Document Detail


The effect of imprecise repositioning on lesion volume measurements in patients with multiple sclerosis.
MedLine Citation:
PMID:  9222208     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this study, we evaluated the effect of imprecision in patient repositioning encountered in real life on multiple sclerosis (MS) lesion volumes measured from MRIs. We also evaluated two putative methods for reducing the variability in these lesion volume measurements: first, a reduction of slice thickness (from the conventional 5 mm to 3 mm) and second, the application of a new repositioning technique based on the use of head immobilization shells. We evaluated the errors in lesion volume by scanning 10 patients a total of four times using the two slice thicknesses and two repositioning methods (conventional and using a head immobilization shell). The mean absolute percentage difference between two corresponding scans was 6.8% (range, 1.24 to 11%) using conventional slice thickness and repositioning, 4.1% (range, 0.7 to 5.56%) using conventional slice thickness and head immobilization shells, 2.6% (range, 0.8 to 6.66%) using the conventional repositioning technique and 3-mm slice thickness, and 1.4% (range, 0.2 to 6.14%) using slice thickness of 3 mm and head immobilization shells. These mean absolute differences were significantly different (p = 0.0008). Our results indicate that the effect of repositioning errors of the order of those that can be encountered in the daily life situation of clinical trials affects significantly lesion load measurements in MS and that the combined use of thinner slices and more accurate repositioning techniques can markedly improve the reproducibility of such measurements.
Authors:
M Filippi; N Marcianò; R Capra; M A Rocca; F Prandini; R Gasparotti; M A Horsfield; G Comi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology     Volume:  49     ISSN:  0028-3878     ISO Abbreviation:  Neurology     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-09-03     Completed Date:  1997-09-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  274-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurology, Scientific Institute Ospedale San Raffaele, University of Milan, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain / pathology*
Female
Histocytochemistry
Humans
Magnetic Resonance Imaging
Male
Multiple Sclerosis / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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