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Published in: Brain Topography 1/2013

01-01-2013 | Brief Communication

A Short-Term Scan–Rescan Reliability Test Measuring Brain Tissue and Subcortical Hyperintensity Volumetrics Obtained Using the Lesion Explorer Structural MRI Processing Pipeline

Authors: Joel Ramirez, Christopher J. M. Scott, Sandra E. Black

Published in: Brain Topography | Issue 1/2013

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Abstract

Lesion Explorer (LE) is a reliable and comprehensive MRI-derived tissue segmentation and brain region parcellation processing pipeline for obtaining intracranial tissue and subcortical hyperintensity (SH) volumetrics. The processing pipeline segments: gray (GM) and white matter (WM); sulcal (sCSF) and ventricular cerebrospinal fluid (vCSF); periventricular (pvSH) and deep white subcortical hyperintensities (dwSH); and cystic fluid filled lacunar-like infarcts (Lacunar); into 26 regions of interest. A short-term scan–rescan reliability test was performed on 20 healthy volunteers: 10 older (mean = 77.7 years, SD = 11.1) and 10 younger (mean = 29.4 years, SD = 7.1). Each participant was scanned twice with an average interscan interval of 15.4 days (range: 29 min–50 days). Results suggest low technique-related error as indicated by excellent intraclass correlation coefficient (ICC) results, with ICCs above 0.90 (p < 0.05) for GM, WM, and CSF, in all 26 regions of interest (13 per hemisphere). Ventricular and lesion sub-type (pvSH, dwSH, and Lacunar) volumes also showed high scan–rescan reliability (dwSH = 0.9998, pvSH = 0.9998, Lacunar = 0.9859, p < 0.01). As indicated by the results of this short-term scan–rescan study, the LE structural MRI processing pipeline can be applied for longitudinal volumetric analyses with confidence
Literature
go back to reference Bastos Leite AJ, van Straaten EC, Scheltens P, Lycklama G, Barkhof F (2004) Thalamic lesions in vascular dementia: low sensitivity of fluid-attenuated inversion recovery (FLAIR) imaging. Stroke 35:415–419PubMedCrossRef Bastos Leite AJ, van Straaten EC, Scheltens P, Lycklama G, Barkhof F (2004) Thalamic lesions in vascular dementia: low sensitivity of fluid-attenuated inversion recovery (FLAIR) imaging. Stroke 35:415–419PubMedCrossRef
go back to reference Dade LA, Gao FQ, Kovacevic N, Roy P, Rockel C, O’Toole CM et al (2004) Semiautomatic brain region extraction: a method of parcellating brain regions from structural magnetic resonance images. Neuroimage 22:1492–1502PubMedCrossRef Dade LA, Gao FQ, Kovacevic N, Roy P, Rockel C, O’Toole CM et al (2004) Semiautomatic brain region extraction: a method of parcellating brain regions from structural magnetic resonance images. Neuroimage 22:1492–1502PubMedCrossRef
go back to reference De Groot JC, De Leeuw FE, Oudkerk M, Hofman A, Jolles J, Breteler MM (2001) Cerebral white matter lesions and subjective cognitive dysfunction: the Rotterdam scan study. Neurology 56:1539–1545PubMedCrossRef De Groot JC, De Leeuw FE, Oudkerk M, Hofman A, Jolles J, Breteler MM (2001) Cerebral white matter lesions and subjective cognitive dysfunction: the Rotterdam scan study. Neurology 56:1539–1545PubMedCrossRef
go back to reference Decarli C, Fletcher E, Ramey V, Harvey D, Jagust WJ (2005) Anatomical mapping of white matter hyperintensities (WMH): exploring the relationships between periventricular WMH, deep WMH, and total WMH burden. Stroke 36:50–55PubMedCrossRef Decarli C, Fletcher E, Ramey V, Harvey D, Jagust WJ (2005) Anatomical mapping of white matter hyperintensities (WMH): exploring the relationships between periventricular WMH, deep WMH, and total WMH burden. Stroke 36:50–55PubMedCrossRef
go back to reference Hachinski V, Iadecola C, Petersen RC, Breteler MM, Nyenhuis DL, Black SE et al (2006) National Institute of Neurological Disorders and Stroke-Canadian stroke network vascular cognitive impairment harmonization standards. Stroke 37:2220–2241PubMedCrossRef Hachinski V, Iadecola C, Petersen RC, Breteler MM, Nyenhuis DL, Black SE et al (2006) National Institute of Neurological Disorders and Stroke-Canadian stroke network vascular cognitive impairment harmonization standards. Stroke 37:2220–2241PubMedCrossRef
go back to reference Koga H, Takashima Y, Murakawa R, Uchino A, Yuzuriha T, Yao H (2009) Cognitive consequences of multiple lacunes and leukoaraiosis as vascular cognitive impairment in community-dwelling elderly individuals. J Stroke Cerebrovasc Dis 18:32–37PubMedCrossRef Koga H, Takashima Y, Murakawa R, Uchino A, Yuzuriha T, Yao H (2009) Cognitive consequences of multiple lacunes and leukoaraiosis as vascular cognitive impairment in community-dwelling elderly individuals. J Stroke Cerebrovasc Dis 18:32–37PubMedCrossRef
go back to reference Kovacevic N, Lobaugh NJ, Bronskill MJ, Levine B, Feinstein A, Black SE (2002) A robust method for extraction and automatic segmentation of brain images. Neuroimage 17:1087–1100PubMedCrossRef Kovacevic N, Lobaugh NJ, Bronskill MJ, Levine B, Feinstein A, Black SE (2002) A robust method for extraction and automatic segmentation of brain images. Neuroimage 17:1087–1100PubMedCrossRef
go back to reference Levy-Cooperman N, Ramirez J, Lobaugh NJ, Black SE (2008) Misclassified tissue volumes in Alzheimer disease patients with white matter hyperintensities: importance of lesion segmentation procedures for volumetric analysis. Stroke 39:1134–1141PubMedCrossRef Levy-Cooperman N, Ramirez J, Lobaugh NJ, Black SE (2008) Misclassified tissue volumes in Alzheimer disease patients with white matter hyperintensities: importance of lesion segmentation procedures for volumetric analysis. Stroke 39:1134–1141PubMedCrossRef
go back to reference Longstreth WT Jr, Manolio TA, Arnold A, Burke GL, Bryan N, Jungreis CA et al (1996) Clinical correlates of white matter findings on cranial magnetic resonance imaging of 3,301 elderly people. The cardiovascular health study. Stroke 27:1274–1282PubMedCrossRef Longstreth WT Jr, Manolio TA, Arnold A, Burke GL, Bryan N, Jungreis CA et al (1996) Clinical correlates of white matter findings on cranial magnetic resonance imaging of 3,301 elderly people. The cardiovascular health study. Stroke 27:1274–1282PubMedCrossRef
go back to reference Mungas D, Harvey D, Reed BR, Jagust WJ, Decarli C, Beckett L et al (2005) Longitudinal volumetric MRI change and rate of cognitive decline. Neurology 65:565–571PubMedCrossRef Mungas D, Harvey D, Reed BR, Jagust WJ, Decarli C, Beckett L et al (2005) Longitudinal volumetric MRI change and rate of cognitive decline. Neurology 65:565–571PubMedCrossRef
go back to reference Ramirez J, Gibson E, Quddus A, Lobaugh NJ, Feinstein A, Levine B et al (2011) Lesion explorer: a comprehensive segmentation and parcellation package to obtain regional volumetrics for subcortical hyperintensities and intracranial tissue. Neuroimage 54:963–973PubMedCrossRef Ramirez J, Gibson E, Quddus A, Lobaugh NJ, Feinstein A, Levine B et al (2011) Lesion explorer: a comprehensive segmentation and parcellation package to obtain regional volumetrics for subcortical hyperintensities and intracranial tissue. Neuroimage 54:963–973PubMedCrossRef
go back to reference Sachdev P, Wen W (2005) Should we distinguish between periventricular and deep white matter hyperintensities? Stroke 36:2342–2343PubMedCrossRef Sachdev P, Wen W (2005) Should we distinguish between periventricular and deep white matter hyperintensities? Stroke 36:2342–2343PubMedCrossRef
go back to reference Sachdev P, Wen W, Chen X, Brodaty H (2007) Progression of white matter hyperintensities in elderly individuals over 3 years. Neurology 68:214–222PubMedCrossRef Sachdev P, Wen W, Chen X, Brodaty H (2007) Progression of white matter hyperintensities in elderly individuals over 3 years. Neurology 68:214–222PubMedCrossRef
go back to reference Shrout PE, Fleiss JL (2008) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 86:420–428CrossRef Shrout PE, Fleiss JL (2008) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 86:420–428CrossRef
go back to reference Srikanth V, Beare R, Blizzard L, Phan T, Stapleton J, Chen J et al (2009) Cerebral white matter lesions, gait, and the risk of incident falls: a prospective population-based study. Stroke 40:175–180PubMedCrossRef Srikanth V, Beare R, Blizzard L, Phan T, Stapleton J, Chen J et al (2009) Cerebral white matter lesions, gait, and the risk of incident falls: a prospective population-based study. Stroke 40:175–180PubMedCrossRef
go back to reference van den Heuvel DM, Admiraal-Behloul F, Ten DV, Olofsen H, Bollen EL, Murray HM et al (2004) Different progression rates for deep white matter hyperintensities in elderly men and women. Neurology 63:1699–1701PubMedCrossRef van den Heuvel DM, Admiraal-Behloul F, Ten DV, Olofsen H, Bollen EL, Murray HM et al (2004) Different progression rates for deep white matter hyperintensities in elderly men and women. Neurology 63:1699–1701PubMedCrossRef
go back to reference van den Heuvel DM, Ten DV, de Craen AJ, Admiraal-Behloul F, Olofsen H, Bollen EL et al (2006) Increase in periventricular white matter hyperintensities parallels decline in mental processing speed in a non-demented elderly population. J Neurol Neurosurg Psychiatry 77:149–153PubMedCrossRef van den Heuvel DM, Ten DV, de Craen AJ, Admiraal-Behloul F, Olofsen H, Bollen EL et al (2006) Increase in periventricular white matter hyperintensities parallels decline in mental processing speed in a non-demented elderly population. J Neurol Neurosurg Psychiatry 77:149–153PubMedCrossRef
go back to reference Vermeer SE, Hollander M, van Dijk EJ, Hofman A, Koudstaal PJ, Breteler MM (2003) Silent brain infarcts and white matter lesions increase stroke risk in the general population: the Rotterdam scan study. Stroke 34:1126–1129PubMedCrossRef Vermeer SE, Hollander M, van Dijk EJ, Hofman A, Koudstaal PJ, Breteler MM (2003) Silent brain infarcts and white matter lesions increase stroke risk in the general population: the Rotterdam scan study. Stroke 34:1126–1129PubMedCrossRef
Metadata
Title
A Short-Term Scan–Rescan Reliability Test Measuring Brain Tissue and Subcortical Hyperintensity Volumetrics Obtained Using the Lesion Explorer Structural MRI Processing Pipeline
Authors
Joel Ramirez
Christopher J. M. Scott
Sandra E. Black
Publication date
01-01-2013
Publisher
Springer US
Published in
Brain Topography / Issue 1/2013
Print ISSN: 0896-0267
Electronic ISSN: 1573-6792
DOI
https://doi.org/10.1007/s10548-012-0228-z

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