Document Detail


MRI detection of tissue pathology beyond atrophy in Alzheimer's disease: introducing T2-VBM.
MedLine Citation:
PMID:  21473918     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Voxel-based morphometry (VBM) of T1-weighted magnetic resonance (MR) images has been widely used to identify regional atrophy in neurodegenerative conditions such as Alzheimer's disease (AD). In theory, however, T2-weighting should be more sensitive to tissue pathology, though until recently, volumetric T2-weighted images were unavailable. We tested the hypothesis that T2-VBM would be more sensitive to grey matter pathology in AD than T1-VBM using the recently-developed SPACE acquisition, which provides true-3D, high-resolution T2-weighted images. This was contrasted to conventional T1-weighted MPRAGE images acquired at the same session and resolution. All of the atrophic regions identified with T1-VBM were also identified with T2-VBM. Additional abnormalities were, however, identified with T2-VBM and the distribution of these bore a striking resemblance to the distribution of amyloid plaque deposition in AD, suggesting that T2-VBM detects signal changes due to histopathology over and above those attributable to atrophy. In keeping with this hypothesis, the relevant statistical tests demonstrated that the difference in sensitivity was caused by an apparent change in T2-weighted signal intensity that was not present in T1-weighted images. These results suggest that T2-VBM has the potential to advance VBM beyond atrophy detection to more expansive applications in tissue pathology mapping.
Authors:
Lara Z Diaz-de-Grenu; Julio Acosta-Cabronero; Joao M S Pereira; George Pengas; Guy B Williams; Peter J Nestor
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-04-05
Journal Detail:
Title:  NeuroImage     Volume:  56     ISSN:  1095-9572     ISO Abbreviation:  Neuroimage     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-31     Completed Date:  2011-10-17     Revised Date:  2012-01-11    
Medline Journal Info:
Nlm Unique ID:  9215515     Medline TA:  Neuroimage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1946-53     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Herchel Smith Building for Brain and Mind Sciences, Department of Clinical Neurosciences, University of Cambridge School of Clinical Medicine, Cambridge, UK. ld369@cam.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Aged
Alzheimer Disease / pathology*
Atrophy / pathology
Brain / pathology*
Brain Mapping / methods
Female
Humans
Image Interpretation, Computer-Assisted / methods*
Imaging, Three-Dimensional / methods*
Magnetic Resonance Imaging / methods*
Male
Sensitivity and Specificity
Grant Support
ID/Acronym/Agency:
//Medical Research Council
Comments/Corrections
Comment In:
Neuroimage. 2012 Jan 16;59(2):885-6   [PMID:  21763436 ]

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