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Denoising very low-field magnetic resonance images using native noise modeling. 使用原生噪声建模去噪非常低场磁共振图像。
Pub Date : 2025-05-06 eCollection Date: 2025-01-01 DOI: 10.3389/fnimg.2025.1501801
Tonny Ssentamu, Alvin Kimbowa, Ronald Omoding, Edgar Atamba, Pius K Mukwaya, George W Jjuuko, Sairam Geethanath

Low-field MRI is gaining interest, especially in low-resource settings, due to its low cost, portability, small footprint, and low power consumption. However, it suffers from significant noise, limiting its clinical utility. This study introduces native noise denoising (NND), which leverages the inherent noise characteristics of the acquired low-field data. By obtaining the noise characteristics from corner patches of low-field images, we iteratively added similar noise to high-field images to create a paired noisy-clean dataset. A U-Net based denoising autoencoder was trained on this dataset and evaluated on three low-field datasets: the M4Raw dataset (0.3T), in vivo brain MRI (0.05T), and phantom images (0.05T). The NND approach demonstrated improvements in signal-to-noise ratio (SNR) of 32.76%, 19.02%, and 8.16% across the M4Raw, in vivo and phantom datasets, respectively. Qualitative assessments, including difference maps, line intensity plots, and effective receptive fields, suggested that NND preserves structural details and edges compared to random noise denoising (RND), indicating potential enhancements in visual quality. This substantial improvement in low-field imaging quality addresses the fundamental challenge of diagnostic confidence in resource-constrained settings. By mitigating the primary technical limitation of these systems, our approach expands the clinical utility of low-field MRI scanners, potentially facilitating broader access to diagnostic imaging across resource-limited healthcare environments globally.

由于低成本、便携性、占地面积小和低功耗,低场MRI越来越受到人们的关注,特别是在低资源环境中。然而,它的噪声很大,限制了它的临床应用。本研究引入了原生噪声去噪(NND),它利用了所获取的低场数据的固有噪声特性。通过从低场图像的角块中获取噪声特征,迭代地将相似的噪声添加到高场图像中,以创建成对的去噪数据集。在此数据集上训练了一个基于U-Net的去噪自编码器,并在M4Raw数据集(0.3T)、活体脑MRI (0.05T)和幻影图像(0.05T)三个低场数据集上进行了评估。NND方法在M4Raw、体内和模拟数据集上的信噪比(SNR)分别提高了32.76%、19.02%和8.16%。定性评估,包括差异图、线强度图和有效接受野,表明与随机噪声去噪(RND)相比,NND保留了结构细节和边缘,表明视觉质量的潜在增强。低场成像质量的大幅提高解决了资源受限环境下诊断信心的基本挑战。通过减轻这些系统的主要技术限制,我们的方法扩展了低场MRI扫描仪的临床应用,有可能促进在全球资源有限的医疗环境中更广泛地获得诊断成像。
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引用次数: 0
A deep neural network for adaptive spatial smoothing of task fMRI data. 一种用于任务fMRI数据自适应空间平滑的深度神经网络。
Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI: 10.3389/fnimg.2025.1554769
Zhengshi Yang, Xiaowei Zhuang, Mark J Lowe, Dietmar Cordes

Over the past decade, functional magnetic resonance imaging (fMRI) has emerged as a widely adopted in vivo imaging technique for examining neural activity in the brain. A common preprocessing step in fMRI analysis is spatial smoothing, which helps in detecting cluster-like active regions. The use of a heuristically selected Gaussian filter for spatial smoothing is frequently preferred due to its simplicity and computational efficiency. Neurons in the cerebral cortex are located within a thin sheet of gray matter at the surface of the brain, and the human brain's gyrification results in a complex gray matter anatomy. For task-based fMRI activation analysis, isotropic Gaussian smoothing can reduce spatial specificity, introducing spatial blurring artifacts where inactive voxels near active regions are mistakenly identified as active. This blurring is beneficial for group-level analysis as it helps mitigate anatomical variability across subjects and inaccuracies in spatial normalization. However, it poses challenges in subject-level analysis, particularly in clinical applications such as presurgical planning and fMRI fingerprinting, which demand high spatial specificity. Previous studies have proposed several adaptive spatial smoothing techniques to address these issues. In this study, we introduce a versatile deep neural network (DNN) that builds on the strengths of previous approaches while overcoming their limitations. This method can incorporate additional neighboring voxels for estimating optimal spatial smoothing without significantly increasing computational costs, making it suitable for ultrahigh-resolution (sub-millimeter) task fMRI data. Furthermore, the proposed neural network incorporates brain tissue properties, enabling more accurate characterization of brain activation at the individual level.

在过去的十年中,功能磁共振成像(fMRI)已成为一种广泛采用的体内成像技术,用于检查大脑中的神经活动。fMRI分析中常见的预处理步骤是空间平滑,这有助于检测簇状活动区域。使用启发式选择的高斯滤波器进行空间平滑通常是首选的,因为它的简单性和计算效率。大脑皮层中的神经元位于大脑表面的一层薄薄的灰质中,人类大脑的旋转导致了复杂的灰质解剖结构。对于基于任务的fMRI激活分析,各向同性高斯平滑可以降低空间特异性,引入空间模糊伪影,使活动区域附近的非活动体素被错误地识别为活动。这种模糊有利于群体水平的分析,因为它有助于减轻受试者之间的解剖差异和空间归一化中的不准确性。然而,它在学科层面的分析中提出了挑战,特别是在临床应用中,如手术前计划和fMRI指纹识别,这需要很高的空间特异性。先前的研究提出了几种自适应空间平滑技术来解决这些问题。在这项研究中,我们引入了一个通用的深度神经网络(DNN),它建立在以前方法的优势之上,同时克服了它们的局限性。该方法可以在不显著增加计算成本的情况下纳入额外的相邻体素来估计最佳空间平滑,使其适用于超高分辨率(亚毫米)任务fMRI数据。此外,所提出的神经网络结合了脑组织特性,能够在个体水平上更准确地表征大脑活动。
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引用次数: 0
Modeling functional connectivity with learning and memory in a mouse model of Alzheimer's disease. 阿尔茨海默病小鼠模型中学习和记忆功能连接的建模。
Pub Date : 2025-04-25 eCollection Date: 2025-01-01 DOI: 10.3389/fnimg.2025.1558759
Lindsay Fadel, Elizabeth Hipskind, Steen E Pedersen, Jonathan Romero, Caitlyn Ortiz, Eric Shin, Md Abul Hassan Samee, Robia G Pautler

Introduction: Functional connectivity (FC) is a metric of how different brain regions interact with each other. Although there have been some studies correlating learning and memory with FC, there have not yet been, to date, studies that use machine learning (ML) to explain how FC changes can be used to explain behavior not only in healthy mice, but also in mouse models of Alzheimer's Disease (AD). Here, we investigated changes in FC and their relationship to learning and memory in a mouse model of AD across disease progression.

Methods: We assessed the APP/PS1 mouse model of AD and wild-type controls at 3-, 6-, and 10-months of age. Using resting state functional magnetic resonance imaging (rs-fMRI) in awake, unanesthetized mice, we assessed FC between 30 brain regions. ML models were then used to define interactions between neuroimaging readouts with learning and memory performance.

Results: In the APP/PS1 mice, we identified a pattern of hyperconnectivity across all three time points, with 47 hyperconnected regions at 3 months, 46 at 6 months, and 84 at 10 months. Notably, FC changes were also observed in the Default Mode Network, exhibiting a loss of hyperconnectivity over time. Modeling revealed functional connections that support learning and memory performance differ between the 6- and 10-month groups.

Discussion: These ML models show potential for early disease detection by identifying connectivity patterns associated with cognitive decline. Additionally, ML may provide a means to begin to understand how FC translates into learning and memory performance.

功能连接(FC)是衡量不同大脑区域如何相互作用的指标。虽然已经有一些研究将学习和记忆与FC联系起来,但迄今为止,还没有研究使用机器学习(ML)来解释FC变化如何不仅用于解释健康小鼠的行为,还用于解释阿尔茨海默病(AD)小鼠模型的行为。在这里,我们研究了阿尔茨海默病小鼠模型中FC的变化及其与学习和记忆的关系。方法:我们在3、6、10月龄时对AD的APP/PS1小鼠模型和野生型对照进行评估。我们使用静息状态功能磁共振成像(rs-fMRI)对清醒、未麻醉的小鼠进行了30个脑区之间的FC评估。然后使用ML模型来定义神经成像读数与学习和记忆表现之间的相互作用。结果:在APP/PS1小鼠中,我们在所有三个时间点发现了一种超连接模式,3个月时有47个超连接区域,6个月时有46个,10个月时有84个。值得注意的是,在默认模式网络中也观察到FC的变化,显示出随着时间的推移超连通性的丧失。模型显示,支持学习和记忆表现的功能连接在6个月和10个月大的组之间有所不同。讨论:这些ML模型通过识别与认知能力下降相关的连接模式显示出早期疾病检测的潜力。此外,机器学习可以提供一种开始理解FC如何转化为学习和记忆性能的方法。
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引用次数: 0
Anatomical variants of the posterior horns of the lateral ventricles: an MRI study. 侧脑室后角的解剖变异:一项MRI研究。
Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI: 10.3389/fnimg.2025.1478137
Ronen Spierer, Omer Zarrabi Itzhak, Jonathan Gross, Tamer Sobeh, Shai Shrot

Introduction: Anatomical variations in the posterior horns of the lateral ventricles are well-documented, with the horn presenting as open, constricted, or completely closed. However, the extent and nature of these variations across different demographics remain under-explored. This study aimed to investigate the anatomical variations of the posterior horn of the lateral ventricles across different age and sex groups and to compare the variations between the right and left sides.

Methods: We conducted a retrospective analysis of magnetic resonance imaging (MRI) scans from 217 adult participants across 15 age groups, utilizing a stratified random sampling from a radiology database. MRI scans were analyzed for ventricular dimensions, and horn types (open, constricted, and closed). Statistical significance was defined as p-value < 0.05.

Results: Variants of the posterior horn were observed frequently, with open posterior horn being the most common in the left lateral ventricle (41%) and constricted type being the most common in the right lateral ventricle (37%). A significant correlation existed between the right and left horn types, but in most cases, there was a difference in type between the right and the left horns in the same individual. No significant association between age and the type of the posterior horns was found. However, there was a significant difference in the width and length of the horns between the open and other types, with open horns being wider and longer. Lastly, the left horn appeared longer than the right one.

Discussion: The findings underline the high variability in posterior horn morphology, which is not significantly influenced by age or sex but varies between individuals and sides. Future studies should explore the functional impact of these anatomical variations.

简介:侧脑室后角的解剖变化有充分的文献记载,其角表现为开放、收缩或完全关闭。然而,这些差异在不同人口统计中的程度和性质仍未得到充分探讨。本研究旨在探讨侧脑室后角在不同年龄和性别群体中的解剖变化,并比较左右侧脑室的变化。方法:我们对来自15个年龄组的217名成年参与者的磁共振成像(MRI)扫描进行了回顾性分析,利用放射学数据库中的分层随机抽样。MRI扫描分析心室尺寸和角类型(开放、收缩和关闭)。p值< 0.05为差异有统计学意义。结果:经常观察到后角的变异,其中左侧侧脑室最常见的是开放式后角(41%),右侧侧脑室最常见的是缩窄型(37%)。左右角类型之间存在显著的相关性,但在大多数情况下,同一个体的左右角类型存在差异。年龄和后角的类型之间没有明显的联系。然而,开角和其他类型的角在宽度和长度上存在显著差异,开角更宽更长。最后,左角看起来比右角长。讨论:研究结果强调了后角形态的高度可变性,其不受年龄或性别的显著影响,但在个体和两侧之间存在差异。未来的研究应探讨这些解剖变异对功能的影响。
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引用次数: 0
Evaluation of EEG pre-processing and source localization in ecological research. 生态研究中脑电信号预处理与源定位的评价。
Pub Date : 2025-03-31 eCollection Date: 2025-01-01 DOI: 10.3389/fnimg.2025.1479569
Carlos Gomez-Tapia, Bojan Bozic, Luca Longo

Introduction: Electroencephalography (EEG) source localization (SL) has shown potential for various applications, from epilepsy and seizure focus localization to psychiatric disorder evaluation. However, questions remain about its neurophysiological plausibility in real-world settings where only EEG signals are available without subject-specific anatomical information. This study investigates whether established pre-processing and source localization methods can produce neurophysiologically plausible activation patterns when applied to naturalistic EEG data without structural magnetic resonance imaging (MRI) or digitized electrode positions.

Methods: Proven methods are aggregated into an end-to-end pipeline that includes automatic pre-processing, eLORETA for source estimation, and a shared forward model derived from the ICBM 2009c Nonlinear Symmetric template and its corresponding CerebrA atlas. The pipeline is validated using two distinct datasets: the Healthy Brain Network (HBN) dataset comparing resting and naturalistic video-watching states and the multi-session and multi-task EEG cognitive dataset (COGBCI) comparing different cognitive workload levels. The validation approach focuses on whether the reconstructed source activations exhibit expected neurophysiological patterns via permutation testing.

Results: Findings revealed significant differences between resting state and video-watching tasks, with greater activation in posterior regions during video-watching, consistent with known visual processing pathways. The cognitive workload analysis similarly showed progressive activation increases with task difficulty, mapping to regions associated with executive function.

Discussion: These results prove that established source localization methods can produce neurophysiologically plausible activation patterns without subject-specific information, highlighting the strengths and limitations of applying these methods to mid-length naturalistic EEG data. This research demonstrates the viability of template-based source analysis for research settings where individual structural imaging is unavailable or impractical.

脑电图(EEG)源定位(SL)已显示出多种应用潜力,从癫痫和发作焦点定位到精神障碍评估。然而,在现实世界中,只有脑电图信号,没有特定的解剖信息,其神经生理学合理性仍然存在问题。本研究探讨了当将已建立的预处理和源定位方法应用于没有结构磁共振成像(MRI)或数字化电极位置的自然脑电图数据时,是否可以产生神经生理学上合理的激活模式。方法:经过验证的方法被聚合成一个端到端管道,其中包括自动预处理、用于源估计的eLORETA以及从ICBM 2009c非线性对称模板及其相应的CerebrA图谱中导出的共享前向模型。该管道使用两个不同的数据集进行验证:比较静息和自然视频观看状态的健康脑网络(HBN)数据集和比较不同认知工作量水平的多会话和多任务脑电图认知数据集(COGBCI)。验证方法侧重于重构源激活是否通过排列测试表现出预期的神经生理模式。结果:研究结果显示静息状态和观看视频任务之间存在显著差异,观看视频时后脑区更活跃,与已知的视觉加工通路一致。认知负荷分析同样显示,随着任务难度的增加,大脑的渐进式激活也会增加,并映射到与执行功能相关的区域。讨论:这些结果证明,既定的源定位方法可以在没有受试者特定信息的情况下产生神经生理学上合理的激活模式,突出了将这些方法应用于中长度自然脑电图数据的优势和局限性。本研究表明,在个体结构成像不可用或不切实际的研究环境中,基于模板的源分析是可行的。
{"title":"Evaluation of EEG pre-processing and source localization in ecological research.","authors":"Carlos Gomez-Tapia, Bojan Bozic, Luca Longo","doi":"10.3389/fnimg.2025.1479569","DOIUrl":"https://doi.org/10.3389/fnimg.2025.1479569","url":null,"abstract":"<p><strong>Introduction: </strong>Electroencephalography (EEG) source localization (SL) has shown potential for various applications, from epilepsy and seizure focus localization to psychiatric disorder evaluation. However, questions remain about its neurophysiological plausibility in real-world settings where only EEG signals are available without subject-specific anatomical information. This study investigates whether established pre-processing and source localization methods can produce neurophysiologically plausible activation patterns when applied to naturalistic EEG data without structural magnetic resonance imaging (MRI) or digitized electrode positions.</p><p><strong>Methods: </strong>Proven methods are aggregated into an end-to-end pipeline that includes automatic pre-processing, eLORETA for source estimation, and a shared forward model derived from the ICBM 2009c Nonlinear Symmetric template and its corresponding CerebrA atlas. The pipeline is validated using two distinct datasets: the Healthy Brain Network (HBN) dataset comparing resting and naturalistic video-watching states and the multi-session and multi-task EEG cognitive dataset (COGBCI) comparing different cognitive workload levels. The validation approach focuses on whether the reconstructed source activations exhibit expected neurophysiological patterns via permutation testing.</p><p><strong>Results: </strong>Findings revealed significant differences between resting state and video-watching tasks, with greater activation in posterior regions during video-watching, consistent with known visual processing pathways. The cognitive workload analysis similarly showed progressive activation increases with task difficulty, mapping to regions associated with executive function.</p><p><strong>Discussion: </strong>These results prove that established source localization methods can produce neurophysiologically plausible activation patterns without subject-specific information, highlighting the strengths and limitations of applying these methods to mid-length naturalistic EEG data. This research demonstrates the viability of template-based source analysis for research settings where individual structural imaging is unavailable or impractical.</p>","PeriodicalId":73094,"journal":{"name":"Frontiers in neuroimaging","volume":"4 ","pages":"1479569"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Initial insights into post-contrast enhancement in ultra-low-field MRI: Case Report. 超低场MRI造影后增强的初步见解:病例报告。
Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI: 10.3389/fnimg.2025.1507522
Ahmed Altaf, Muhammad Sami Alam, Sibgha Khan, Ali Azan, Fatima Mubarak, Edmond Knopp, Khan Siddiqui, Syed Ather Enam

Brain tumors represent a significant burden, particularly in low- and middle-income countries (LMICs) where access to neuroimaging techniques is often limited. Conventional MRI machines are expensive and bulky, posing a significant challenge in the diagnosis and treatment of brain tumors in LMICs. However, an emerging technology, ultra-low field magnetic resonance imaging (pULF-MRI), has the potential to address this limitation. This study aimed to evaluate the feasibility and effectiveness of post-contrast enhancement in a pULF-MRI scanner for brain tumor imaging in LMICs. A single case study was conducted, and post-contrast enhancement was successfully achieved, revealing the presence of a tumor which was subsequently confirmed on biopsy. To our knowledge, this is the first study to demonstrate the feasibility of post-contrast enhancement in a pULF-MRI scanner for brain tumor imaging. This technology has the potential to significantly improve access to neuroimaging in LMICs, leading to earlier diagnosis and more effective treatment of brain tumors. These promising results suggest that further studies are warranted to explore the potential of pULF-MRI for large-scale screening and diagnosis of brain tumors in LMICs. This can provide a future roadmap for neuroimaging in LMICs, providing a cost-effective and accessible way to diagnose and treat brain tumors, leading to improved healthcare outcomes with a further prospective clinical trial.

脑肿瘤是一个重大负担,特别是在获得神经成像技术往往有限的低收入和中等收入国家。传统的核磁共振成像仪价格昂贵且体积庞大,这对低收入国家脑肿瘤的诊断和治疗构成了重大挑战。然而,一项新兴技术,超低场磁共振成像(pULF-MRI),有可能解决这一限制。本研究旨在评估pULF-MRI扫描仪对比后增强用于低收入国家脑肿瘤成像的可行性和有效性。我们进行了一个单独的病例研究,并成功地实现了对比增强,显示了肿瘤的存在,随后在活检中证实了肿瘤的存在。据我们所知,这是第一个证明在pULF-MRI扫描仪中进行脑肿瘤成像的对比后增强可行性的研究。这项技术有可能显著改善中低收入国家获得神经影像学的机会,从而导致脑肿瘤的早期诊断和更有效的治疗。这些令人鼓舞的结果表明,有必要进一步研究pULF-MRI在低收入国家大规模筛查和诊断脑肿瘤方面的潜力。这可以为中低收入国家的神经成像提供未来的路线图,提供一种具有成本效益和可获得的方法来诊断和治疗脑肿瘤,从而通过进一步的前瞻性临床试验改善医疗保健结果。
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引用次数: 0
Case report: Re-evaluating reversibility of cytotoxic lesions of the corpus callosum. 病例报告:重新评估胼胝体细胞毒性病变的可逆性。
Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.3389/fnimg.2025.1436931
Victoria Vold, Stein-Helge Hansen Tingvoll, Mona K Beyer, Kaja Nordengen

Cytotoxic lesions of the corpus callosum (CLOCC) are a clinicoradiological diagnosis, characterized by transient neurological symptoms and magnetic resonance imaging (MRI) changes in the splenium of the corpus callosum (SCC), which in most cases is completely reversible. However, the long-term pathophysiological trajectory and ultimate neurological outcomes of CLOCC remain largely unknown due to limited long-term follow-up data. We report an 11-year follow-up of a postpartum female with CLOCC, initially presenting with transient focal neurological symptoms and extensive diffusion-restricted white matter involvement including the SCC and surrounding area with diffusion restriction and low apparent diffusion coefficient values, indicative of cytotoxic edema. The edema regressed in days; over the years, she remained asymptomatic despite persistent white matter changes on MRI in the centrum semiovale. This case challenges the view of CLOCC as completely reversible and raises questions regarding the significance of lasting white matter changes. The enduring absence of neurological symptoms and stable radiological profile throughout the decade underscores the singular nature of CLOCC and the lasting, though isolated, impact on white matter. This report contributes a crucial perspective, suggesting that CLOCC may involve just an isolated episode without recurrent events or progressive neurological decline. By offering the first longitudinal analysis of a CLOCC episode with an extended follow-up of over a decade, our case enhances current knowledge about the long-term neurological and radiological landscape of this condition. It suggests a reevaluation of the conceptual understanding of CLOCC as an entirely reversible, non-relapsing disorder, highlighting the need for further research into its long-term impacts on cerebral white matter integrity.

胼胝体细胞毒性病变(CLOCC)是一种临床放射学诊断,其特征是短暂的神经系统症状和胼胝体(SCC)脾脏的磁共振成像(MRI)改变,在大多数情况下是完全可逆的。然而,由于长期随访数据有限,CLOCC的长期病理生理轨迹和最终神经学结局在很大程度上仍然未知。我们报告了一名产后CLOCC女性患者的11年随访,最初表现为短暂的局灶性神经症状和广泛的弥漫性白质受累,包括SCC和周围区域,弥漫性受限和低表观弥漫性系数值,表明细胞毒性水肿。水肿逐渐消退;多年来,尽管MRI显示半骨正中持续出现白质改变,但患者仍无症状。该病例挑战了CLOCC是完全可逆的观点,并提出了关于持久白质变化的重要性的问题。在整个十年中,神经系统症状的持续消失和稳定的放射学特征强调了CLOCC的独特性和对白质的持久影响,尽管是孤立的。该报告提供了一个至关重要的观点,表明CLOCC可能只是一个孤立的发作,没有复发事件或进行性神经功能衰退。通过首次对CLOCC发作进行纵向分析,并进行了超过十年的随访,本病例增强了当前对该疾病长期神经学和放射学的认识。该研究建议重新评估CLOCC作为一种完全可逆、非复发性疾病的概念理解,并强调需要进一步研究其对脑白质完整性的长期影响。
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引用次数: 0
T1-relaxation times along the corticospinal tract as a diagnostic marker in patients with amyotrophic lateral sclerosis. 沿皮质脊髓束t1松弛时间作为肌萎缩性侧索硬化症患者的诊断标志。
Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI: 10.3389/fnimg.2025.1549727
Fiona Dierksen, Johanna S Geibel, Janika Albrecht, Sabine Hofer, Peter Dechent, Amelie C Hesse, Jens Frahm, Mathias Bähr, Jan C Koch, Jan Liman, Ilko L Maier

Background and purpose: In the differential diagnostic workup of amyotrophic lateral sclerosis (ALS), magnetic resonance imaging (MRI) is primarily used to rule out significant differential diagnoses. So far, whole-brain T1-mapping has not been assessed as a diagnostic tool in this patient population.

Methods: We investigated the diagnostic potential of a novel T1-mapping method based on real-time MRI with 0.5 mm in-plane resolution and 4s acquisition time per slice. The study included patients aged 18 to 90 years who met the revised El Escorial criteria for at least possible ALS. T1-relaxation times were measured along the corticospinal tract in predefined regions of interest.

Results: Twenty-nine ALS-patients and 43 control group patients (CG) were included in the study. Median ALS Functional Rating Scale revised (ALSFRS-R) was 37 (IQR, 35-44) points and the mean duration from symptom onset to MRI was 21 ± 17 (SD) months. ALS patients showed significantly higher T1-relaxation times in all ROIs compared to CG with mean differences in the hand knob of 50 ms (p < 0.001), corona radiata 24 ms (p = 0.034), internal capsule 27 ms (p = 0.002) and midbrain peduncles 48 ms (p < 0.001). There was a consistent negative correlation between the ALSFRS-R and T1-relaxation times in all ROIs.

Conclusions: T1-relaxation times along the corticospinal tract are significantly elevated in ALS patients compared to CG and associated with lower ALSFRS-R. These results imply the analysis of T1-relaxation times as a promising diagnostic tool that can distinguish ALS patients from the control group. Ongoing longitudinal studies may provide deeper insights into disease progression and the effects of therapeutic interventions.

背景与目的:在肌萎缩性侧索硬化症(ALS)的鉴别诊断中,磁共振成像(MRI)主要用于排除重要的鉴别诊断。到目前为止,全脑t1图谱尚未被评估为该患者群体的诊断工具。方法:我们研究了一种基于实时MRI的新型t1定位方法的诊断潜力,该方法面内分辨率为0.5 mm,每片采集时间为4s。该研究包括年龄在18岁至90岁之间的患者,他们至少符合修订的El Escorial标准,可能患有ALS。t1 -松弛时间沿皮质脊髓束在预定感兴趣的区域测量。结果:29例als患者和43例对照组(CG)纳入研究。ALS功能评定量表(ALSFRS-R)修订后的中位值为37 (IQR, 35-44)分,从症状出现到MRI平均持续时间为21±17 (SD)个月。与CG患者相比,ALS患者在所有ROIs上的t1 -松弛时间均显著增加,其中把手50 ms (p < 0.001),辐射冠24 ms (p = 0.034),内囊27 ms (p = 0.002),中脑蒂48 ms (p < 0.001)。所有roi的ALSFRS-R与t1 -松弛时间呈一致的负相关。结论:与CG相比,ALS患者沿皮质脊髓束的t1 -松弛时间显著增加,并与较低的ALSFRS-R相关。这些结果表明,分析t1松弛时间作为一种有前途的诊断工具,可以区分ALS患者和对照组。正在进行的纵向研究可能为疾病进展和治疗干预的效果提供更深入的见解。
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引用次数: 0
Editorial: Role of neuroimaging in the diagnosis and treatment of rare diseases. 社论:神经影像学在罕见病诊断和治疗中的作用。
Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI: 10.3389/fnimg.2025.1566484
Mohammed Salman Shazeeb, Maria T Acosta, Cynthia J Tifft
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引用次数: 0
Awake brain MRSI reveals anesthetic sensitivity and regional aging effects on [13C]bicarbonate metabolism in mice. 清醒脑核磁共振成像显示麻醉敏感性和局部老化对小鼠[13C]碳酸氢盐代谢的影响。
Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.3389/fnimg.2025.1506126
Maiko Ono, Rena Kono, Kosei Hirata, Keita Saito, Motonao Nakao, Yoichi Takakusagi, Rikita Araki, Akira Sumiyoshi, Yuhei Takado

Abnormalities and alterations in the glycolytic pathway in the pathology of neurodegenerative diseases and brain aging have received much attention, as clinical applications of proton-based magnetic resonance spectroscopy (MRS) have recently illuminated the elevation of lactate concentrations in the brains of patients with neurodegenerative diseases, including Alzheimer's disease. Hyperpolarized [1-13C]pyruvate MRS has shown promise for neurological applications because it enables the real-time in vivo detection of glycolysis and oxidative phosphorylation flux. In studies of the mouse brain using hyperpolarized [1-13C]pyruvate, there are few reports that the signal of [13C]bicarbonate, a product of oxidative phosphorylation metabolized from [1-13C]pyruvate, was detected using MR spectroscopic imaging (MRSI) that allows spatial mapping of metabolism, although there have been reports of [13C]bicarbonate signals being detected by pulse-acquire sequences in the entire brain. In the present study, we compared hyperpolarized [1-13C]pyruvate metabolism between the brains of awake and isoflurane-anesthetized mice using a custom-made awake mouse restraint device with MRSI. Although the signal for [1-13C]lactate, a product of glycolysis metabolized from [1-13C]pyruvate, was detectable in multiple brain regions that include the orbitofrontal cortex and hippocampus in both awake and anesthetized mice, the signal for [13C]bicarbonate metabolized from [1-13C]pyruvate was only detectable in the brains of awake mice. Moreover, a comparison of hyperpolarized [1-13C]pyruvate metabolism in young and aged mouse brains using awake MRSI detected age-related decreases in oxidative phosphorylation flux in brain regions that include the hippocampus with variations in the extent of these changes across different brain regions. These results demonstrate that hyperpolarized [1-13C]pyruvate MRSI under awake conditions is useful for the spatial detection of abnormalities and alterations in glycolysis and oxidative phosphorylation flux in the brains of mice. Thus, the use of hyperpolarized [1-13C]pyruvate MRSI has potential in pathological and mechanistic studies of brain diseases and brain aging.

神经退行性疾病和脑衰老病理中糖酵解通路的异常和改变受到了广泛关注,因为质子磁共振波谱(MRS)的临床应用最近揭示了包括阿尔茨海默病在内的神经退行性疾病患者大脑中乳酸浓度的升高。超极化[1-13C]丙酮酸MRS在神经学方面的应用前景广阔,因为它可以实时检测糖酵解和氧化磷酸化通量。在使用超极化[1-13C]丙酮酸对小鼠大脑的研究中,很少有报道使用磁共振光谱成像(MRSI)检测[13C]碳酸氢盐的信号,[13C]碳酸氢盐是由[1-13C]丙酮酸代谢的氧化磷酸化产物,该成像允许代谢的空间映射,尽管有报道称[13C]碳酸氢盐信号通过脉冲获取序列在整个大脑中检测到。在本研究中,我们使用特制的清醒小鼠约束装置与核磁共振成像(MRSI)比较了清醒小鼠和异氟醚麻醉小鼠大脑的超极化[1-13C]丙酮酸代谢。[1-13C]乳酸(由[1-13C]丙酮酸代谢的糖酵解产物)的信号在清醒和麻醉小鼠的多个脑区(包括眶额皮质和海马)均可检测到,但由[1-13C]丙酮酸代谢的[13C]碳酸氢盐的信号仅在清醒小鼠的大脑中可检测到。此外,通过对年轻和老年小鼠大脑中超极化[1-13C]丙酮酸代谢的比较,利用清醒状态下的核磁共振成像(MRSI)检测到,包括海马在内的大脑区域中氧化磷酸化通量的年龄相关减少,但这些变化在不同大脑区域的程度有所不同。这些结果表明,清醒状态下的超极化[1-13C]丙酮酸磁共振成像可用于空间检测小鼠大脑中糖酵解和氧化磷酸化通量的异常和改变。因此,超极化[1-13C]丙酮酸MRSI在脑疾病和脑衰老的病理和机制研究中具有潜在的应用价值。
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Frontiers in neuroimaging
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