Santin M D, Didier M, Valabrègue R, Yahia Cherif L, García-Lorenzo D, Loureiro de Sousa P, Bardinet E, Lehéricy S
CENIR, Centre de NeuroImagerie de Recherche, Paris, France.
ICM, Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, UPMC Université Paris 06 UMR S 1127, Institut du Cerveau et de la Moelle épinière, Paris, France.
NMR Biomed. 2017 Apr;30(4). doi: 10.1002/nbm.3491. Epub 2016 Feb 23.
The basal ganglia are key structures for motor, cognitive and behavioral functions. They undergo several changes with aging and disease, such as Parkinson's or Huntington's disease, for example. Iron accumulation in basal ganglia is often related to these diseases, which is conventionally monitored by the transverse relaxation rate (R *). Quantitative susceptibility mapping (QSM) is a novel contrast mechanism in MRI produced by adding information taken from the phase of the MR signal to its magnitude. It has been shown to be more sensitive to subtle changes in Parkinson's disease. In order to be applied widely to various pathologies, its reproducibility must be evaluated in order to assess intra-subject variability and to disseminate into clinical and pharmaceutical studies. In this work, we studied the reproducibility and sensitivity of several QSM techniques. Fourteen subjects were scanned four times, and QSM and R * images were reconstructed and registered. An atlas of the basal ganglia was used to automatically define regions of interest. We found that QSM measurements are indeed reproducible in the basal ganglia of healthy subjects and can be widely used as a replacement for R * mapping in iron-rich regions. This reproducibility study could lead to several lines of research in relaxometry and susceptibility measurements, in vivo iron load evaluation as well as pharmacological assessment and biomarker development. Copyright © 2016 John Wiley & Sons, Ltd.
基底神经节是运动、认知和行为功能的关键结构。随着衰老和疾病(如帕金森病或亨廷顿病)的发展,它们会发生多种变化。基底神经节中的铁积累通常与这些疾病相关,传统上通过横向弛豫率(R*)进行监测。定量磁化率成像(QSM)是磁共振成像(MRI)中的一种新型对比机制,它通过将从磁共振信号相位获取的信息添加到其幅度中产生。研究表明,它对帕金森病的细微变化更为敏感。为了广泛应用于各种病理学研究,必须评估其可重复性,以评估个体内变异性,并推广到临床和药物研究中。在这项工作中,我们研究了几种QSM技术的可重复性和敏感性。对14名受试者进行了4次扫描,并重建和配准了QSM和R图像。使用基底神经节图谱自动定义感兴趣区域。我们发现,QSM测量在健康受试者的基底神经节中确实具有可重复性,并且可以广泛用作富铁区域R映射的替代方法。这项可重复性研究可能会在弛豫测量和磁化率测量、体内铁负荷评估以及药理学评估和生物标志物开发等多个研究领域展开。版权所有© 2016约翰威立父子有限公司。