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Asymmetries and hemispheric interaction in the auditory system of elderly people 老年人听觉系统的不对称性和半球相互作用
Pub Date : 2024-01-03 DOI: 10.3389/fnimg.2023.1320989
Nicole Angenstein
Age-related changes of asymmetries in the auditory system and decreasing efficiency of hemispheric interaction have been discussed for some time. This mini-review discusses recent neuroimaging studies on alterations in lateralization of cortical processing and structural changes concerning the division of labor and interaction between hemispheres during auditory processing in elderly people with the focus on people without severe hearing loss. Several changes of asymmetries in anatomy, function and neurotransmitter concentration were observed in auditory cortical areas of older compared to younger adults. It was shown that connections between left and right auditory cortex are reduced during aging. Functionally, aging seems to lead to a reduction in asymmetry of auditory processing. However, the results do not always point into the same direction. Furthermore, correlations between function, anatomy and behavior in the left and right hemisphere appear to differ between younger and older adults. The changes in auditory cortex asymmetries with aging might be due to compensation of declining processing capacities, but at the same time these mechanisms could impair the balanced division of labor between the two hemispheres that is required for the processing of complex auditory stimuli such as speech. Neuroimaging studies are essential to follow the slow changes with aging as in the beginning no behavioral effects might be visible due to compensation. Future studies should control well for peripheral hearing loss and cognitive decline. Furthermore, for the interpretability of results it is necessary to use specific tasks with well-controlled task difficulty.
听觉系统中与年龄有关的不对称变化以及半球互动效率的下降已被讨论了一段时间。这篇微型综述讨论了最近的神经影像学研究,这些研究涉及老年人在听觉处理过程中大脑皮层处理的侧向性变化以及大脑半球之间分工和相互作用的结构变化,重点是没有严重听力损失的人。与年轻人相比,在老年人的听觉皮层区域观察到了解剖、功能和神经递质浓度的一些不对称变化。研究表明,在衰老过程中,左右听觉皮层之间的连接会减少。从功能上看,衰老似乎会导致听觉处理的不对称性降低。然而,结果并不总是指向同一个方向。此外,左右半球的功能、解剖和行为之间的相关性似乎在年轻人和老年人之间有所不同。随着年龄的增长,听觉皮层不对称的变化可能是对处理能力下降的补偿,但与此同时,这些机制可能会损害两个半球之间的平衡分工,而这正是处理复杂听觉刺激(如语音)所必需的。神经影像学研究对于跟踪随年龄增长而发生的缓慢变化至关重要,因为在开始阶段,由于补偿作用,可能看不到行为上的影响。未来的研究应很好地控制外周听力损失和认知能力下降。此外,为了使研究结果具有可解释性,有必要使用难度控制良好的特定任务。
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引用次数: 0
Recalibrating single-study effect sizes using hierarchical Bayesian models 利用分层贝叶斯模型重新校准单一研究效应大小
Pub Date : 2023-12-21 DOI: 10.3389/fnimg.2023.1138193
Zhipeng Cao, Matthew McCabe, Peter Callas, R. Cupertino, J. Ottino-González, Alistair Murphy, Devarshi Pancholi, N. Schwab, Orr Catherine, Kent Hutchison, J. Cousijn, Alain Dagher, John J. Foxe, A. Goudriaan, Robert Hester, Chiang‐Shan R. Li, Wesley K. Thompson, Angelica M. Morales, Edythe D. London, V. Lorenzetti, M. Luijten, Rocio Martin-Santos, R. Momenan, Martin P. Paulus, L. Schmaal, Rajita Sinha, Nadia Solowij, D. Stein, Elliot A. Stein, A. Uhlmann, R. V. van Holst, D. Veltman, R. Wiers, Murat Yücel, Sheng Zhang, P. Conrod, S. Mackey, Hugh Garavan
There are growing concerns about commonly inflated effect sizes in small neuroimaging studies, yet no study has addressed recalibrating effect size estimates for small samples. To tackle this issue, we propose a hierarchical Bayesian model to adjust the magnitude of single-study effect sizes while incorporating a tailored estimation of sampling variance.We estimated the effect sizes of case-control differences on brain structural features between individuals who were dependent on alcohol, nicotine, cocaine, methamphetamine, or cannabis and non-dependent participants for 21 individual studies (Total cases: 903; Total controls: 996). Then, the study-specific effect sizes were modeled using a hierarchical Bayesian approach in which the parameters of the study-specific effect size distributions were sampled from a higher-order overarching distribution. The posterior distribution of the overarching and study-specific parameters was approximated using the Gibbs sampling method.The results showed shrinkage of the posterior distribution of the study-specific estimates toward the overarching estimates given the original effect sizes observed in individual studies. Differences between the original effect sizes (i.e., Cohen's d) and the point estimate of the posterior distribution ranged from 0 to 0.97. The magnitude of adjustment was negatively correlated with the sample size (r = −0.27, p < 0.001) and positively correlated with empirically estimated sampling variance (r = 0.40, p < 0.001), suggesting studies with smaller samples and larger sampling variance tended to have greater adjustments.Our findings demonstrate the utility of the hierarchical Bayesian model in recalibrating single-study effect sizes using information from similar studies. This suggests that Bayesian utilization of existing knowledge can be an effective alternative approach to improve the effect size estimation in individual studies, particularly for those with smaller samples.
人们越来越关注小型神经影像研究中普遍存在的夸大效应大小的问题,但目前还没有研究针对小样本重新校准效应大小估计值。为了解决这个问题,我们提出了一种分层贝叶斯模型来调整单项研究效应大小,同时纳入对抽样方差的定制估计。我们估计了 21 项单项研究(病例总数:903;对照总数:996)中酒精、尼古丁、可卡因、甲基苯丙胺或大麻依赖者与非依赖者之间大脑结构特征的病例对照差异的效应大小。然后,采用分层贝叶斯方法对特定研究的效应大小进行建模,即从高阶总体分布中对特定研究效应大小分布的参数进行采样。结果表明,在个别研究中观察到的原始效应大小的情况下,特定研究估计值的后验分布向总体估计值收缩。原始效应大小(即 Cohen's d)与后验分布点估计值之间的差异从 0 到 0.97 不等。调整幅度与样本大小呈负相关(r = -0.27,p < 0.001),与经验估计的抽样方差呈正相关(r = 0.40,p < 0.001),这表明样本较小和抽样方差较大的研究往往会有更大的调整。这表明,贝叶斯法利用现有知识是一种有效的替代方法,可以改善单项研究的效应大小估计,尤其是对于样本较小的研究。
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引用次数: 0
This is no “ICA bug”: response to the article, “ICA's bug: how ghost ICs emerge from effective rank deficiency caused by EEG electrode interpolation and incorrect re-referencing” 这不是 "ICA 的错误":对文章 "ICA 的错误:脑电图电极插值和不正确的重新参照导致的有效等级缺陷如何产生幽灵 IC "的回应
Pub Date : 2023-12-21 DOI: 10.3389/fnimg.2023.1331404
Arnaud Delorme, S. Makeig
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引用次数: 0
Mapping internal brainstem structures using T1 and T2 weighted 3T images 利用 T1 和 T2 加权 3T 图像绘制脑干内部结构图
Pub Date : 2023-12-15 DOI: 10.3389/fnimg.2023.1324107
Susanne G. Mueller
Many neurodegenerative diseases affect the brainstem and often do so in an early stage. The overall goal of this project was (a) to develop a method to segment internal brainstem structures from T1 and T2 weighted sequences by taking advantage of the superior myelin contrast of the T1/T2 ratio image (RATIO) and (b) to test if this approach provides biological meaningful information by investigating the effects of aging on different brainstem gray matter structures.675 T1 and T2 weighted images were obtained from the Human Connectome Project Aging. The intensities of the T1 and T2 images were re-scaled and RATIO images calculated. The brainstem was isolated and k-means clustering used to identify five intensity clusters. Non-linear diffeomorphic mapping was used to warp the five intensity clusters in subject space into a common space to generate probabilistic group averages/priors that were used to inform the final probabilistic segmentations at the single subject level. The five clusters corresponded to five brainstem tissue types (two gray matters, two mixed gray/white, and 1 csf/tissue partial volume).These cluster maps were used to calculate Jacobian determinant maps and the mean Jacobians of 48 brainstem gray matter structures extracted. Significant linear or quadratic age effects were found for all but five structures.These findings suggest that it is possible to obtain a biologically meaningful segmentation of internal brainstem structures from T1 and T2 weighted sequences using a fully automated segmentation procedure.
许多神经退行性疾病都会影响脑干,而且往往是在早期阶段。该项目的总体目标是:(a) 利用 T1/T2 比值图像(RATIO)的髓鞘对比度优势,开发一种从 T1 和 T2 加权序列分割脑干内部结构的方法;(b) 通过研究衰老对不同脑干灰质结构的影响,检验这种方法是否能提供有生物学意义的信息。对 T1 和 T2 图像的强度进行重新缩放并计算 RATIO 图像。脑干被分离出来,并使用 k-means 聚类来识别五个强度簇。使用非线性差分映射将主体空间中的五个强度簇扭曲到一个共同空间,以生成概率组平均值/先验值,用于为单个主体水平的最终概率分割提供信息。这些聚类图用于计算雅各布行列式图,并提取 48 个脑干灰质结构的平均雅各布。这些研究结果表明,使用全自动分割程序可以从 T1 和 T2 加权序列中获得具有生物学意义的脑干内部结构分割。
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引用次数: 0
Inhalation-modulated detection of olfactory BOLD responses in the human brain 人脑嗅觉 BOLD 反应的吸入调节检测
Pub Date : 2023-12-01 DOI: 10.3389/fnimg.2023.1260893
Aino L. I. Alahäivälä, D. Thaploo, Simon Wein, Philipp Seidel, Marco Riebel, Thomas Hummel, J. Schwarzbach
In contrast to other sensory domains, detection of primary olfactory processes using functional magnetic resonance imaging has proven to be notably challenging with conventional block designs. This difficulty arises from significant habituation and hemodynamic responses in olfactory areas that do not appear to align with extended boxcar functions convolved with a generic hemodynamic response model. Consequently, some researchers have advocated for a transition to event-related designs, despite their known lower detection power compared to block designs.Here, we conducted a block design experiment with 16s of continuous odorant stimulation alternating with 16s of continuous odorless air stimulation in 33 healthy participants. We compared four statistical analyses that relied either on standard block designs (SBD1-2) or on block designs that were modulated by the participants' individual breathing patterns (MBD1-2).We found that such modulated block designs were comparatively more powerful than standard block designs, despite having a substantially lower design efficiency. Using whole-brain effect size maps, we observed that the right insular and medial aspects of the left piriform cortex exhibited a preference for a breathing-modulated analysis approach.Research in olfaction that necessitates designs with longer-lasting blocks, such as those employed in the investigation of state-dependent processing, will benefit from the breathing-modulated analyses outlined in this study.
与其他感官领域相比,使用功能性磁共振成像检测初级嗅觉过程已被证明具有传统块设计的显着挑战性。这一困难源于嗅觉区域的显著习惯化和血流动力学反应,这些反应似乎不符合与一般血流动力学反应模型相关的扩展箱车功能。因此,一些研究人员提倡向事件相关设计过渡,尽管与块设计相比,事件相关设计的检测能力较低。在这里,我们对33名健康参与者进行了一个分组设计实验,其中16秒的持续气味刺激与16秒的连续无气味刺激交替进行。我们比较了四种依赖于标准分组设计(SBD1-2)或由参与者个体呼吸模式调节的分组设计(MBD1-2)的统计分析。我们发现这种调制模块设计相对于标准模块设计更强大,尽管其设计效率大大降低。使用全脑效应大小图,我们观察到左梨状皮质的右岛和内侧方面表现出对呼吸调节分析方法的偏好。嗅觉研究需要更持久的阻滞设计,例如那些用于状态依赖处理的研究,将受益于本研究中概述的呼吸调节分析。
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引用次数: 0
Pseudo-Label Assisted nnU-Net enables automatic segmentation of 7T MRI from a single acquisition 伪标签辅助 nnU-Net 可通过单次采集对 7T 磁共振成像进行自动分割
Pub Date : 2023-12-01 DOI: 10.3389/fnimg.2023.1252261
Corinne Donnay, H. Dieckhaus, C. Tsagkas, María Inés Gaitán, E. Beck, Andrew Mullins, Daniel S. Reich, G. Nair
Automatic whole brain and lesion segmentation at 7T presents challenges, primarily from bias fields, susceptibility artifacts including distortions, and registration errors. Here, we sought to use deep learning algorithms (D/L) to do both skull stripping and whole brain segmentation on multiple imaging contrasts generated in a single Magnetization Prepared 2 Rapid Acquisition Gradient Echoes (MP2RAGE) acquisition on participants clinically diagnosed with multiple sclerosis (MS), bypassing registration errors.Brain scans Segmentation from 3T and 7T scanners were analyzed with software packages such as FreeSurfer, Classification using Derivative-based Features (C-DEF), nnU-net, and a novel 3T-to-7T transfer learning method, Pseudo-Label Assisted nnU-Net (PLAn). 3T and 7T MRIs acquired within 9 months from 25 study participants with MS (Cohort 1) were used for training and optimizing. Eight MS patients (Cohort 2) scanned only at 7T, but with expert annotated lesion segmentation, was used to further validate the algorithm on a completely unseen dataset. Segmentation results were rated visually by experts in a blinded fashion and quantitatively using Dice Similarity Coefficient (DSC).Of the methods explored here, nnU-Net and PLAn produced the best tissue segmentation at 7T for all tissue classes. In both quantitative and qualitative analysis, PLAn significantly outperformed nnU-Net (and other methods) in lesion detection in both cohorts. PLAn's lesion DSC improved by 16% compared to nnU-Net.Limited availability of labeled data makes transfer learning an attractive option, and pre-training a nnUNet model using readily obtained 3T pseudo-labels was shown to boost lesion detection capabilities at 7T.
在7T自动全脑和病变分割提出了挑战,主要来自偏置场,包括畸变在内的敏感性伪影和配准错误。在这里,我们试图使用深度学习算法(D/L)对临床诊断为多发性硬化症(MS)的参与者进行单次磁化制备2快速采集梯度回波(MP2RAGE)采集产生的多重成像对比进行颅骨剥离和全脑分割,绕过注册错误。使用FreeSurfer、基于导数的特征分类(C-DEF)、nnU-net和一种新的3T到7T迁移学习方法伪标签辅助nnU-net (PLAn)等软件包对3T和7T扫描仪的脑扫描图像进行分割分析。25名MS患者(队列1)9个月内获得的3T和7T mri用于训练和优化。8名MS患者(队列2)仅在7T扫描,但有专家注释的病变分割,用于在完全看不见的数据集上进一步验证算法。分割结果由专家以盲法和定量使用骰子相似系数(DSC)进行视觉评定。在本文探索的方法中,nnU-Net和PLAn在7T时对所有组织类别都产生了最好的组织分割。在定量和定性分析中,PLAn在两个队列的病变检测方面均明显优于nnU-Net(和其他方法)。与nnU-Net相比,PLAn的病变DSC提高了16%。标记数据的有限可用性使得迁移学习成为一个有吸引力的选择,使用现成的3T伪标签预训练nnUNet模型被证明可以提高7T时的病变检测能力。
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引用次数: 0
Regression models for partially localized fMRI connectivity analyses 部分定位fMRI连通性分析的回归模型
Pub Date : 2023-11-13 DOI: 10.3389/fnimg.2023.1178359
Bonnie B. Smith, Yi Zhao, Martin A. Lindquist, Brian Caffo
Background Brain functional connectivity analysis of resting-state functional magnetic resonance imaging (fMRI) data is typically performed in a standardized template space assuming consistency of connections across subjects. Analysis methods can come in the form of one-edge-at-a-time analyses or dimension reduction/decomposition methods. Common to these approaches is an assumption that brain regions are functionally aligned across subjects; however, it is known that this functional alignment assumption is often violated. Methods In this paper, we use subject-level regression models to explain intra-subject variability in connectivity. Covariates can include factors such as geographic distance between two pairs of brain regions, whether the two regions are symmetrically opposite (homotopic), and whether the two regions are members of the same functional network. Additionally, a covariate for each brain region can be included, to account for the possibility that some regions have consistently higher or lower connectivity. This style of analysis allows us to characterize the fraction of variation explained by each type of covariate. Additionally, comparisons across subjects can then be made using the fitted connectivity regression models, offering a more parsimonious alternative to edge-at-a-time approaches. Results We apply our approach to Human Connectome Project data on 268 regions of interest (ROIs), grouped into eight functional networks. We find that a high proportion of variation is explained by region covariates and network membership covariates, while geographic distance and homotopy have high relative importance after adjusting for the number of predictors. We also find that the degree of data repeatability using our connectivity regression model—which uses only partial location information about pairs of ROI's—is comparably as high as the repeatability obtained using full location information. Discussion While our analysis uses data that have been transformed into a common template-space, we also envision the method being useful in multi-atlas registration settings, where subject data remains in its own geometry and templates are warped instead. These results suggest the tantalizing possibility that fMRI connectivity analysis can be performed in subject-space, using less aggressive registration, such as simple affine transformations, multi-atlas subject-space registration, or perhaps even no registration whatsoever.
静息状态功能磁共振成像(fMRI)数据的脑功能连通性分析通常在一个标准化的模板空间中进行,假设受试者之间的连接是一致的。分析方法可以是单向分析或降维/分解方法。这些方法的共同点是假设大脑区域在功能上是一致的;然而,众所周知,这种功能一致性假设经常被违反。方法在本文中,我们使用学科水平的回归模型来解释学科内部的连通性变异。协变量可以包括诸如两对大脑区域之间的地理距离,两个区域是否对称相反(同伦)以及两个区域是否属于同一功能网络的成员等因素。此外,每个大脑区域的协变量可以包括在内,以解释某些区域始终具有较高或较低连通性的可能性。这种分析方式使我们能够描述由每种协变量类型解释的变异的比例。此外,可以使用拟合的连通性回归模型进行跨主题的比较,为每次边缘方法提供更节省的替代方案。我们将我们的方法应用于268个感兴趣区域(roi)的人类连接组项目数据,这些区域被分为8个功能网络。我们发现区域协变量和网络隶属度协变量解释了较高比例的变异,而地理距离和同伦在调整预测因子数量后具有较高的相对重要性。我们还发现,使用我们的连通性回归模型(仅使用ROI对的部分位置信息)的数据可重复性程度与使用完整位置信息获得的可重复性相当高。虽然我们的分析使用了转换为公共模板空间的数据,但我们也设想该方法在多地图集注册设置中很有用,其中主题数据保留在其自己的几何形状中,而模板则是扭曲的。这些结果表明了一种诱人的可能性,即fMRI连通性分析可以在主体空间中进行,使用较少的注册,例如简单的仿射变换,多图谱主体空间注册,甚至可能根本不注册。
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引用次数: 0
Profiles of resting state functional connectivity in temporal lobe epilepsy associated with post-laser interstitial thermal therapy seizure outcomes and semiologies 颞叶癫痫的静息状态功能连通性与激光间质热治疗后癫痫发作结果和符号学相关
Pub Date : 2023-11-09 DOI: 10.3389/fnimg.2023.1201682
Mashaal Syed, Jingya Miao, Anish Sathe, Kichang Kang, Arichena Manmatharayan, Michael Kogan, Caio M. Matias, Ashwini Sharan, Mahdi Alizadeh
Introduction It is now understood that in focal epilepsy, impacted neural regions are not limited to the epileptogenic zone. As such, further investigation into the underlying functional connectivity (FC) patterns in those enduring Temporal Lobe Epilepsy (TLE) with Mesial Temporal Sclerosis (MTS) is imperative to understanding the intricacies of the disease. Methods The rsfMRIs of 17 healthy participants, 10 left-sided TLE-MTS patients with a pre-operative history of focal impaired awareness seizures (FIA), and 13 left-sided TLE-MTS patients with a pre-operative history of focal aware seizures (FA) were compared to determine the existence of distinct FC patterns with respect to seizure types. Similarly, the rsfMRIs of the above-mentioned healthy participants, 16 left-sided TLE-MTS individuals who were seizure-free (SF) 12 months postoperatively, and 16 left-sided TLE-MTS persons without seizure freedom (nSF) were interrogated. The ROI-to-ROI connectivity analysis included a total of 175 regions of interest (ROIs) and accounted for both age and duration of epileptic activity. Significant correlations were determined via two-sample t- tests and Bonferroni correction (α = 0.05). Results Comparisons of FA and FIA groups depicted significant correlations between the contralateral anterior cingulate gyrus, subgenual region, and the contralateral cerebellum, lobule III ( p -value = 2.26e-4, mean z-score = −0.05 ± 0.28, T = −4.23). Comparisons of SF with nSF depicted two significantly paired-ROIs; the contralateral amygdala and the contralateral precuneus ( p- value = 2.9e-5, mean z-score = −0.12 ± 0.19, T = 4.98), as well as the contralateral locus coeruleus and the ipsilateral intralaminar nucleus ( p -value= 1.37e-4, mean z-score = 0.06 ± 0.17, T = −4.41). Significance FC analysis proves to be a lucrative modality for exploring unique signatures with respect to seizure types and postoperative outcomes. By furthering our understanding of the differences between epileptic phenotypes, we can achieve improvement in future treatment modalities not limited to targeting advancements.
在局灶性癫痫中,受影响的神经区域并不局限于致痫区。因此,进一步研究颞叶癫痫(TLE)合并中颞叶硬化(MTS)患者的潜在功能连通性(FC)模式对于理解该疾病的复杂性至关重要。方法对17例健康人、10例术前有局灶性意识障碍发作(FIA)的左侧TLE-MTS患者和13例术前有局灶性意识障碍发作(FA)的左侧TLE-MTS患者的rsfmri进行比较,以确定不同类型癫痫发作是否存在不同的FC模式。同样,对上述健康受试者、16例术后12个月无癫痫发作(SF)的左侧TLE-MTS患者和16例无癫痫发作(nSF)的左侧TLE-MTS患者的rsfmri进行了询问。ROI-to-ROI连通性分析共包括175个感兴趣区域(roi),并考虑了癫痫活动的年龄和持续时间。通过双样本t检验和Bonferroni校正(α = 0.05)确定显著相关。结果FA组与FIA组比较,对侧扣带前回亚属区与对侧小脑III小叶具有显著相关性(p -value = 2.26e-4,平均z-score = - 0.05±0.28,T = - 4.23)。SF与nSF的比较显示了两个显着成对的roi;对侧杏仁核和对侧楔前叶(p- value= 2.9e-5,平均z-score = - 0.12±0.19,T = 4.98),对侧蓝斑座和同侧板内核(p- value= 1.37e-4,平均z-score = 0.06±0.17,T = - 4.41)。显著性FC分析被证明是一种有利可图的模式,用于探索癫痫发作类型和术后结果的独特特征。通过进一步了解癫痫表型之间的差异,我们可以实现未来治疗方式的改进,而不仅仅局限于靶向进展。
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引用次数: 0
Diffusion in the corpus callosum predicts persistence of clinical symptoms after mild traumatic brain injury, a multi-scanner study 一项多台扫描仪研究表明,胼胝体中的弥散可预测轻度创伤性脑损伤后临床症状的持续存在
Pub Date : 2023-10-31 DOI: 10.3389/fnimg.2023.1153115
Alexander Asturias, Thomas Knoblauch, Alan Rodriguez, Cheryl Vanier, Caroline Le Tohic, Brandon Barrett, Michael Eisenberg, Rachelle Gibbert, Lennon Zimmerman, Shaunaq Parikh, Anh Nguyen, Sherwin Azad, Leo Germin, Enrico Fazzini, Travis Snyder
Background Mild traumatic brain injuries (mTBIs) comprise 80% of all TBI, but conventional MRI techniques are often insensitive to the subtle changes and injuries produced in a concussion. Diffusion tensor imaging (DTI) is one of the most sensitive MRI techniques for mTBI studies with outcome and symptom associations described. The corpus callosum (CC) is one of the most studied fiber tracts in TBI and mTBI, but the comprehensive post-mTBI symptom relationship has not fully been explored. Methods This is a retrospective observational study of how quantitative DTI data of the CC and its sub-regions may relate to clinical presentation of symptoms and timing of resolution of symptoms in patients diagnosed with uncomplicated mTBI. DTI and clinical data were obtained retrospectively from 446 (mean age 42 years, range 13–82) civilian patients. From patient medical charts, presentation of the following common post-concussive symptoms was noted: headache, balance issues, cognitive deficits, fatigue, anxiety, depression, and emotional lability. Also recorded was the time between injury and a visit to the physician when improvement or resolution of a particular symptom was reported. FA values from the total CC and 3 subregions of the CC (genu or anterior, mid body, and splenium or posterior) were obtained from hand tracing on the Olea Sphere v3.0 SP12 free-standing workstation. DTI data was obtained from 8 different 3T MRI scanners and harmonized via ComBat harmonization. The statistical models used to explore the association between regional Fractional Anisotropy (FA) values and symptom presentation and time to symptom resolution were logistic regression and interval-censored semi-parametric Cox proportional hazard models, respectively. Subgroups related to age and timing of first scan were also analyzed. Results Patients with the highest FA in the total CC ( p = 0.01), anterior CC ( p &lt; 0.01), and mid-body CC ( p = 0.03), but not the posterior CC ( p = 0.91) recovered faster from post-concussive cognitive deficits. Patients with the highest FA in the posterior CC recovered faster from depression ( p = 0.04) and emotional lability ( p = 0.01). There was no evidence that FA in the CC or any of its sub-regions was associated with symptom presentation or with time to resolution of headache, balance issues, fatigue, or anxiety. Patients with mTBI under 40 had higher FA in the CC and the anterior and mid-body subregions (but not the posterior subregion: p = 1.00) compared to patients 40 or over ( p ≤ 0.01). There was no evidence for differences in symptom presentation based on loss of consciousness (LOC) or sex ( p ≥ 0.18). Conclusion This study suggests that FA of the CC has diagnostic and prognostic value for clinical assessment of mTBI in a large diverse civilian population, particularly in patients with cognitive symptoms.
背景:轻度创伤性脑损伤(mTBIs)占所有TBI的80%,但传统的MRI技术通常对脑震荡产生的细微变化和损伤不敏感。弥散张量成像(DTI)是mTBI研究中最敏感的MRI技术之一,描述了结果和症状的关联。胼胝体(CC)是TBI和mTBI中研究最多的纤维束之一,但其与mTBI后症状的全面关系尚未得到充分探讨。方法回顾性观察CC及其子区域的定量DTI数据如何与诊断为无并发症mTBI的患者的临床症状表现和症状缓解时间相关。回顾性分析了446例平民患者(平均42岁,13-82岁)的DTI和临床资料。从患者病历中,我们注意到以下常见的脑震荡后症状:头痛、平衡问题、认知缺陷、疲劳、焦虑、抑郁和情绪不稳定。还记录了受伤到某一特定症状得到改善或缓解时去看医生之间的时间。在Olea Sphere v3.0 SP12独立工作站上进行手描,获得总CC和CC的3个亚区(膝或前部、中段、脾或后部)的FA值。DTI数据来自8台不同的3T MRI扫描仪,并通过ComBat harmonization进行协调。用于探讨区域分数各向异性(FA)值与症状表现和症状缓解时间之间关系的统计模型分别为逻辑回归和间隔截尾半参数Cox比例风险模型。与年龄和第一次扫描时间相关的亚组也进行了分析。结果FA最高的患者占总CC (p = 0.01)、前CC (p <0.01),中CC (p = 0.03),但后CC (p = 0.91)从脑震荡后认知缺陷中恢复得更快。后CC FA最高的患者从抑郁(p = 0.04)和情绪不稳定(p = 0.01)中恢复得更快。没有证据表明CC或其任何子区域的FA与症状表现或头痛、平衡问题、疲劳或焦虑的解决时间有关。与40岁及以上的患者相比,40岁以下的mTBI患者CC和前体和中体亚区(但不包括后亚区:p = 1.00)的FA较高(p≤0.01)。没有证据表明意识丧失(LOC)或性别在症状表现上存在差异(p≥0.18)。结论:本研究表明,CC FA对大量不同平民人群的mTBI临床评估具有诊断和预后价值,特别是对有认知症状的患者。
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引用次数: 0
Automatic planning of MR-guided transcranial focused ultrasound treatment for essential tremor. 核磁共振引导下经颅聚焦超声治疗特发性震颤的自动规划。
Pub Date : 2023-10-26 eCollection Date: 2023-01-01 DOI: 10.3389/fnimg.2023.1272061
Jan Klein, Annika Gerken, Niklas Agethen, Sven Rothlübbers, Neeraj Upadhyay, Veronika Purrer, Carsten Schmeel, Valeri Borger, Maya Kovalevsky, Itay Rachmilevitch, Yeruham Shapira, Ullrich Wüllner, Jürgen Jenne

Introduction: Transcranial focused ultrasound therapy (tcFUS) offers precise thermal ablation for treating Parkinson's disease and essential tremor. However, the manual fine-tuning of fiber tracking and segmentation required for accurate treatment planning is time-consuming and demands expert knowledge of complex neuroimaging tools. This raises the question of whether a fully automated pipeline is feasible or if manual intervention remains necessary.

Methods: We investigate the dependence on fiber tractography algorithms, segmentation approaches, and degrees of automation, specifically for essential tremor therapy planning. For that purpose, we compare an automatic pipeline with a manual approach that requires the manual definition of the target point and is based on FMRIB software library (FSL) and other open-source tools.

Results: Our findings demonstrate the high feasibility of automatic fiber tracking and the automated determination of standard treatment coordinates. Employing an automatic fiber tracking approach and deep learning (DL)-supported standard coordinate calculation, we achieve anatomically meaningful results comparable to a manually performed FSL-based pipeline. Individual cases may still exhibit variations, often stemming from differences in region of interest (ROI) segmentation. Notably, the DL-based approach outperforms registration-based methods in producing accurate segmentations. Precise ROI segmentation proves crucial, surpassing the importance of fine-tuning parameters or selecting algorithms. Correct thalamus and red nucleus segmentation play vital roles in ensuring accurate pathway computation.

Conclusion: This study highlights the potential for automation in fiber tracking algorithms for tcFUS therapy, but acknowledges the ongoing need for expert verification and integration of anatomical expertise in treatment planning.

简介:经颅聚焦超声治疗(tcFUS)提供精确的热消融治疗帕金森病和特发性震颤。然而,精确治疗计划所需的纤维跟踪和分割的手动微调是耗时的,并且需要复杂神经成像工具的专业知识。这就提出了一个问题,即全自动管道是否可行,或者人工干预是否仍然是必要的。方法:我们研究纤维束造影算法、分割方法和自动化程度对特发性震颤治疗计划的依赖性。为此,我们将自动管道与手动方法进行比较,手动方法需要手动定义目标点,并基于FMRIB软件库(FSL)和其他开源工具。结果:我们的研究结果证明了自动纤维跟踪和自动确定标准治疗坐标的高度可行性。采用自动纤维跟踪方法和深度学习(DL)支持的标准坐标计算,我们获得了与手动执行基于fsl的管道相当的解剖学意义的结果。个别情况可能仍然表现出变化,通常源于兴趣区域(ROI)分割的差异。值得注意的是,基于dl的方法在产生准确的分割方面优于基于注册的方法。精确的ROI分割被证明是至关重要的,超过了微调参数或选择算法的重要性。正确的丘脑和红核分割对保证路径计算的准确性起着至关重要的作用。结论:本研究强调了tcFUS治疗中纤维跟踪算法自动化的潜力,但也承认在治疗计划中仍需要专家验证和整合解剖学专业知识。
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Frontiers in neuroimaging
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