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Multiple Cerebral and Systemic Aneurysms in a Case of Left Atrial Myxoma – Are They Related? 1例左心房黏液瘤并发多发性脑及全身动脉瘤——两者是否相关?
Pub Date : 2019-01-01 DOI: 10.17756/JNPN.2019-028
Gaurav Chauhan, Vivek Singh, R. Phadke, Sapna Yadav, V. Aggarwal
1Department of Radiology, Senior Resident, PDCC Neuroradiology, SGPGIMS, Lucknow, Uttar Pradesh, India 2Department of Radiology, Associate Professor, Radiology Department, SGPGIMS, Lucknow, Uttar Pradesh, India 3Department of Radiology, Professor and Head, Radiology Department, SGPGIMS, Lucknow, Uttar Pradesh, India 4Department of Anaesthesia, Senior Resident, PDCC Neuroanaesthesia, SGPGIMS, Lucknow, Uttar Pradesh, India 5Department of Immunology, Professor, Department of Immunology, SGPGIMS, Lucknow, Uttar Pradesh, India
1放射科,高级住院医师,印度北方邦勒克瑙市SGPGIMS神经放射学2放射科,副教授,印度北方邦勒克瑙市SGPGIMS放射学3放射科,教授,放射科主任,印度北方邦勒克瑙市SGPGIMS放射学4麻醉科,高级住院医师,PDCC神经麻醉科,印度北方邦勒克瑙市SGPGIMS免疫学教授,印度北方邦SGPGIMS免疫学教授,印度北方邦勒克瑙市SGPGIMS放射学印度北方邦的勒克瑙
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引用次数: 1
Differentiation of Brain Abscesses from Necrotic Highgrade Gliomas Using Advanced MR Imaging Techniques: A Mini Review 用先进的磁共振成像技术鉴别脑脓肿和坏死性高级别胶质瘤:一个小回顾
Pub Date : 2019-01-01 DOI: 10.17756/jnpn.2019-030
M. Afridi, Shadi Asadollahi, K. Nath, S. Chawla
The accurate discrimination between brain abscesses and cystic high-grade gliomas (HGGs) is of great importance for planning adequate treatment and for estimating outcome and future prognosis. MR imaging plays an essential role in the discrimination of these two entities. However, differential diagnosis often becomes difficult as conventional neuroimaging features of brain abscess are nonspecific and may simulate those of cystic rim-enhancing mass lesions of varying etiologies including HGGs. It is well documented that cellular and vascular microenvironment of cystic cavity and enhancing rim of abscess is considerably different from that of necrotic HGG. By exploiting these unique characteristics, several studies have shown the potential of physiologic MR imaging techniques in facilitating better characterization of both of these intracranial cystic lesions. The purpose of this mini review is to summarize the basic principles and clinical role of commonly used advanced MR imaging techniques such as diffusion, perfusion MR imaging and MR spectroscopy in differentiation of brain abscesses from necrotic HGGs. Briefly, we will also discuss the potential role of emerging imaging techniques such as chemical exchange saturation transfer (CEST) in characterizing brain abscesses. We will also describe the existing challenges and limitations of using these techniques in routine clinical settings and will finally discuss possible solutions to avoiding pitfalls in data acquisition, and analysis for future studies.
准确区分脑脓肿和囊性高级别胶质瘤(HGGs)对于制定适当的治疗方案、评估预后和未来预后具有重要意义。磁共振成像在这两种实体的区分中起着至关重要的作用。然而,由于脑脓肿的常规神经影像学特征是非特异性的,可能与包括hgg在内的各种病因的囊性边缘增强肿块病变相似,因此鉴别诊断往往变得困难。有文献表明,脓肿囊腔和强化边缘的细胞和血管微环境与坏死性HGG有很大的不同。通过利用这些独特的特征,一些研究表明,生理性磁共振成像技术在促进更好地表征这两种颅内囊性病变方面具有潜力。本文就弥散、灌注、磁共振波谱等先进磁共振成像技术在脑脓肿与坏死性脑脓肿鉴别中的基本原理及临床作用作一综述。简要地说,我们还将讨论新兴成像技术如化学交换饱和转移(CEST)在脑脓肿表征中的潜在作用。我们还将描述在常规临床环境中使用这些技术的现有挑战和局限性,并最终讨论避免数据采集陷阱的可能解决方案,以及未来研究的分析。
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引用次数: 2
Sequential Thalamic Hemorrhage and Ischaemia in the Percheron Artery Territory 在Percheron动脉区域的序贯性丘脑出血和缺血
Pub Date : 2019-01-01 DOI: 10.17756/JNPN.2019-029
C. Estol, R. Mora, M. D. L. P. Chang, M. Vincenti, Marcelo Costilla
An 84-year-old woman was found with an altered mental status and right hemiparesis. She had CHF, hypertension and hyperlipidemia under adequate pharmacologic treatment. An initial CT (Figure 1A) showed a left paramedian thalamic hemorrhage with mass effect over the third ventricle (arrow). Her blood pressure on admission was 190/100 mmHg requiring IV labetalol and sodium nitroprusside for control. Her EKG revealed AF and the general laboratory results were normal including sed rate. Transcranial doppler results did not reveal abnormal velocities suggestive of stenosis in the posterior circulation. At 72 hrs from admission her mental status deteriorated and a new CT (Figure 1B) did not show hydrocephalus or significant changes in the hemorrhage although a new hypodensity was observed in the right paramedian thalamic territory. On J of Neuroimaging in Psychiatry & Neurology
一名84岁的女性被发现有精神状态改变和右半瘫。在适当的药物治疗下,她有慢性心力衰竭、高血压和高脂血症。初始CT(图1A)显示左侧丘脑旁脉出血伴第三脑室(箭头)肿块效应。入院时血压190/100 mmHg,需静脉滴注拉贝他洛尔和硝普钠控制。她的心电图显示房颤,一般实验室结果正常,包括心率。经颅多普勒结果未显示提示后循环狭窄的异常速度。入院后72小时,患者精神状态恶化,新的CT(图1B)未显示脑积水或出血的显著变化,但在右侧丘脑旁位区观察到新的低密度。论精神病学与神经病学中的神经影像学
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引用次数: 0
10-Week Hatha Yoga Increases Right Hippocampal Density Compared to Active and Passive Control Groups: A Controlled Structural cMRI Study 与主动和被动对照组相比,为期10周的哈达瑜伽增加了右侧海马密度:一项对照结构cMRI研究
Pub Date : 2019-01-01 DOI: 10.17756/JNPN.2019-027
Malvina Garner, W. Reith, C. Krick
Materials and Methods: We conducted a longitudinal structural MRI study to investigate changes in gray matter (GM) density following a Yoga intervention. In order to check the repeatability of the results two data acquisition periods (cohorts) with the same study design were done. Yoga naive subjects (n = 19/n = 20) received a Yoga intervention once a week for 75 minutes over a period of 10 weeks. Control groups included active sport subjects (n = 10/n = 22) and passive subjects (n = 17/n = 14). All participants could choose their group assignment by their own preference. A longitudinal and group comparison was done by voxelbased-morphometric analyses before and after the intervention. In addition, blood pressure was taken before and after the study period as a controlling instrument. Finally, the results of the two cohorts were reported into a comprising data set for a general conclusion on Yoga effects.
材料和方法:我们进行了纵向结构MRI研究,以调查瑜伽干预后灰质(GM)密度的变化。为了检查结果的可重复性,采用相同的研究设计进行了两个数据采集期(队列)。无瑜伽经验的受试者(n = 19/n = 20)在10周内每周接受一次75分钟的瑜伽干预。对照组包括积极运动组(n = 10/n = 22)和被动运动组(n = 17/n = 14)。所有参与者都可以根据自己的喜好选择小组任务。在干预前后通过基于体素的形态计量学分析进行纵向和组间比较。此外,在研究前后分别测量血压作为控制指标。最后,两个队列的结果被报告到一个包含数据集,以得出关于瑜伽效果的一般结论。
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引用次数: 8
Brachiocephalic Vessels Ultrasound Index of Arteriovenous Ratio (IAVR) and Headache as a Diagnostic Tool for Intracranial Venous Stasis in Arterial/Venous Ischemic Stroke’s Differentiation 头臂血管超声动静脉比指数(IAVR)与头痛在缺血性脑卒中动脉/静脉分化中的诊断价值
Pub Date : 2019-01-01 DOI: 10.17756/jnpn.2020-032
Semenov Stanislav, Yurkevich Elena, Korotkevich Alexey, K. Aleksandr
Identification of signs of intracranial venous stasis using ultrasound methods in combination with determination of headache intensity according to the visual-analogue scale allows us to suspect the venous genesis of ischemic stroke before using neuroimaging methods, which can contribute to the selection of adequate therapy and to improve the prognosis and long-term outcomes of the disease.
使用超声方法识别颅内静脉淤积的迹象,结合根据视觉模拟量表确定头痛强度,使我们能够在使用神经影像学方法之前怀疑缺血性卒中的静脉发生,这有助于选择适当的治疗方法,改善疾病的预后和长期预后。
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引用次数: 0
Tract-Specific White Matter Correlates of Age-Related Reward Devaluation Deficits in Macaque Monkeys. 猕猴与年龄相关的奖励贬值缺陷相关的束特异性白质。
Pub Date : 2018-01-01 Epub Date: 2018-07-19 DOI: 10.17756/jnpn.2018-023
Daniel T Gray, Lavanya Umapathy, Sara N Burke, Theodore P Trouard, Carol A Barnes

Aim: Cognitive aging is known to alter reward-guided behaviors that require interactions between the orbitofrontal cortex (OFC) and amygdala. In macaques, OFC, but not amygdala volumes decline with age and correlate with performance on a reward devaluation (RD) task. The present study used diffusion magnetic resonance imaging (dMRI) methods to investigate whether the condition of the white matter associated with amygdala-OFC connectivity changes with age and relates to reward devaluation.

Methods: Diffusion-, T1- and T2-weighted MRIs were acquired from adult and aged bonnet macaques. Using probabilistic tractography, fractional anisotropy (FA) estimates from two separate white matter tracts associated with amygdala-OFC connectivity, the uncinate fasciculus (UF) and amygdalofugal (AF) pathways, were obtained. Performance measures on RD and reversal learning (RL) tasks were also acquired and related to FA indices from each anatomical tract.

Results: Aged monkeys were impaired on both the RD and RL tasks and had lower FA indices in the AF pathway. Higher FA indices from the right hemisphere UF pathway correlated with better performance on an object-based RD task, whereas higher FA indices from the right hemisphere AF were associated with better performance on an object-free version of the task. FA measures from neither tract correlated with RL performance.

Conclusions: These results suggest that the condition of the white matter connecting the amygdala and OFC may impact reward devaluation behaviors. Furthermore, the observation that FA indices from the UF and AF differentially relate to reward devaluation suggests that the amygdala-OFC interactions that occur via these separate tracts are partially independent.

目的:已知认知老化会改变眼眶前额皮质(OFC)和杏仁核之间需要相互作用的奖励引导行为。在猕猴中,OFC(而非杏仁核)体积随着年龄的增长而下降,并与奖励贬值(RD)任务的表现相关。本研究使用扩散磁共振成像(dMRI)方法来研究与杏仁核- ofc连接相关的白质状况是否随着年龄的变化而变化,并与奖励贬值有关。方法:获取成年和老年帽猴的弥散、T1和t2加权mri。利用概率神经束造影,获得了与杏仁核- ofc连接相关的两个单独的白质束,即缰状束(UF)和杏仁核(AF)通路的分数各向异性(FA)估计。研究还获得了RD和反转学习(RL)任务的表现指标,并与各解剖束的FA指数相关。结果:老龄猴子在RD和RL任务上均受损,AF通路FA指数降低。来自右半球UF通路的高FA指数与在基于目标的RD任务中的更好表现相关,而来自右半球AF的高FA指数与在无目标版本的任务中的更好表现相关。两个通道的FA测量值都与RL表现相关。结论:这些结果提示连接杏仁核和OFC的白质状况可能影响奖励贬值行为。此外,观察到来自UF和AF的FA指数与奖励贬值的差异表明,通过这些单独的束发生的杏仁核- ofc相互作用是部分独立的。
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引用次数: 11
Automated Voxel Placement: A Linux-based Suite of Tools for Accurate and Reliable Single Voxel Coregistration. 自动体素放置:一套基于linux的工具,用于准确可靠的单体素共配准。
Pub Date : 2018-01-01 Epub Date: 2018-02-08 DOI: 10.17756/jnpn.2018-020
Eric A Woodcock, Muzamil Arshad, Dalal Khatib, Jeffrey A Stanley

Background: Single-voxel proton magnetic resonance spectroscopy (1H MRS) is a powerful technique for studying in vivo neurochemistry, but has an often-overlooked source of error variance: inconsistent voxel placement between scans. We developed and evaluated an Automated Voxel Placement (AVP) procedure for accurate and reliable 1H MRS voxel prescription. AVP is a suite of Linux-based programs that facilitate automated template-driven single-voxel coregistration.

Methods: Three studies were conducted to evaluate AVP for prescription of one voxel: left dorsolateral prefrontal cortex. First, we evaluated how robust AVP was to 'extreme' subject head positions/angulations within the scanner head coil. Second, subjects (N = 13) were recruited and underwent MR scans. Manual voxel prescription (n = 5) was contrasted with AVP (n = 8). A subset of AVP subjects (n = 4) completed a second scan. Third, ongoing data collection (n = 16; recruited for a separate study) helped evaluate AVP. Voxel placement accuracy was quantified as 3D geometric voxel overlap percentage between each subject's voxel and the template voxel. Reliability was quantified as 3D geometric voxel overlap percentage across subjects at each time point and within subjects who completed two scans.

Results: Results demonstrated that AVP was robust to 'extreme' head positions (97.5% - 97.9% overlap with the template voxel). AVP was significantly more accurate (baseline and follow-up: 96.2% ± 3.0% and 97.6% ± 1.4% overlap) than manual voxel placement (67.7% ± 22.8% overlap; ps<.05). AVP was reliable within- (97.9%) and between-subjects (94.2% and 97.2% overlap; baseline and follow-up; respectively). Finally, ongoing data collection indicates AVP is accurate (96.0%).

Conclusion: These pilot studies demonstrated that AVP was feasible, accurate, and reliable method for automated single voxel coregistration.

背景:单体素质子磁共振波谱(1H MRS)是一种研究体内神经化学的强大技术,但有一个经常被忽视的误差方差来源:扫描之间体素位置不一致。我们开发并评估了一种自动体素放置(AVP)程序,用于准确可靠的1H MRS体素处方。AVP是一套基于linux的程序,可促进自动化模板驱动的单体素共配准。方法:通过3项研究对左背外侧前额皮质单体素处方的AVP进行评价。首先,我们评估了AVP对扫描仪头线圈内受试者头部位置/角度的“极端”鲁棒性。其次,招募受试者(N = 13)并进行磁共振扫描。手动体素处方(n = 5)与AVP (n = 8)进行对比。AVP受试者子集(n = 4)完成了第二次扫描。第三,正在进行的数据收集(n = 16;参与另一项研究)有助于评估AVP。体素放置精度量化为每个受试者体素与模板体素之间的三维几何体素重叠百分比。可靠性被量化为在每个时间点和完成两次扫描的受试者之间的3D几何体素重叠百分比。结果:结果表明,AVP对“极端”头部位置(与模板体素重叠97.5% - 97.9%)具有鲁棒性。AVP的准确性(基线和随访:96.2%±3.0%和97.6%±1.4%重叠)明显高于手动体素放置(67.7%±22.8%重叠);结论:AVP是一种可行、准确、可靠的单体素自动配准方法。
{"title":"Automated Voxel Placement: A Linux-based Suite of Tools for Accurate and Reliable Single Voxel Coregistration.","authors":"Eric A Woodcock,&nbsp;Muzamil Arshad,&nbsp;Dalal Khatib,&nbsp;Jeffrey A Stanley","doi":"10.17756/jnpn.2018-020","DOIUrl":"https://doi.org/10.17756/jnpn.2018-020","url":null,"abstract":"<p><strong>Background: </strong>Single-voxel proton magnetic resonance spectroscopy (<sup>1</sup>H MRS) is a powerful technique for studying <i>in vivo</i> neurochemistry, but has an often-overlooked source of error variance: inconsistent voxel placement between scans. We developed and evaluated an Automated Voxel Placement (AVP) procedure for accurate and reliable <sup>1</sup>H MRS voxel prescription. AVP is a suite of Linux-based programs that facilitate automated template-driven single-voxel coregistration.</p><p><strong>Methods: </strong>Three studies were conducted to evaluate AVP for prescription of one voxel: left dorsolateral prefrontal cortex. First, we evaluated how robust AVP was to 'extreme' subject head positions/angulations within the scanner head coil. Second, subjects (N = 13) were recruited and underwent MR scans. Manual voxel prescription (n = 5) was contrasted with AVP (n = 8). A subset of AVP subjects (n = 4) completed a second scan. Third, ongoing data collection (n = 16; recruited for a separate study) helped evaluate AVP. Voxel placement accuracy was quantified as 3D geometric voxel overlap percentage between each subject's voxel and the template voxel. Reliability was quantified as 3D geometric voxel overlap percentage across subjects at each time point and within subjects who completed two scans.</p><p><strong>Results: </strong>Results demonstrated that AVP was robust to 'extreme' head positions (97.5% - 97.9% overlap with the template voxel). AVP was significantly more accurate (baseline and follow-up: 96.2% ± 3.0% and 97.6% ± 1.4% overlap) than manual voxel placement (67.7% ± 22.8% overlap; <i>p</i>s<.05). AVP was reliable within- (97.9%) and between-subjects (94.2% and 97.2% overlap; baseline and follow-up; respectively). Finally, ongoing data collection indicates AVP is accurate (96.0%).</p><p><strong>Conclusion: </strong>These pilot studies demonstrated that AVP was feasible, accurate, and reliable method for automated single voxel coregistration.</p>","PeriodicalId":91910,"journal":{"name":"Journal of neuroimaging in psychiatry & neurology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5998677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36230103","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: 10
N-of-1 Trial in Person with Pontine Stroke Receiving Repetitive Transcranial Magnetic Stimulation to Improve Hand Function 脑桥卒中患者接受重复经颅磁刺激以改善手部功能的N-of-1试验
Pub Date : 2017-10-12 DOI: 10.17756/JNPN.2017-017
Kate L. Frost, J. Carey, Thomas W. Broback, Nicole L. Carlson, Caitlin A. Daggett, Megan M. Dalbec, B. Mueller
Stroke characteristics vary widely between individuals making it difficult to assess the value of stroke rehabilitation interventions. To eliminate inter-subject variability, this study used an N-of-1 randomized, controlled design to explore the efficacy of repetitive transcranial magnetic stimulation (rTMS) in one unique individual with pontine stroke. We hypothesized that five days of active 6-Hz primed, low-frequency rTMS to the contralesional primary motor area (M1), combined with finger movement tracking training, would accomplish greater gains in hand function than sham rTMS combined with tracking training. We assessed hand function (Box and Block test and finger tracking test), cortical activation (laterality index during functional magnetic resonance imaging), and cortical excitability (interhemispheric inhibition testing (IHI) with transcranial magnetic stimulation (TMS)). Diffusion tensor imaging (DTI) assessed the integrity of his corticospinal tracts at baseline. Results showed no improvement in the Box and Block or finger tracking tests, unreliable IHI findings, and no change in laterality index following active rTMS. DTI suggested truncation of the left corticospinal tract (CST) at the pons. His non-dexterous hand movements combined with no elicitable motor evoked potentials with TMS to ipsilesional M1 and his DTI findings lead us to speculate a reticulospinal mechanism for preserving his rudimentary paretic hand control. We conclude that rTMS combined with tracking training was not effective in the absence of CST pathways and that research is needed to confirm markers of reticulospinal function in humans as an alternative to defective CST function.
个体间卒中特征差异很大,因此很难评估卒中康复干预措施的价值。为了消除受试者间的可变性,本研究采用N-of-1随机对照设计,探讨重复经颅磁刺激(rTMS)对一名独特的脑桥卒中患者的疗效。我们假设,对对照初级运动区(M1)进行为期5天的主动6hz启动低频rTMS,并结合手指运动跟踪训练,将比假rTMS结合跟踪训练获得更大的手部功能改善。我们评估了手功能(盒块测试和手指追踪测试)、皮质激活(功能性磁共振成像中的偏侧指数)和皮质兴奋性(经颅磁刺激(TMS)的半球间抑制测试(IHI)。弥散张量成像(DTI)在基线时评估其皮质脊髓束的完整性。结果显示,盒子和块或手指跟踪测试没有改善,不可靠的IHI结果,并且主动rTMS后侧度指数没有变化。DTI提示截断左脑桥皮质脊髓束(CST)。他的非灵巧手运动结合无诱发运动诱发电位与经颅磁刺激的同侧损伤M1和他的DTI发现使我们推测网状脊髓机制,以保持他的基本的麻痹手控制。我们的结论是,rTMS结合跟踪训练在CST通路缺失的情况下是无效的,需要研究来确认网状脊髓功能的标记物作为CST功能缺陷的替代方法。
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引用次数: 3
N-of-1 Trial in Person with Pontine Stroke Receiving Repetitive Transcranial Magnetic Stimulation to Improve Hand Function. 脑桥卒中患者接受重复经颅磁刺激以改善手部功能的N-of-1试验。
Pub Date : 2017-01-01 Epub Date: 2017-10-12
Kate L Frost, James R Carey, Thomas W Broback, Nicole L Carlson, Caitlin A Daggett, Megan M Dalbec, Bryon A Mueller

Stroke characteristics vary widely between individuals making it difficult to assess the value of stroke rehabilitation interventions. To eliminate inter-subject variability, this study used an N-of-1 randomized, controlled design to explore the efficacy of repetitive transcranial magnetic stimulation (rTMS) in one unique individual with pontine stroke. We hypothesized that five days of active 6-Hz primed, low-frequency rTMS to the contralesional primary motor area (M1), combined with finger movement tracking training, would accomplish greater gains in hand function than sham rTMS combined with tracking training. We assessed hand function (Box and Block test and finger tracking test), cortical activation (laterality index during functional magnetic resonance imaging), and cortical excitability (interhemispheric inhibition testing (IHI) with transcranial magnetic stimulation (TMS)). Diffusion tensor imaging (DTI) assessed the integrity of his corticospinal tracts at baseline. Results showed no improvement in the Box and Block or finger tracking tests, unreliable IHI findings, and no change in laterality index following active rTMS. DTI suggested truncation of the left corticospinal tract (CST) at the pons. His non-dexterous hand movements combined with no elicitable motor evoked potentials with TMS to ipsilesional M1 and his DTI findings lead us to speculate a reticulospinal mechanism for preserving his rudimentary paretic hand control. We conclude that rTMS combined with tracking training was not effective in the absence of CST pathways and that research is needed to confirm markers of reticulospinal function in humans as an alternative to defective CST function.

个体间卒中特征差异很大,因此很难评估卒中康复干预措施的价值。为了消除受试者间的可变性,本研究采用N-of-1随机对照设计,探讨重复经颅磁刺激(rTMS)对一名独特的脑桥卒中患者的疗效。我们假设,对对照初级运动区(M1)进行为期5天的主动6hz启动低频rTMS,并结合手指运动跟踪训练,将比假rTMS结合跟踪训练获得更大的手部功能改善。我们评估了手功能(盒块测试和手指追踪测试)、皮质激活(功能性磁共振成像中的偏侧指数)和皮质兴奋性(经颅磁刺激(TMS)的半球间抑制测试(IHI)。弥散张量成像(DTI)在基线时评估其皮质脊髓束的完整性。结果显示,盒子和块或手指跟踪测试没有改善,不可靠的IHI结果,并且主动rTMS后侧度指数没有变化。DTI提示截断左脑桥皮质脊髓束(CST)。他的非灵巧手运动结合无诱发运动诱发电位与经颅磁刺激的同侧损伤M1和他的DTI发现使我们推测网状脊髓机制,以保持他的基本的麻痹手控制。我们的结论是,rTMS结合跟踪训练在CST通路缺失的情况下是无效的,需要研究来确认网状脊髓功能的标记物作为CST功能缺陷的替代方法。
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引用次数: 0
Assessing the Effects of Software Platforms on Volumetric Segmentation of Glioblastoma. 评估软件平台对胶质母细胞瘤体积分割的影响
Pub Date : 2016-01-01 Epub Date: 2016-07-20 DOI: 10.17756/jnpn.2016-008
William D Dunn, Hugo J W L Aerts, Lee A Cooper, Chad A Holder, Scott N Hwang, Carle C Jaffe, Daniel J Brat, Rajan Jain, Adam E Flanders, Pascal O Zinn, Rivka R Colen, David A Gutman

Background: Radiological assessments of biologically relevant regions in glioblastoma have been associated with genotypic characteristics, implying a potential role in personalized medicine. Here, we assess the reproducibility and association with survival of two volumetric segmentation platforms and explore how methodology could impact subsequent interpretation and analysis.

Methods: Post-contrast T1- and T2-weighted FLAIR MR images of 67 TCGA patients were segmented into five distinct compartments (necrosis, contrast-enhancement, FLAIR, post contrast abnormal, and total abnormal tumor volumes) by two quantitative image segmentation platforms - 3D Slicer and a method based on Velocity AI and FSL. We investigated the internal consistency of each platform by correlation statistics, association with survival, and concordance with consensus neuroradiologist ratings using ordinal logistic regression.

Results: We found high correlations between the two platforms for FLAIR, post contrast abnormal, and total abnormal tumor volumes (spearman's r(67) = 0.952, 0.959, and 0.969 respectively). Only modest agreement was observed for necrosis and contrast-enhancement volumes (r(67) = 0.693 and 0.773 respectively), likely arising from differences in manual and automated segmentation methods of these regions by 3D Slicer and Velocity AI/FSL, respectively. Survival analysis based on AUC revealed significant predictive power of both platforms for the following volumes: contrast-enhancement, post contrast abnormal, and total abnormal tumor volumes. Finally, ordinal logistic regression demonstrated correspondence to manual ratings for several features.

Conclusion: Tumor volume measurements from both volumetric platforms produced highly concordant and reproducible estimates across platforms for general features. As automated or semi-automated volumetric measurements replace manual linear or area measurements, it will become increasingly important to keep in mind that measurement differences between segmentation platforms for more detailed features could influence downstream survival or radio genomic analyses.

背景:胶质母细胞瘤中生物相关区域的放射学评估与基因型特征有关,这意味着在个性化医疗中可能发挥作用。在此,我们评估了两种容积分割平台的可重复性以及与生存的关联性,并探讨了方法论如何影响后续的解释和分析:通过两个定量图像分割平台--3D Slicer 和基于 Velocity AI 和 FSL 的方法--将 67 名 TCGA 患者的对比后 T1 和 T2 加权 FLAIR MR 图像分割成五个不同的部分(坏死、对比增强、FLAIR、对比后异常和总异常肿瘤体积)。我们通过相关性统计、与存活率的关联性以及与神经放射科医生共识评级的一致性(使用序数逻辑回归)研究了每个平台的内部一致性:我们发现两个平台在 FLAIR、对比后异常和总异常肿瘤体积方面具有高度相关性(spearman's r(67) = 0.952、0.959 和 0.969)。坏死体积和对比度增强体积的一致性不高(r(67) = 0.693 和 0.773),可能是因为 3D Slicer 和 Velocity AI/FSL 对这些区域的手动和自动分割方法不同。基于 AUC 的生存分析表明,两个平台对以下肿瘤体积都有显著的预测能力:对比增强、对比后异常和总异常肿瘤体积。最后,序数逻辑回归显示,在一些特征方面与人工评分存在对应关系:结论:两种容积测量平台对肿瘤容积的测量结果高度一致,不同平台对一般特征的估计结果也具有很高的可重复性。随着自动或半自动肿瘤体积测量取代人工线性或面积测量,记住不同分割平台对更详细特征的测量差异可能会影响下游生存或放射基因组分析,这一点将变得越来越重要。
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引用次数: 0
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Journal of neuroimaging in psychiatry & neurology
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