippe Thiran
- Signal Processing Laboratory (LTS5), Ecole Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology; Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
| | - Gunnar Krueger
- Signal Processing Laboratory (LTS5), Ecole Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Siemens Medical Solutions USA, Inc; Boston MA United States
| | - Meritxell Bach Cuadra
- Signal Processing Laboratory (LTS5), Ecole Polytechnique Fédérale de Lausanne (EPFL); Lausanne Switzerland
- Department of Radiology; Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
- Signal Processing Core, Centre d'Imagerie BioMédicale (CIBM); Lausanne Switzerland
| | - Cristina Granziera
- Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG; Lausanne Switzerland
- Laboratoire de Recherché en Neuroimagérie (LREN), Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
- Department of Clinical Neurosciences; Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL); Lausanne Switzerland
- Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School; Chalestown MA United States
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Babayeva M, Kober T, Knowles B, Herbst M, Meuli R, Zaitsev M, Krueger G. Accuracy and Precision of Head Motion Information in Multi-Channel Free Induction Decay Navigators for Magnetic Resonance Imaging. IEEE Trans Med Imaging 2015; 34:1879-1889. [PMID: 25781624 DOI: 10.1109/tmi.2015.2413211] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Free induction decay (FID) navigators were found to qualitatively detect rigid-body head movements, yet it is unknown to what extent they can provide quantitative motion estimates. Here, we acquired FID navigators at different sampling rates and simultaneously measured head movements using a highly accurate optical motion tracking system. This strategy allowed us to estimate the accuracy and precision of FID navigators for quantification of rigid-body head movements. Five subjects were scanned with a 32-channel head coil array on a clinical 3T MR scanner during several resting and guided head movement periods. For each subject we trained a linear regression model based on FID navigator and optical motion tracking signals. FID-based motion model accuracy and precision was evaluated using cross-validation. FID-based prediction of rigid-body head motion was found to be with a mean translational and rotational error of 0.14±0.21 mm and 0.08±0.13°, respectively. Robust model training with sub-millimeter and sub-degree accuracy could be achieved using 100 data points with motion magnitudes of ±2 mm and ±1° for translation and rotation. The obtained linear models appeared to be subject-specific as inter-subject application of a "universal" FID-based motion model resulted in poor prediction accuracy. The results show that substantial rigid-body motion information is encoded in FID navigator signal time courses. Although, the applied method currently requires the simultaneous acquisition of FID signals and optical tracking data, the findings suggest that multi-channel FID navigators have a potential to complement existing tracking technologies for accurate rigid-body motion detection and correction in MRI.
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21
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Falkovskiy P, Brenner D, Feiweier T, Kannengiesser S, Maréchal B, Kober T, Roche A, Thostenson K, Meuli R, Reyes D, Stoecker T, Bernstein MA, Thiran JP, Krueger G. Comparison of accelerated T1-weighted whole-brain structural-imaging protocols. Neuroimage 2015; 124:157-167. [PMID: 26297848 DOI: 10.1016/j.neuroimage.2015.08.026] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2015] [Revised: 08/07/2015] [Accepted: 08/11/2015] [Indexed: 11/19/2022] Open
Abstract
Imaging in neuroscience, clinical research and pharmaceutical trials often employs the 3D magnetisation-prepared rapid gradient-echo (MPRAGE) sequence to obtain structural T1-weighted images with high spatial resolution of the human brain. Typical research and clinical routine MPRAGE protocols with ~1mm isotropic resolution require data acquisition time in the range of 5-10min and often use only moderate two-fold acceleration factor for parallel imaging. Recent advances in MRI hardware and acquisition methodology promise improved leverage of the MR signal and more benign artefact properties in particular when employing increased acceleration factors in clinical routine and research. In this study, we examined four variants of a four-fold-accelerated MPRAGE protocol (2D-GRAPPA, CAIPIRINHA, CAIPIRINHA elliptical, and segmented MPRAGE) and compared clinical readings, basic image quality metrics (SNR, CNR), and automated brain tissue segmentation for morphological assessments of brain structures. The results were benchmarked against a widely-used two-fold-accelerated 3T ADNI MPRAGE protocol that served as reference in this study. 22 healthy subjects (age=20-44yrs.) were imaged with all MPRAGE variants in a single session. An experienced reader rated all images of clinically useful image quality. CAIPIRINHA MPRAGE scans were perceived on average to be of identical value for reading as the reference ADNI-2 protocol. SNR and CNR measurements exhibited the theoretically expected performance at the four-fold acceleration. The results of this study demonstrate that the four-fold accelerated protocols introduce systematic biases in the segmentation results of some brain structures compared to the reference ADNI-2 protocol. Furthermore, results suggest that the increased noise levels in the accelerated protocols play an important role in introducing these biases, at least under the present study conditions.
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Affiliation(s)
- Pavel Falkovskiy
- Advanced Clinical Imaging Technology, Siemens Healthcare IM BM PI, Lausanne, Switzerland; Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland; LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
| | - Daniel Brenner
- German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany
| | | | | | - Bénédicte Maréchal
- Advanced Clinical Imaging Technology, Siemens Healthcare IM BM PI, Lausanne, Switzerland; Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland; LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Tobias Kober
- Advanced Clinical Imaging Technology, Siemens Healthcare IM BM PI, Lausanne, Switzerland; Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland; LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Alexis Roche
- Advanced Clinical Imaging Technology, Siemens Healthcare IM BM PI, Lausanne, Switzerland; Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland; LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Kaely Thostenson
- Mayo Clinic, Department of Radiology, MN, Rochester, United States
| | - Reto Meuli
- Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland
| | - Denise Reyes
- Mayo Clinic, Department of Radiology, MN, Rochester, United States
| | - Tony Stoecker
- German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany
| | - Matt A Bernstein
- Mayo Clinic, Department of Radiology, MN, Rochester, United States
| | - Jean-Philippe Thiran
- Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland; LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Gunnar Krueger
- Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland; LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland; Siemens Medical Solutions USA, Inc., Boston, MA, USA
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22
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Granziera C, Daducci A, Donati A, Bonnier G, Romascano D, Roche A, Bach Cuadra M, Schmitter D, Klöppel S, Meuli R, von Gunten A, Krueger G. A multi-contrast MRI study of microstructural brain damage in patients with mild cognitive impairment. Neuroimage Clin 2015; 8:631-9. [PMID: 26236628 PMCID: PMC4511616 DOI: 10.1016/j.nicl.2015.06.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2015] [Revised: 05/25/2015] [Accepted: 06/07/2015] [Indexed: 11/05/2022]
Abstract
Objectives The aim of this study was to investigate pathological mechanisms underlying brain tissue alterations in mild cognitive impairment (MCI) using multi-contrast 3 T magnetic resonance imaging (MRI). Methods Forty-two MCI patients and 77 healthy controls (HC) underwent T1/T2* relaxometry as well as Magnetization Transfer (MT) MRI. Between-groups comparisons in MRI metrics were performed using permutation-based tests. Using MRI data, a generalized linear model (GLM) was computed to predict clinical performance and a support-vector machine (SVM) classification was used to classify MCI and HC subjects. Results Multi-parametric MRI data showed microstructural brain alterations in MCI patients vs HC that might be interpreted as: (i) a broad loss of myelin/cellular proteins and tissue microstructure in the hippocampus (p ≤ 0.01) and global white matter (p < 0.05); and (ii) iron accumulation in the pallidus nucleus (p ≤ 0.05). MRI metrics accurately predicted memory and executive performances in patients (p ≤ 0.005). SVM classification reached an accuracy of 75% to separate MCI and HC, and performed best using both volumes and T1/T2*/MT metrics. Conclusion Multi-contrast MRI appears to be a promising approach to infer pathophysiological mechanisms leading to brain tissue alterations in MCI. Likewise, parametric MRI data provide powerful correlates of cognitive deficits and improve automatic disease classification based on morphometric features. Forty-two MCI patients and 77 HC underwent multi-contrast quantitative MRI. MCI patients showed T1/T2* increase and MTR decrease in the hippocampus. MCI patients exhibited T1 increase in WM and T2* decrease in the pallidus. MRI metrics accurately predicted memory and executive function in patients. SVM classified MCI patients with 75% accuracy using volumetric/parametric MRI.
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Affiliation(s)
- C Granziera
- Department of Clinical Neurosciences, CHUV, Lausanne, VD, Switzerland ; Advanced Clinical Imaging Technology, EPFL, Lausanne, VD, Switzerland
| | - A Daducci
- STI IEL LTS5, EPFL, Lausanne, VD, Switzerland
| | - A Donati
- Service of Old-Age Psychiatry, Department of Psychiatry, CHUV, Lausanne, VD, Switzerland
| | - G Bonnier
- Advanced Clinical Imaging Technology, EPFL, Lausanne, VD, Switzerland
| | - D Romascano
- Advanced Clinical Imaging Technology, EPFL, Lausanne, VD, Switzerland
| | - A Roche
- Advanced Clinical Imaging Technology, EPFL, Lausanne, VD, Switzerland
| | - M Bach Cuadra
- Department of Radiology, CHUV, Lausanne, VD, Switzerland ; Signal Processing Core, Center for Biomedical Imaging, CHUV, Lausanne, VD, Switzerland
| | - D Schmitter
- Advanced Clinical Imaging Technology, EPFL, Lausanne, VD, Switzerland
| | - S Klöppel
- Department of Psychiatry and Psychotherapy, Section of Gerontopsychiatry, Department of Neurology, University Medical Center, Freiburg, Germany
| | - R Meuli
- Department of Radiology, CHUV, Lausanne, VD, Switzerland
| | - A von Gunten
- Service of Old-Age Psychiatry, Department of Psychiatry, CHUV, Lausanne, VD, Switzerland
| | - G Krueger
- Advanced Clinical Imaging Technology, EPFL, Lausanne, VD, Switzerland ; Heathcare IM S AW, Siemens Schweiz AG, Renens, VD, Switzerland
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23
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Langley R, Rich P, Menter A, Krueger G, Goldblum O, Dutronc Y, Zhu B, Wei H, Cameron G, Heffernan M. Improvement of scalp and nail lesions with ixekizumab in a phase 2 trial in patients with chronic plaque psoriasis. J Eur Acad Dermatol Venereol 2015; 29:1763-70. [DOI: 10.1111/jdv.12996] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2014] [Accepted: 01/07/2015] [Indexed: 12/01/2022]
Affiliation(s)
- R.G. Langley
- Division of Clinical Dermatology and Cutaneous Science; Department of Medicine; Dalhousie University; Halifax NS Canada
| | - P. Rich
- Department of Dermatology; Oregon Health & Science University School of Medicine; Portland OR USA
| | - A. Menter
- Department of Dermatology; University of Texas Southwestern Medical Center Southwestern Medical School; Dallas TX USA
| | - G. Krueger
- Department of Dermatology; University of Utah School of Medicine; Salt Lake City UT USA
| | | | - Y. Dutronc
- Eli Lilly and Company; Indianapolis IN USA
| | - B. Zhu
- Eli Lilly and Company; Indianapolis IN USA
| | - H. Wei
- Eli Lilly and Company; Indianapolis IN USA
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24
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Lin YC, Daducci A, Meskaldji DE, Thiran JP, Michel P, Meuli R, Krueger G, Menegaz G, Granziera C. Quantitative Analysis of Myelin and Axonal Remodeling in the Uninjured Motor Network After Stroke. Brain Connect 2014; 5:401-12. [PMID: 25296185 DOI: 10.1089/brain.2014.0245] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
Contralesional brain connectivity plasticity was previously reported after stroke. This study aims at disentangling the biological mechanisms underlying connectivity plasticity in the uninjured motor network after an ischemic lesion. In particular, we measured generalized fractional anisotropy (GFA) and magnetization transfer ratio (MTR) to assess whether poststroke connectivity remodeling depends on axonal and/or myelin changes. Diffusion-spectrum imaging and magnetization transfer MRI at 3T were performed in 10 patients in acute phase, at 1 and 6 months after stroke, which was affecting motor cortical and/or subcortical areas. Ten age- and gender-matched healthy volunteers were scanned 1 month apart for longitudinal comparison. Clinical assessment was also performed in patients prior to magnetic resonance imaging (MRI). In the contralesional hemisphere, average measures and tract-based quantitative analysis of GFA and MTR were performed to assess axonal integrity and myelination along motor connections as well as their variations in time. Mean and tract-based measures of MTR and GFA showed significant changes in a number of contralesional motor connections, confirming both axonal and myelin plasticity in our cohort of patients. Moreover, density-derived features (peak height, standard deviation, and skewness) of GFA and MTR along the tracts showed additional correlation with clinical scores than mean values. These findings reveal the interplay between contralateral myelin and axonal remodeling after stroke.
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Affiliation(s)
- Ying-Chia Lin
- 1 Department of Computer Science, University of Verona , Verona, Italy
| | - Alessandro Daducci
- 2 STI/IEL/LTS5 , Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Djalel Eddine Meskaldji
- 3 Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland .,4 Department of Radiology and Medical Informatics, University of Geneva , Geneva, Switzerland
| | - Jean-Philippe Thiran
- 2 STI/IEL/LTS5 , Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Patrik Michel
- 5 Stroke Center, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois, University of Lausanne , Lausanne, Switzerland
| | - Reto Meuli
- 6 Department of Radiology, Centre Hospitalier Universitaire Vaudois, University of Lausanne , Lausanne, Switzerland
| | - Gunnar Krueger
- 7 Healthcare Sector IM&WS S, Siemens Schweiz AG, Lausanne, Switzerland .,8 Advanced Clinical Imaging Technology Group, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Gloria Menegaz
- 1 Department of Computer Science, University of Verona , Verona, Italy
| | - Cristina Granziera
- 2 STI/IEL/LTS5 , Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland .,8 Advanced Clinical Imaging Technology Group, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland .,9 Laboratoire de Recherche en Neuroimagerie and Neuroimmunology Unit, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne , Lausanne, Switzerland
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25
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Romascano D, Meskaldji DE, Bonnier G, Simioni S, Rotzinger D, Lin YC, Menegaz G, Roche A, Schluep M, Pasquier RD, Richiardi J, Van De Ville D, Daducci A, Sumpf T, Fraham J, Thiran JP, Krueger G, Granziera C. Multicontrast connectometry: a new tool to assess cerebellum alterations in early relapsing-remitting multiple sclerosis. Hum Brain Mapp 2014; 36:1609-19. [PMID: 25421928 DOI: 10.1002/hbm.22698] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Revised: 11/06/2014] [Accepted: 11/17/2014] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Cerebellar pathology occurs in late multiple sclerosis (MS) but little is known about cerebellar changes during early disease stages. In this study, we propose a new multicontrast "connectometry" approach to assess the structural and functional integrity of cerebellar networks and connectivity in early MS. METHODS We used diffusion spectrum and resting-state functional MRI (rs-fMRI) to establish the structural and functional cerebellar connectomes in 28 early relapsing-remitting MS patients and 16 healthy controls (HC). We performed multicontrast "connectometry" by quantifying multiple MRI parameters along the structural tracts (generalized fractional anisotropy-GFA, T1/T2 relaxation times and magnetization transfer ratio) and functional connectivity measures. Subsequently, we assessed multivariate differences in local connections and network properties between MS and HC subjects; finally, we correlated detected alterations with lesion load, disease duration, and clinical scores. RESULTS In MS patients, a subset of structural connections showed quantitative MRI changes suggesting loss of axonal microstructure and integrity (increased T1 and decreased GFA, P < 0.05). These alterations highly correlated with motor, memory and attention in patients, but were independent of cerebellar lesion load and disease duration. Neither network organization nor rs-fMRI abnormalities were observed at this early stage. CONCLUSION Multicontrast cerebellar connectometry revealed subtle cerebellar alterations in MS patients, which were independent of conventional disease markers and highly correlated with patient function. Future work should assess the prognostic value of the observed damage.
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Affiliation(s)
- David Romascano
- Advanced Clinical Imaging Technology, Siemens Healthcare IM BM PI & Department of Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne (CHUV), Lausanne, Switzerland; Signal Processing Laboratory (LTS5), Ecole Polytechnique Fédérale de Lausanne, Switzerland
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26
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Schmitter D, Roche A, Maréchal B, Ribes D, Abdulkadir A, Bach-Cuadra M, Daducci A, Granziera C, Klöppel S, Maeder P, Meuli R, Krueger G. An evaluation of volume-based morphometry for prediction of mild cognitive impairment and Alzheimer's disease. Neuroimage Clin 2014; 7:7-17. [PMID: 25429357 PMCID: PMC4238047 DOI: 10.1016/j.nicl.2014.11.001] [Citation(s) in RCA: 121] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/12/2014] [Revised: 06/17/2014] [Accepted: 11/04/2014] [Indexed: 01/10/2023]
Abstract
Voxel-based morphometry from conventional T1-weighted images has proved effective to quantify Alzheimer's disease (AD) related brain atrophy and to enable fairly accurate automated classification of AD patients, mild cognitive impaired patients (MCI) and elderly controls. Little is known, however, about the classification power of volume-based morphometry, where features of interest consist of a few brain structure volumes (e.g. hippocampi, lobes, ventricles) as opposed to hundreds of thousands of voxel-wise gray matter concentrations. In this work, we experimentally evaluate two distinct volume-based morphometry algorithms (FreeSurfer and an in-house algorithm called MorphoBox) for automatic disease classification on a standardized data set from the Alzheimer's Disease Neuroimaging Initiative. Results indicate that both algorithms achieve classification accuracy comparable to the conventional whole-brain voxel-based morphometry pipeline using SPM for AD vs elderly controls and MCI vs controls, and higher accuracy for classification of AD vs MCI and early vs late AD converters, thereby demonstrating the potential of volume-based morphometry to assist diagnosis of mild cognitive impairment and Alzheimer's disease.
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Affiliation(s)
- Daniel Schmitter
- Advanced Clinical Imaging Technology, Siemens Healthcare Sector, CH-1015 Lausanne, Switzerland ; Centre d'Imagerie BioMédicale (CIBM), CH-1015 Lausanne, Switzerland ; Biomedical Imaging Group, Ecole Polytechnique Fédérale (EPFL), CH-1015 Lausanne, Switzerland
| | - Alexis Roche
- Advanced Clinical Imaging Technology, Siemens Healthcare Sector, CH-1015 Lausanne, Switzerland ; Centre d'Imagerie BioMédicale (CIBM), CH-1015 Lausanne, Switzerland ; Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV), CH-1015 Lausanne, Switzerland ; Signal Processing Laboratory 5, Ecole Polytechnique Fédérale (EPFL), CH-1015 Lausanne, Switzerland
| | - Bénédicte Maréchal
- Advanced Clinical Imaging Technology, Siemens Healthcare Sector, CH-1015 Lausanne, Switzerland ; Centre d'Imagerie BioMédicale (CIBM), CH-1015 Lausanne, Switzerland ; Signal Processing Laboratory 5, Ecole Polytechnique Fédérale (EPFL), CH-1015 Lausanne, Switzerland
| | - Delphine Ribes
- Advanced Clinical Imaging Technology, Siemens Healthcare Sector, CH-1015 Lausanne, Switzerland ; Centre d'Imagerie BioMédicale (CIBM), CH-1015 Lausanne, Switzerland
| | - Ahmed Abdulkadir
- Group of Pattern Recognition and Image Processing, University of Freiburg, D-79110 Freiburg, Germany
| | - Meritxell Bach-Cuadra
- Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV), CH-1015 Lausanne, Switzerland ; Signal Processing Laboratory 5, Ecole Polytechnique Fédérale (EPFL), CH-1015 Lausanne, Switzerland ; Centre d'Imagerie BioMédicale (CIBM), CH-1015 Lausanne, Switzerland
| | - Alessandro Daducci
- Signal Processing Laboratory 5, Ecole Polytechnique Fédérale (EPFL), CH-1015 Lausanne, Switzerland
| | - Cristina Granziera
- Service of Neurology, Centre Hospitalier Universitaire Vaudois (CHUV), CH-1015 Lausanne, Switzerland ; Advanced Clinical Imaging Technology, Siemens Healthcare Sector, CH-1015 Lausanne, Switzerland ; Centre d'Imagerie BioMédicale (CIBM), CH-1015 Lausanne, Switzerland ; Signal Processing Laboratory 5, Ecole Polytechnique Fédérale (EPFL), CH-1015 Lausanne, Switzerland
| | - Stefan Klöppel
- Group of Pattern Recognition and Image Processing, University of Freiburg, D-79110 Freiburg, Germany
| | - Philippe Maeder
- Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV), CH-1015 Lausanne, Switzerland
| | - Reto Meuli
- Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV), CH-1015 Lausanne, Switzerland
| | - Gunnar Krueger
- Advanced Clinical Imaging Technology, Siemens Healthcare Sector, CH-1015 Lausanne, Switzerland ; Centre d'Imagerie BioMédicale (CIBM), CH-1015 Lausanne, Switzerland ; Signal Processing Laboratory 5, Ecole Polytechnique Fédérale (EPFL), CH-1015 Lausanne, Switzerland
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27
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Simioni S, Amarù F, Bonnier G, Kober T, Rotzinger D, Du Pasquier R, Schluep M, Meuli R, Sbarbati A, Thiran JP, Krueger G, Granziera C. MP2RAGE provides new clinically-compatible correlates of mild cognitive deficits in relapsing-remitting multiple sclerosis. J Neurol 2014; 261:1606-13. [PMID: 24912471 DOI: 10.1007/s00415-014-7398-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2014] [Revised: 05/23/2014] [Accepted: 06/03/2014] [Indexed: 12/01/2022]
Abstract
Despite that cognitive impairment is a known early feature present in multiple sclerosis (MS) patients, the biological substrate of cognitive deficits in MS remains elusive. In this study, we assessed whether T1 relaxometry, as obtained in clinically acceptable scan times by the recent Magnetization Prepared 2 Rapid Acquisition Gradient Echoes (MP2RAGE) sequence, may help identifying the structural correlate of cognitive deficits in relapsing-remitting MS patients (RRMS). Twenty-nine healthy controls (HC) and forty-nine RRMS patients underwent high-resolution 3T magnetic resonance imaging to obtain optimal cortical lesion (CL) and white matter lesion (WML) count/volume and T1 relaxation times. T1 z scores were then obtained between T1 relaxation times in lesion and the corresponding HC tissue. Patient cognitive performance was tested using the Brief Repeatable Battery of Neuro-psychological Tests. Multivariate analysis was applied to assess the contribution of MRI variables (T1 z scores, lesion count/volume) to cognition in patients and Bonferroni correction was applied for multiple comparison. T1 z scores were higher in WML (p < 0.001) and CL-I (p < 0.01) than in the corresponding normal-appearing tissue in patients, indicating relative microstructural loss. (1) T1 z scores in CL-I (p = 0.01) and the number of CL-II (p = 0.04) were predictors of long-term memory; (2) T1 z scores in CL-I (β = 0.3; p = 0.03) were independent determinants of long-term memory storage, and (3) lesion volume did not significantly influenced cognitive performances in patients. Our study supports evidence that T1 relaxometry from MP2RAGE provides information about microstructural properties in CL and WML and improves correlation with cognition in RRMS patients, compared to conventional measures of disease burden.
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Affiliation(s)
- Samanta Simioni
- Division of Neurology, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland
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Bonnier G, Roche A, Romascano D, Simioni S, Meskaldji D, Rotzinger D, Lin YC, Menegaz G, Schluep M, Du Pasquier R, Sumpf TJ, Frahm J, Thiran JP, Krueger G, Granziera C. Advanced MRI unravels the nature of tissue alterations in early multiple sclerosis. Ann Clin Transl Neurol 2014; 1:423-32. [PMID: 25356412 PMCID: PMC4184670 DOI: 10.1002/acn3.68] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2014] [Revised: 03/27/2014] [Accepted: 04/28/2014] [Indexed: 01/16/2023] Open
Abstract
Introduction In patients with multiple sclerosis (MS), conventional magnetic resonance imaging (MRI) provides only limited insights into the nature of brain damage with modest clinic-radiological correlation. In this study, we applied recent advances in MRI techniques to study brain microstructural alterations in early relapsing-remitting MS (RRMS) patients with minor deficits. Further, we investigated the potential use of advanced MRI to predict functional performances in these patients. Methods Brain relaxometry (T1, T2, T2*) and magnetization transfer MRI were performed at 3T in 36 RRMS patients and 18 healthy controls (HC). Multicontrast analysis was used to assess for microstructural alterations in normal-appearing (NA) tissue and lesions. A generalized linear model was computed to predict clinical performance in patients using multicontrast MRI data, conventional MRI measures as well as demographic and behavioral data as covariates. Results Quantitative T2 and T2* relaxometry were significantly increased in temporal normal-appearing white matter (NAWM) of patients compared to HC, indicating subtle microedema (P = 0.03 and 0.004). Furthermore, significant T1 and magnetization transfer ratio (MTR) variations in lesions (mean T1 z-score: 4.42 and mean MTR z-score: −4.09) suggested substantial tissue loss. Combinations of multicontrast and conventional MRI data significantly predicted cognitive fatigue (P = 0.01, Adj-R2 = 0.4), attention (P = 0.0005, Adj-R2 = 0.6), and disability (P = 0.03, Adj-R2 = 0.4). Conclusion Advanced MRI techniques at 3T, unraveled the nature of brain tissue damage in early MS and substantially improved clinical–radiological correlations in patients with minor deficits, as compared to conventional measures of disease.
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Affiliation(s)
- Guillaume Bonnier
- Advanced Clinical Imaging Technology group, Siemens Healthcare IM BM PI Lausanne, Switzerland ; Neuro-immunology and Laboratoire de recherché en neuroimagérie, Neurology Division, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne Lausanne, Switzerland ; LTS5, Ecole Polytechnique Fédérale de Lausanne Lausanne, Switzerland
| | - Alexis Roche
- Advanced Clinical Imaging Technology group, Siemens Healthcare IM BM PI Lausanne, Switzerland ; LTS5, Ecole Polytechnique Fédérale de Lausanne Lausanne, Switzerland ; Department of Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne Lausanne, Switzerland
| | - David Romascano
- Advanced Clinical Imaging Technology group, Siemens Healthcare IM BM PI Lausanne, Switzerland ; LTS5, Ecole Polytechnique Fédérale de Lausanne Lausanne, Switzerland
| | - Samanta Simioni
- Neuro-immunology and Laboratoire de recherché en neuroimagérie, Neurology Division, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne Lausanne, Switzerland
| | - Djalel Meskaldji
- LTS5, Ecole Polytechnique Fédérale de Lausanne Lausanne, Switzerland
| | - David Rotzinger
- Department of Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne Lausanne, Switzerland
| | - Ying-Chia Lin
- Department of Computer Science, University of Verona Verona, Italy
| | - Gloria Menegaz
- Department of Computer Science, University of Verona Verona, Italy
| | - Myriam Schluep
- Neuro-immunology and Laboratoire de recherché en neuroimagérie, Neurology Division, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne Lausanne, Switzerland
| | - Renaud Du Pasquier
- Neuro-immunology and Laboratoire de recherché en neuroimagérie, Neurology Division, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne Lausanne, Switzerland
| | - Tilman Johannes Sumpf
- Biomedizinische NMR Forschungs GmbH, Max Planck Institute for Biophysical Chemistry Goettingen, Germany
| | - Jens Frahm
- Biomedizinische NMR Forschungs GmbH, Max Planck Institute for Biophysical Chemistry Goettingen, Germany
| | | | - Gunnar Krueger
- Advanced Clinical Imaging Technology group, Siemens Healthcare IM BM PI Lausanne, Switzerland ; Healthcare Sector IM&WS S, Siemens Schweiz AG Renens, Switzerland
| | - Cristina Granziera
- Advanced Clinical Imaging Technology group, Siemens Healthcare IM BM PI Lausanne, Switzerland ; Neuro-immunology and Laboratoire de recherché en neuroimagérie, Neurology Division, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne Lausanne, Switzerland ; LTS5, Ecole Polytechnique Fédérale de Lausanne Lausanne, Switzerland
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Kavanaugh A, McInnes I, Mease P, Krueger G, Gladman D, Xu S, Tang L, Van Beneden K. OP0080 Impact of Persistent Minimal Disease Activity on Long-Term Outcomes in Psoriatic Arthritis: Results from 5 Years of the Long Term Extension of A Randomized, Placebo-Controlled, Study. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.2254] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Granziera C, Daducci A, Romascano D, Roche A, Helms G, Krueger G, Hadjikhani N. Structural abnormalities in the thalamus of migraineurs with aura: a multiparametric study at 3 T. Hum Brain Mapp 2014; 35:1461-8. [PMID: 23450507 PMCID: PMC6869319 DOI: 10.1002/hbm.22266] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2012] [Revised: 11/27/2012] [Accepted: 01/03/2013] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND AND OBJECTIVES The thalamus exerts a pivotal role in pain processing and cortical excitability control, and migraine is characterized by repeated pain attacks and abnormal cortical habituation to excitatory stimuli. This work aimed at studying the microstructure of the thalamus in migraine patients using an innovative multiparametric approach at high-field magnetic resonance imaging (MRI). DESIGN We examined 37 migraineurs (22 without aura, MWoA, and 15 with aura, MWA) as well as 20 healthy controls (HC) in a 3-T MRI equipped with a 32-channel coil. We acquired whole-brain T1 relaxation maps and computed magnetization transfer ratio (MTR), generalized fractional anisotropy, and T2* maps to probe microstructural and connectivity integrity and to assess iron deposition. We also correlated the obtained parametric values with the average monthly frequency of migraine attacks and disease duration. RESULTS T1 relaxation time was significantly shorter in the thalamus of MWA patients compared with MWoA (P < 0.001) and HC (P ≤ 0.01); in addition, MTR was higher and T2* relaxation time was shorter in MWA than in MWoA patients (P < 0.05, respectively). These data reveal broad microstructural alterations in the thalamus of MWA patients compared with MWoA and HC, suggesting increased iron deposition and myelin content/cellularity. However, MWA and MWoA patients did not show any differences in the thalamic nucleus involved in pain processing in migraine. CONCLUSIONS There are broad microstructural alterations in the thalamus of MWA patients that may underlie abnormal cortical excitability control leading to cortical spreading depression and visual aura.
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Affiliation(s)
- Cristina Granziera
- GRHAD, BMI, SV, EPFL, Lausanne, Switzerland; Laboratoire de Recherche en Neuroimagerie and Neuroimmunology Unit, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland; Advanced Clinical Imaging Technology Group, Siemens-CIBM, EPFL, Lausanne, Switzerland
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Dyverfeldt P, Deshpande VS, Kober T, Krueger G, Saloner D. Reduction of motion artifacts in carotid MRI using free-induction decay navigators. J Magn Reson Imaging 2013; 40:214-20. [PMID: 24677562 DOI: 10.1002/jmri.24389] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2013] [Accepted: 07/10/2013] [Indexed: 11/09/2022] Open
Abstract
PURPOSE To develop a framework for prospective free-induction decay (FID)-based navigator gating for suppression of motion artifacts in carotid magnetic resonance imaging (MRI) and to assess its capability in vivo. MATERIALS AND METHODS An FID-navigator, comprising a spatially selective low flip-angle sinc-pulse followed by an analog-to-digital converter (ADC) readout, was added to a conventional turbo spin-echo (TSE) sequence. Real-time navigator processing delivered accept/reject-and-reacquire decisions to the sequence. In this Institutional Review Board (IRB)-approved study, seven volunteers were scanned with a 2D T2-weighted TSE sequence. A reference scan with volunteers instructed to minimize motion as well as nongated and gated scans with volunteers instructed to perform different motion tasks were performed in each subject. Multiple image quality measures were employed to quantify the effect of gating. RESULTS There was no significant difference in lumen-to-wall sharpness (2.3 ± 0.3 vs. 2.3 ± 0.4), contrast-to-noise ratio (CNR) (9.0 ± 2.0 vs. 8.5 ± 2.0), or image quality score (3.1 ± 0.9 vs. 2.6 ± 1.2) between the reference and gated images. For images acquired during motion, all image quality measures were higher (P < 0.05) in the gated compared to nongated images (sharpness: 2.3 ± 0.4 vs. 1.8 ± 0.5, CNR: 8.5 ± 2.0 vs. 7.2 ± 2.0, score: 2.6 ± 1.2 vs. 1.8 ± 1.0). CONCLUSION Artifacts caused by the employed motion tasks deteriorated image quality in the nongated scans. These artifacts were alleviated with the proposed FID-navigator.
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Affiliation(s)
- Petter Dyverfeldt
- Department of Radiology & Biomedical Imaging, University of California San Francisco, San Francisco, California, USA
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O'Brien KR, Magill AW, Delacoste J, Marques JP, Kober T, Fautz HP, Lazeyras F, Krueger G. Dielectric pads and low- B1+ adiabatic pulses: complementary techniques to optimize structural T1 w whole-brain MP2RAGE scans at 7 tesla. J Magn Reson Imaging 2013; 40:804-12. [PMID: 24446194 DOI: 10.1002/jmri.24435] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2013] [Accepted: 08/27/2013] [Indexed: 11/10/2022] Open
Abstract
PURPOSE To evaluate the combination of low-B1 (+) adiabatic pulses and high permittivity (εr ≈ 165) dielectric pads effectiveness to reproducibly improve the inversion efficiency for whole-brain MP2RAGE scans, at ultra-high field. MATERIALS AND METHODS Two low-B1 (+) adiabatic pulses, HS8 and TR-FOCI, were compared with the conventional HS1 adiabatic pulse in MP2RAGE acquisitions of four subjects at 7 Tesla. The uniform MP2RAGE images were qualitatively assessed for poor inversion artifacts by trained observers. Each subject was rescanned using dielectric pads. Eight further subjects underwent two MP2RAGE scan sessions using dielectric pads and the TR-FOCI adiabatic pulse. RESULTS The HS8 and TR-FOCI pulses improved inversion coverage in all subjects compared with the HS1 pulse. However, in subjects whose head lengths are large (≥136 mm) relative to the coil's z-coverage, the B1 (+) field over the cerebellum was insufficient to cause inversion. Dielectric pads increase the B1 (+) field, by ∼50%, over the cerebellum, which in conjunction with the TR-FOCI pulse, reproducibly improves the inversion efficiency over the whole brain for subjects with head lengths ≤155 mm. Minor residual inversion artifacts were present in three of eight subjects (head lengths ≥155 mm). CONCLUSION The complementary techniques of low-B1 (+) adiabatic RF pulses and high permittivity dielectric pads allow whole-brain structural T1 w images to be reliably acquired at ultra-high field. J. Magn. Reson. Imaging 2014;40:804-812. © 2013 Wiley Periodicals, Inc.
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Affiliation(s)
- Kieran R O'Brien
- CIBM_IRM HUG, Department of Radiology, University of Geneva, Geneva, Switzerland; Advanced Clinical Imaging Technology, Siemens Healthcare IM S AW, Renens, Switzerland; CIBM AIT, École polytechnique fédérale de Lausanne, Lausanne, Switzerland
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Streitbürger DP, Pampel A, Krueger G, Lepsien J, Schroeter ML, Mueller K, Möller HE. Impact of image acquisition on voxel-based-morphometry investigations of age-related structural brain changes. Neuroimage 2013; 87:170-82. [PMID: 24188812 DOI: 10.1016/j.neuroimage.2013.10.051] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2013] [Revised: 10/18/2013] [Accepted: 10/24/2013] [Indexed: 01/01/2023] Open
Abstract
A growing number of magnetic resonance imaging studies employ voxel-based morphometry (VBM) to assess structural brain changes. Recent reports have shown that image acquisition parameters may influence VBM results. For systematic evaluation, gray-matter-density (GMD) changes associated with aging were investigated by VBM employing acquisitions with different radiofrequency head coils (12-channel matrix coil vs. 32-channel array), different pulse sequences (MP-RAGE vs. MP2RAGE), and different voxel dimensions (1mm vs. 0.8mm). Thirty-six healthy subjects, classified as young, middle-aged, or elderly, participated in the study. Two-sample and paired t-tests revealed significant effects of acquisition parameters (coil, pulse sequence, and resolution) on the estimated age-related GMD changes in cortical and subcortical regions. Potential advantages in tissue classification and segmentation were obtained for MP2RAGE. The 32-channel coil generally outperformed the 12-channel coil, with more benefit for MP2RAGE. Further improvement can be expected from higher resolution if the loss in SNR is accounted for. Use of inconsistent acquisition parameters in VBM analyses is likely to introduce systematic bias. Overall, acquisition and protocol changes require careful adaptations of the VBM analysis strategy before generalized conclusion can be drawn.
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Affiliation(s)
- Daniel-Paolo Streitbürger
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany; Leipzig Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany.
| | - André Pampel
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Gunnar Krueger
- Siemens Schweiz AG, Healthcare Sector IM & WS, Renens, Switzerland
| | - Jöran Lepsien
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Matthias L Schroeter
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany; Clinic for Cognitive Neurology, University of Leipzig, Leipzig, Germany
| | - Karsten Mueller
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Harald E Möller
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
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Gigandet X, Griffa A, Kober T, Daducci A, Gilbert G, Connelly A, Hagmann P, Meuli R, Thiran JP, Krueger G. A connectome-based comparison of diffusion MRI schemes. PLoS One 2013; 8:e75061. [PMID: 24073235 PMCID: PMC3779224 DOI: 10.1371/journal.pone.0075061] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2013] [Accepted: 08/09/2013] [Indexed: 11/21/2022] Open
Abstract
Diffusion MRI has evolved towards an important clinical diagnostic and research tool. Though clinical routine is using mainly diffusion weighted and tensor imaging approaches, Q-ball imaging and diffusion spectrum imaging techniques have become more widely available. They are frequently used in research-oriented investigations in particular those aiming at measuring brain network connectivity. In this work, we aim at assessing the dependency of connectivity measurements on various diffusion encoding schemes in combination with appropriate data modeling. We process and compare the structural connection matrices computed from several diffusion encoding schemes, including diffusion tensor imaging, q-ball imaging and high angular resolution schemes, such as diffusion spectrum imaging with a publically available processing pipeline for data reconstruction, tracking and visualization of diffusion MR imaging. The results indicate that the high angular resolution schemes maximize the number of obtained connections when applying identical processing strategies to the different diffusion schemes. Compared to the conventional diffusion tensor imaging, the added connectivity is mainly found for pathways in the 50-100mm range, corresponding to neighboring association fibers and long-range associative, striatal and commissural fiber pathways. The analysis of the major associative fiber tracts of the brain reveals striking differences between the applied diffusion schemes. More complex data modeling techniques (beyond tensor model) are recommended 1) if the tracts of interest run through large fiber crossings such as the centrum semi-ovale, or 2) if non-dominant fiber populations, e.g. the neighboring association fibers are the subject of investigation. An important finding of the study is that since the ground truth sensitivity and specificity is not known, the comparability between results arising from different strategies in data reconstruction and/or tracking becomes implausible to understand.
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Affiliation(s)
- Xavier Gigandet
- Signal Processing Laboratories (LTS5), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Alessandra Griffa
- Signal Processing Laboratories (LTS5), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Tobias Kober
- Advanced Clinical Imaging Technology, Siemens Schweiz AG-CIBM, Lausanne, Switzerland
| | - Alessandro Daducci
- Signal Processing Laboratories (LTS5), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Guillaume Gilbert
- Department of Radiology, Centre Hospitalier de l’Université de Montréal, Montreal, Quebec, Canada
| | - Alan Connelly
- Brain Research Institute, Florey Neuroscience Institutes (Austin), Melbourne, Australia
- Department of Medicine, University of Melbourne, Melbourne, Australia
| | - Patric Hagmann
- Signal Processing Laboratories (LTS5), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
- Department of Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
| | - Reto Meuli
- Department of Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
| | - Jean-Philippe Thiran
- Signal Processing Laboratories (LTS5), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
- Department of Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
| | - Gunnar Krueger
- Advanced Clinical Imaging Technology, Siemens Schweiz AG-CIBM, Lausanne, Switzerland
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Granziera C, Daducci A, Simioni S, Cavassini M, Roche A, Meskaldji D, Kober T, Metral M, Calmy A, Helms G, Hirschel B, Lazeyras F, Meuli R, Krueger G, Du Pasquier RA. Micro-structural brain alterations in aviremic HIV+ patients with minor neurocognitive disorders: a multi-contrast study at high field. PLoS One 2013; 8:e72547. [PMID: 24039777 PMCID: PMC3769352 DOI: 10.1371/journal.pone.0072547] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2013] [Accepted: 07/10/2013] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE Mild neurocognitive disorders (MND) affect a subset of HIV+ patients under effective combination antiretroviral therapy (cART). In this study, we used an innovative multi-contrast magnetic resonance imaging (MRI) approach at high-field to assess the presence of micro-structural brain alterations in MND+ patients. METHODS We enrolled 17 MND+ and 19 MND- patients with undetectable HIV-1 RNA and 19 healthy controls (HC). MRI acquisitions at 3T included: MP2RAGE for T1 relaxation times, Magnetization Transfer (MT), T2* and Susceptibility Weighted Imaging (SWI) to probe micro-structural integrity and iron deposition in the brain. Statistical analysis used permutation-based tests and correction for family-wise error rate. Multiple regression analysis was performed between MRI data and (i) neuropsychological results (ii) HIV infection characteristics. A linear discriminant analysis (LDA) based on MRI data was performed between MND+ and MND- patients and cross-validated with a leave-one-out test. RESULTS Our data revealed loss of structural integrity and micro-oedema in MND+ compared to HC in the global white and cortical gray matter, as well as in the thalamus and basal ganglia. Multiple regression analysis showed a significant influence of sub-cortical nuclei alterations on the executive index of MND+ patients (p = 0.04 he and R² = 95.2). The LDA distinguished MND+ and MND- patients with a classification quality of 73% after cross-validation. CONCLUSION Our study shows micro-structural brain tissue alterations in MND+ patients under effective therapy and suggests that multi-contrast MRI at high field is a powerful approach to discriminate between HIV+ patients on cART with and without mild neurocognitive deficits.
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Affiliation(s)
- Cristina Granziera
- Department of Clinical Neurosciences, Neuroimmunology Unit, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Vaud, Switzerland
- Department of Clinical Neurosciences, Laboratoire de Recherche En Neuroimagerie (LREN), Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Vaud, Switzerland
- Advanced Clinical Imaging Technology, Centre d’imagerie biomédical, École Polytechnique Fédérale de Lausanne, Lausanne, Vaud, Switzerland
- * E-mail:
| | - Alessandro Daducci
- Advanced Clinical Imaging Technology, Centre d’imagerie biomédical, École Polytechnique Fédérale de Lausanne, Lausanne, Vaud, Switzerland
- Signal Processing Laboratory (LTS5), École Polytechnique Fédérale de Lausanne, Lausanne, Vaud, Switzerland
| | - Samanta Simioni
- Department of Clinical Neurosciences, Neuroimmunology Unit, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Vaud, Switzerland
| | - Matthias Cavassini
- Department of Infectious Diseases, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Vaud, Switzerland
| | - Alexis Roche
- Advanced Clinical Imaging Technology, Centre d’imagerie biomédical, École Polytechnique Fédérale de Lausanne, Lausanne, Vaud, Switzerland
| | - Djalel Meskaldji
- Signal Processing Laboratory (LTS5), École Polytechnique Fédérale de Lausanne, Lausanne, Vaud, Switzerland
| | - Tobias Kober
- Advanced Clinical Imaging Technology, Centre d’imagerie biomédical, École Polytechnique Fédérale de Lausanne, Lausanne, Vaud, Switzerland
| | - Melanie Metral
- Department of Clinical Neurosciences, Neuropsychology Unit, Hôpitaux Universitaires de Genève, Geneva, Switzerland
| | - Alexandra Calmy
- Department of Infectious diseases, Hôpitaux Universitaires de Genève, Geneva, Switzerland
| | - Gunther Helms
- MR-Forschung in der Neurologie und Psychiatrie, Georg-August-Universität Göttingen, Germany
| | - Bernard Hirschel
- Department of Infectious diseases, Hôpitaux Universitaires de Genève, Geneva, Switzerland
| | - François Lazeyras
- Department of Radiology, Hôpitaux Universitaires de Genève, Geneva, Switzerland
| | - Reto Meuli
- Department of Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Vaud, Switzerland
| | - Gunnar Krueger
- Advanced Clinical Imaging Technology, Centre d’imagerie biomédical, École Polytechnique Fédérale de Lausanne, Lausanne, Vaud, Switzerland
- Healthcare, Siemens Schweiz AG, Renens, Vaud, Switzerland
| | - Renaud A. Du Pasquier
- Department of Clinical Neurosciences, Neuroimmunology Unit, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Vaud, Switzerland
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O'Brien K, Daducci A, Kickler N, Lazeyras F, Gruetter R, Feiweier T, Krueger G. 3-D residual eddy current field characterisation: applied to diffusion weighted magnetic resonance imaging. IEEE Trans Med Imaging 2013; 32:1515-1525. [PMID: 23674437 DOI: 10.1109/tmi.2013.2259249] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Clinical use of the Stejskal-Tanner diffusion weighted images is hampered by the geometric distortions that result from the large residual 3-D eddy current field induced. In this work, we aimed to predict, using linear response theory, the residual 3-D eddy current field required for geometric distortion correction based on phantom eddy current field measurements. The predicted 3-D eddy current field induced by the diffusion-weighting gradients was able to reduce the root mean square error of the residual eddy current field to ~1 Hz. The model's performance was tested on diffusion weighted images of four normal volunteers, following distortion correction, the quality of the Stejskal-Tanner diffusion-weighted images was found to have comparable quality to image registration based corrections (FSL) at low b-values. Unlike registration techniques the correction was not hindered by low SNR at high b-values, and results in improved image quality relative to FSL. Characterization of the 3-D eddy current field with linear response theory enables the prediction of the 3-D eddy current field required to correct eddy current induced geometric distortions for a wide range of clinical and high b-value protocols.
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Affiliation(s)
- Kieran O'Brien
- Department ofRadiology,University of Geneva, 1211 Geneva, Switzerland and the Advanced Clinical Imaging Technology, CIBMS Siemens Suisse SA, 1015 Lausanne, Switzerland.
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Marchewka A, Kherif F, Krueger G, Grabowska A, Frackowiak R, Draganski B. Influence of magnetic field strength and image registration strategy on voxel-based morphometry in a study of Alzheimer's disease. Hum Brain Mapp 2013; 35:1865-74. [PMID: 23723177 DOI: 10.1002/hbm.22297] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2012] [Revised: 01/23/2013] [Accepted: 03/06/2013] [Indexed: 11/09/2022] Open
Abstract
Multi-centre data repositories like the Alzheimer's Disease Neuroimaging Initiative (ADNI) offer a unique research platform, but pose questions concerning comparability of results when using a range of imaging protocols and data processing algorithms. The variability is mainly due to the non-quantitative character of the widely used structural T1-weighted magnetic resonance (MR) images. Although the stability of the main effect of Alzheimer's disease (AD) on brain structure across platforms and field strength has been addressed in previous studies using multi-site MR images, there are only sparse empirically-based recommendations for processing and analysis of pooled multi-centre structural MR data acquired at different magnetic field strengths (MFS). Aiming to minimise potential systematic bias when using ADNI data we investigate the specific contributions of spatial registration strategies and the impact of MFS on voxel-based morphometry in AD. We perform a whole-brain analysis within the framework of Statistical Parametric Mapping, testing for main effects of various diffeomorphic spatial registration strategies, of MFS and their interaction with disease status. Beyond the confirmation of medial temporal lobe volume loss in AD, we detect a significant impact of spatial registration strategy on estimation of AD related atrophy. Additionally, we report a significant effect of MFS on the assessment of brain anatomy (i) in the cerebellum, (ii) the precentral gyrus and (iii) the thalamus bilaterally, showing no interaction with the disease status. We provide empirical evidence in support of pooling data in multi-centre VBM studies irrespective of disease status or MFS.
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Affiliation(s)
- Artur Marchewka
- LREN, Département des Neurosciences Cliniques, CHUV, University of Lausanne, Lausanne, Switzerland; Laboratory of Brain Imaging, Neurobiology Centre, Nencki Institute of Experimental Biology, Warsaw, Poland
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Dyverfeldt P, Deshpande VS, Kober T, Krueger G, Saloner D. Motion compensated carotid MRI using FID navigators. J Cardiovasc Magn Reson 2013. [PMCID: PMC3559924 DOI: 10.1186/1532-429x-15-s1-p242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Mekle R, Mortamet B, Granziera C, Krueger G, Chevrey N, Theumann N, Gambarota G. Magnetization transfer-based 3D visualization of foot peripheral nerves. J Magn Reson Imaging 2012; 37:1234-7. [PMID: 23023888 DOI: 10.1002/jmri.23828] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2011] [Accepted: 08/21/2012] [Indexed: 11/10/2022] Open
Abstract
PURPOSE To investigate magnetization transfer (MT) effects as a new source of contrast for imaging and tracking of peripheral foot nerves. MATERIALS AND METHODS Two sets of 3D spoiled gradient-echo images acquired with and without a saturation pulse were used to generate MT ratio (MTR) maps of 260 μm in-plane resolution for eight volunteers at 3T. Scan parameters were adjusted to minimize signal loss due to T2 dephasing, and a dedicated coil was used to improve the inherently low signal-to-noise ratio of small voxels. Resulting MTR values in foot nerves were compared with those in surrounding muscle tissue. RESULTS Average MTR values for muscle (45.5 ± 1.4%) and nerve (21.4 ± 3.1%) were significantly different (P < 0.0001). In general, the difference in MTR values was sufficiently large to allow for intensity-based segmentation and tracking of foot nerves in individual subjects. This procedure was termed MT-based 3D visualization. CONCLUSION The MTR serves as a new source of contrast for imaging of peripheral foot nerves and provides a means for high spatial resolution tracking of these structures. The proposed methodology is directly applicable on standard clinical MR scanners and could be applied to systemic pathologies, such as diabetes.
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Affiliation(s)
- Ralf Mekle
- Laboratory of Functional and Metabolic Imaging (LIFMET), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
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Granziera C, Daducci A, Meskaldji DE, Roche A, Maeder P, Michel P, Hadjikhani N, Sorensen AG, Frackowiak RS, Thiran JP, Meuli R, Krueger G. A new early and automated MRI-based predictor of motor improvement after stroke. Neurology 2012; 79:39-46. [DOI: 10.1212/wnl.0b013e31825f25e7] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Granziera C, Ay H, Koniak SP, Krueger G, Sorensen AG. Diffusion tensor imaging shows structural remodeling of stroke mirror region: results from a pilot study. Eur Neurol 2012; 67:370-6. [PMID: 22614706 DOI: 10.1159/000336062] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2011] [Accepted: 12/18/2011] [Indexed: 11/19/2022]
Abstract
BACKGROUND The role of the non-injured hemisphere in stroke recovery is poorly understood. In this pilot study, we sought to explore the presence of structural changes detectable by diffusion tensor imaging (DTI) in the contralesional hemispheres of patients who recovered well from ischemic stroke. METHODS We analyzed serial DTI data from 16 stroke patients who had moderate initial neurological deficits (NIHSS scores 3-12) and good functional outcome at 3-6 months (NIHSS score 0 or modified Rankin Score ≤1). We segmented the brain tissue in gray and white matter (GM and WM) and measured the apparent diffusion coefficient (ADC) and fractional anisotropy in the infarct, in the contralesional infarct mirror region as well as in concentrically expanding regions around them. RESULTS We found that GM and WM ADC significantly increased in the infarct region (p < 0.01) from acute to chronic time points, whereas in the infarct mirror region, GM and WM ADC increased (p < 0.01) and WM fractional anisotropy decreased (p < 0.05). No significant changes were detected in other regions. CONCLUSION DTI-based metrics are sensitive to regional structural changes in the contralesional hemisphere during stroke recovery. Prospective studies in larger cohorts with varying levels of recovery are needed to confirm our findings.
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Affiliation(s)
- Cristina Granziera
- Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
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Krueger G, Granziera C, Jack CR, Gunter JL, Littmann A, Mortamet B, Kannengiesser S, Sorensen AG, Ward CP, Reyes DA, Britson PJ, Fischer H, Bernstein MA. Effects of MRI scan acceleration on brain volume measurement consistency. J Magn Reson Imaging 2012; 36:1234-40. [PMID: 22570196 DOI: 10.1002/jmri.23694] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2011] [Accepted: 04/03/2012] [Indexed: 11/06/2022] Open
Abstract
PURPOSE To evaluate the effects of recent advances in magnetic resonance imaging (MRI) radiofrequency (RF) coil and parallel imaging technology on brain volume measurement consistency. MATERIALS AND METHODS In all, 103 whole-brain MRI volumes were acquired at a clinical 3T MRI, equipped with a 12- and 32-channel head coil, using the T1-weighted protocol as employed in the Alzheimer's Disease Neuroimaging Initiative study with parallel imaging accelerations ranging from 1 to 5. An experienced reader performed qualitative ratings of the images. For quantitative analysis, differences in composite width (CW, a measure of image similarity) and boundary shift integral (BSI, a measure of whole-brain atrophy) were calculated. RESULTS Intra- and intersession comparisons of CW and BSI measures from scans with equal acceleration demonstrated excellent scan-rescan accuracy, even at the highest acceleration applied. Pairs-of-scans acquired with different accelerations exhibited poor scan-rescan consistency only when differences in the acceleration factor were maximized. A change in the coil hardware between compared scans was found to bias the BSI measure. CONCLUSION The most important findings are that the accelerated acquisitions appear to be compatible with the assessment of high-quality quantitative information and that for highest scan-rescan accuracy in serial scans the acquisition protocol should be kept as consistent as possible over time.
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Affiliation(s)
- Gunnar Krueger
- Siemens Schweiz AG, Healthcare Sector IM&WS, Renens, Switzerland.
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Lemkaddem A, Daducci A, Vulliemoz S, O'Brien K, Lazeyras F, Hauf M, Wiest R, Meuli R, Seeck M, Krueger G, Thiran JP. A multi-center study: intra-scan and inter-scan variability of diffusion spectrum imaging. Neuroimage 2012; 62:87-94. [PMID: 22569062 DOI: 10.1016/j.neuroimage.2012.04.045] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2012] [Revised: 04/18/2012] [Accepted: 04/23/2012] [Indexed: 11/27/2022] Open
Abstract
The objective of this study was to investigate whether it is possible to pool together diffusion spectrum imaging data from four different scanners, located at three different sites. Two of the scanners had identical configuration whereas two did not. To measure the variability, we extracted three scalar maps (ADC, FA and GFA) from the DSI and utilized a region and a tract-based analysis. Additionally, a phantom study was performed to rule out some potential factors arising from the scanner performance in case some systematic bias occurred in the subject study. This work was split into three experiments: intra-scanner reproducibility, reproducibility with twin-scanner settings and reproducibility with other configurations. Overall for the intra-scanner and twin-scanner experiments, the region-based analysis coefficient of variation (CV) was in a range of 1%-4.2% and below 3% for almost every bundle for the tract-based analysis. The uncinate fasciculus showed the worst reproducibility, especially for FA and GFA values (CV 3.7-6%). For the GFA and FA maps, an ICC value of 0.7 and above is observed in almost all the regions/tracts. Looking at the last experiment, it was found that there is a very high similarity of the outcomes from the two scanners with identical setting. However, this was not the case for the two other imagers. Given the fact that the overall variation in our study is low for the imagers with identical settings, our findings support the feasibility of cross-site pooling of DSI data from identical scanners.
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Affiliation(s)
- A Lemkaddem
- Ecole Polythechnique Fédéral de Lausanne, Signal Processing Laboratories (LTS5), Lausanne, Switzerland.
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Harris C, Remedios D, Aptowitzer T, Keat A, Hamilton L, Guile G, Belkhiri A, Newman D, Toms A, Macgregor A, Gaffney K, Morton L, Jones GT, MacDonald AG, Downham C, Macfarlane GJ, Tillett W, Jadon D, Wallis D, Costa L, Waldron N, Griffith N, Cavill C, Korendowych E, de Vries C, McHugh N, Iaremenko O, Fedkov D, Emery P, Baeten D, Sieper J, Braun J, van der Heijde D, McInnes I, Van Laar J, Landewe R, Wordsworth BP, Wollenhaupt J, Kellner H, Paramarta I, Bertolino A, Wright AM, Hueber W, Sofat N, Smee C, Hermansson M, Wajed J, Sanyal K, Kiely P, Howard M, Howe FA, Barrick TR, Abraham AM, Pearce MS, Mann KD, Francis RM, Birrell F, Carr A, Macleod I, Ng WF, Kavanaugh A, van der Heijde D, Chattopadhyay C, Gladman D, Mease P, McInnes I, Krueger G, Xu W, Goldstein N, Beutler A, Van Laar J, Baraliakos X, Braun J, Laurent DD, Baeten D, van der Heijde D, Sieper J, Emery P, McInnes I, Landewe R, Wordsworth BP, Wollenhaupt J, Kellner H, Wright AM, Gsteiger S, Hueber W, Conaghan PG, Peterfy CG, DiCarlo J, Olech E, Alberts AR, Alper JA, Devenport J, Anisfeld AM, Troum OM, Cooper P, Gimpel M, Deakin G, Jameson K, Godtschailk M, Gadola S, Stokes M, Cooper C, Gordon C, Kalunian K, Petri M, Strand V, Kilgallen B, Barry A, Wallace D, Flurey CA, Morris M, Pollock J, Hughes R, Richards P, Hewlett S. Oral abstracts 1: Spondyloarthropathies * O1. Detecting axial spondyloarthritis amongst primary care back pain referrals. Rheumatology (Oxford) 2012. [DOI: 10.1093/rheumatology/kes118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Backhouse MR, Vinall KA, Redmond A, Helliwell P, Keenan AM, Dale RM, Thomas A, Aronson D, Turner-Cobb J, Sengupta R, France B, Hill I, Flurey CA, Morris M, Pollock J, Hughes R, Richards P, Hewlett S, Ryan S, Lille K, Adams J, Haq I, McArthur M, Goodacre L, Birt L, Wilson O, Kirwan J, Dures E, Quest E, Hewlett S, Rajak R, Thomas T, Lawson T, Petford S, Hale E, Kitas GD, Ryan S, Gooberman-Hill R, Jinks C, Dziedzic K, Boucas SB, Hislop K, Rhodes C, Adams J, Ali F, Jinks C, Ong BN, Backhouse MR, White D, Hensor E, Keenan AM, Helliwell P, Redmond A, Ferguson AM, Douiri A, Scott DL, Lempp H, Halls S, Law RJ, Jones J, Markland D, Maddison P, Thom J, Law RJ, Thom JM, Maddison P, Breslin A, Kraus A, Gordhan C, Dennis S, Connor J, Chowdhary B, Lottay N, Juneja P, Bacon PA, Isaacs D, Jack J, Keller M, Tibble J, Haq I, Hammond A, Gill R, Tyson S, Tennant A, Nordenskiold U, Pease EE, Pease CT, Trehane A, Rahmeh F, Cornell P, Westlake SL, Rose K, Alber CF, Watson L, Stratton R, Lazarus M, McNeilly NE, Waterfield J, Hurley M, Greenwood J, Clayton AM, Lynch M, Clewes A, Dawson J, Abernethy V, Griffiths AE, Chamberlain VA, McLoughlin Y, Campbell S, Hayes J, Moffat C, McKenna F, Shah P, Rajak R, Williams A, Rhys-Dillon C, Goodfellow R, Martin JC, Rajak R, Bari F, Hughes G, Thomas E, Baker S, Collins D, Price E, Williamson L, Dunkley L, Youll MJ, Rodziewicz M, Reynolds JA, Berry J, Pavey C, Hyrich K, Gorodkin R, Wilkinson K, Bruce I, Barton A, Silman A, Ho P, Cornell T, Westlake SL, Richards S, Holmes A, Parker S, Smith H, Briggs N, Arthanari S, Nisar M, Thwaites C, Ryan S, Kamath S, Price S, Robinson SM, Walker D, Coop H, Al-Allaf W, Baker S, Williamson L, Price E, Collins D, Charleton RC, Griffiths B, Edwards EA, Partlett R, Martin K, Tarzi M, Panthakalam S, Freeman T, Ainley L, Turner M, Hughes L, Russell B, Jenkins S, Done J, Young A, Jones T, Gaywood IC, Pande I, Pradere MJ, Bhaduri M, Smith A, Cook H, Abraham S, Ngcozana T, Denton CP, Parker L, Black CM, Ong V, Thompson N, White C, Duddy M, Jobanputra P, Bacon P, Smith J, Richardson A, Giancola G, Soh V, Spencer S, Greenhalgh A, Hanson M, De Lord D, Lloyd M, Wong H, Wren D, Grover B, Hall J, Neville C, Alton P, Kelly S, Bombardieri M, Humby F, Ng N, Di Cicco M, Hands R, Epis O, Filer A, Buckley C, McInnes I, Taylor P, Pitzalis C, Freeston J, Conaghan P, Grainger A, O'Connor PJ, Evans R, Emery P, Hodgson R, Emery P, Fleischmann R, Han C, van der Heijde D, Conaghan P, Xu W, Hsia E, Kavanaugh A, Gladman D, Chattopadhyay C, Beutler A, Han C, Zayat AS, Conaghan P, Freeston J, Hensor E, Ellegard K, Terslev L, Emery P, Wakefield RJ, Ciurtin C, Leandro M, Dey D, Nandagudi A, Giles I, Shipley M, Morris V, Ioannou J, Ehrenstein M, Sen D, Chan M, Quinlan TM, Brophy R, Mewar D, Patel D, Wilby MJ, Pellegrini V, Eyes B, Crooks D, Anderson M, Ball E, McKeeman H, Burns J, Yau WH, Moore O, Foo J, Benson C, Patterson C, Wright G, Taggart A, Drew S, Tanner L, Sanyal K, Bourke BE, Lloyd M, Alston C, Baqai C, Chard M, Sandhu V, Neville C, Jordan K, Munns C, Zouita L, Shattles W, Davies U, Makadsi R, Griffith S, Kiely PD, Ciurtin C, Dimofte I, Dabu M, Dabu B, Dobarro D, Schreiber BE, Warrell C, Handler C, Coghlan G, Denton C, Ishorari J, Bunn C, Beynon H, Denton CP, Stratton R, George Malal JJ, Boton-Maggs B, Leung A, Farewell D, Choy E, Gullick NJ, Young A, Choy EH, Scott DL, Wincup C, Fisher B, Charles P, Taylor P, Gullick NJ, Pollard LC, Kirkham BW, Scott DL, Ma MH, Ramanujan S, Cavet G, Haney D, Kingsley GH, Scott D, Cope A, Singh A, Wilson J, Isaacs A, Wing C, McLaughlin M, Penn H, Genovese MC, Sebba A, Rubbert-Roth A, Scali J, Zilberstein M, Thompson L, Van Vollenhoven R, De Benedetti F, Brunner H, Allen R, Brown D, Chaitow J, Pardeo M, Espada G, Flato B, Horneff G, Devlin C, Kenwright A, Schneider R, Woo P, Martini A, Lovell D, Ruperto N, John H, Hale ED, Treharne GJ, Kitas GD, Carroll D, Mercer L, Low A, Galloway J, Watson K, Lunt M, Symmons D, Hyrich K, Low A, Mercer L, Galloway J, Davies R, Watson K, Lunt M, Dixon W, Hyrich K, Symmons D, Balarajah S, Sandhu A, Ariyo M, Rankin E, Sandoo A, van Zanten JJV, Toms TE, Carroll D, Kitas GD, Sandoo A, Smith JP, Kitas GD, Malik S, Toberty E, Thalayasingam N, Hamilton J, Kelly C, Puntis D, Malik S, Hamilton J, Saravanan V, Rynne M, Heycock C, Kelly C, Rajak R, Goodfellow R, Rhys-Dillon C, Winter R, Wardle P, Martin JC, Toms T, Sandoo A, Smith J, Cadman S, Nightingale P, Kitas G, Alhusain AZ, Verstappen SM, Mirjafari H, Lunt M, Charlton-Menys V, Bunn D, Symmons D, Durrington P, Bruce I, Cooney JK, Thom JM, Moore JP, Lemmey A, Jones JG, Maddison PJ, Ahmad YA, Ahmed TJ, Leone F, Kiely PD, Browne HK, Rhys-Dillon C, Wig S, Chevance A, Moore T, Manning J, Vail A, Herrick AL, Derrett-Smith E, Hoyles R, Moinzadeh P, Chighizola C, Khan K, Ong V, Abraham D, Denton CP, Schreiber BE, Dobarro D, Warrell CE, Handler C, Denton CP, Coghlan G, Sykes R, Muir L, Ennis H, Herrick AL, Shiwen X, Thompson K, Khan K, Liu S, Denton CP, Leask A, Abraham DJ, Strickland G, Pauling J, Betteridge Z, Dunphy J, Owen P, McHugh N, Abignano G, Cuomo G, Buch MH, Rosenberg WM, Valentini G, Emery P, Del Galdo F, Jenkins J, Pauling JD, McHugh N, Khan K, Shiwen X, Abraham D, Denton CP, Ong V, Moinzadeh P, Howell K, Ong V, Nihtyanova S, Denton CP, Moinzadeh P, Fonseca C, Khan K, Abraham D, Ong V, Denton CP, Malaviya AP, Hadjinicolaou AV, Nisar MK, Ruddlesden M, Furlong A, Baker S, Hall FC, Hadjinicolaou AV, Malaviya AP, Nisar MK, Ruddlesden M, Raut-Roy D, Furlong A, Baker S, Hall FC, Peluso R, Dario Di Minno MN, Iervolino S, Costa L, Atteno M, Lofrano M, Soscia E, Castiglione F, Foglia F, Scarpa R, Wallis D, Thomas A, Hill I, France B, Sengupta R, Dougados M, Keystone E, Heckaman M, Mease P, Landewe R, Nguyen D, Heckaman M, Mease P, Winfield RA, Dyke C, Clemence M, Mackay K, Haywood KL, Packham J, Jordan KP, Davies H, Brophy S, Irvine E, Cooksey R, Dennis MS, Siebert S, Kingsley GH, Ibrahim F, Scott DL, Kavanaugh A, McInnes I, Chattopadhyay C, Krueger G, Gladman D, Beutler A, Gathany T, Mudivarthy S, Mack M, Tandon N, Han C, Mease P, McInnes I, Sieper J, Braun J, Emery P, van der Heijde D, Isaacs J, Dahmen G, Wollenhaupt J, Schulze-Koops H, Gsteiger S, Bertolino A, Hueber W, Tak PP, Cohen CJ, Karaderi T, Pointon JJ, Wordsworth BP, Cooksey R, Davies H, Dennis MS, Siebert S, Brophy S, Keidel S, Pointon JJ, Farrar C, Karaderi T, Appleton LH, Wordsworth BP, Adshead R, Tahir H, Greenwood M, Donnelly SP, Wajed J, Kirkham B. BHPR research: qualitative * 1. Complex reasoning determines patients' perception of outcome following foot surgery in rheumatoid arhtritis. Rheumatology (Oxford) 2012. [DOI: 10.1093/rheumatology/kes110] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Granziera C, Daducci A, Simioni S, Cavassini M, Roche A, Meskaldji D, Michel M, Calmy A, Hirschel B, Krueger G, Du Pasquier R. Micro-Structural Alterations in the Brain of Well-Treated HIV+ Patients with Mild Neurocognitive Disorders: A Multi-Contrast MRI Study at High Field (S37.001). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.s37.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Krueger G, Granziera C. The history and role of long duration stimulation in fMRI. Neuroimage 2012; 62:1051-5. [PMID: 22281678 DOI: 10.1016/j.neuroimage.2012.01.045] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2011] [Revised: 01/04/2012] [Accepted: 01/05/2012] [Indexed: 12/31/2022] Open
Abstract
During the past 20 years, BOLD fMRI has developed towards a central and fundamental tool in neuroscience. It has been shown that the BOLD response provides an indicator of neuronal activity in the brain. Consequently, for an accurate interpretation of findings in BOLD MRI experiments and to draw meaningful conclusions about the temporal evolution of neural events, a deep understanding of the nature of the BOLD contrast has become of essential importance. Since the dynamics of the major direct determinants of the BOLD signal (CBF, CBV and CMRO(2)) range between seconds and minutes, long duration stimulation was an early key strategy needed to study and understand the BOLD characteristics. This paper summarizes and discusses the thoughts and rationales of the long duration stimulation studies.
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Affiliation(s)
- Gunnar Krueger
- Siemens Schweiz AG, Healthcare Sector IM&WS S, Renens, Switzerland.
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Gambarota G, Krueger G, Theumann N, Mekle R. Magnetic resonance imaging of peripheral nerves: Differences in magnetization transfer. Muscle Nerve 2011; 45:13-7. [DOI: 10.1002/mus.22240] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Tanner M, Gambarota G, Kober T, Krueger G, Erritzoe D, Marques JP, Newbould R. Fluid and white matter suppression with the MP2RAGE sequence. J Magn Reson Imaging 2011; 35:1063-70. [DOI: 10.1002/jmri.23532] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2011] [Accepted: 11/11/2011] [Indexed: 12/23/2022] Open
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Quiniou JB, Papp K, Gordon K, Yeilding N, Szapary P, Li S, Krueger G, Strober B, Prinz J. Taux de survenue de cancer dans le programme de développement clinique de l’ustekinumab : mise à jour avec jusqu’à 4 ans de suivi et comparaison avec la population générale des États-Unis. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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