Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, United Kingdom.
Centre for the Developing Brain, Department of Perinatal Imaging and Health, St. Thomas' Hospital, King's College London, London, United Kingdom.
Hum Brain Mapp. 2019 May;40(7):2104-2116. doi: 10.1002/hbm.24510. Epub 2019 Jan 15.
Quantitative magnetic resonance imaging (MRI) techniques have been developed as imaging biomarkers, aiming to improve the specificity of MRI to underlying pathology compared to conventional weighted MRI. For assessing the integrity of white matter (WM), myelin, in particular, several techniques have been proposed and investigated individually. However, comparisons between these methods are lacking. In this study, we compared four established myelin-sensitive MRI techniques in 56 patients with relapsing-remitting multiple sclerosis (MS) and 38 healthy controls. We used T2-relaxation with combined GRadient And Spin Echoes (GRASE) to measure myelin water fraction (MWF-G), multi-component driven equilibrium single pulse observation of T and T (mcDESPOT) to measure MWF-D, magnetization-transfer imaging to measure magnetization-transfer ratio (MTR), and T relaxation to measure quantitative T (qT ). Using voxelwise Spearman correlations, we tested the correspondence of methods throughout the brain. All four methods showed associations that varied across tissue types; the highest correlations were found between MWF-D and qT (median ρ across tissue classes 0.8) and MWF-G and MWF-D (median ρ = 0.59). In eight WM tracts, all measures showed differences (p < 0.05) between MS normal-appearing WM and healthy control WM, with qT1 showing the highest number of different regions (8), followed by MWF-D and MTR (6), and MWF-G (n = 4). Comparing the methods in terms of their statistical sensitivity to MS lesions in WM, MWF-D demonstrated the best accuracy (p < 0.05, after multiple comparison correction). To aid future power analysis, we provide the average and standard deviation volumes of the four techniques, estimated from the healthy control sample.
定量磁共振成像(MRI)技术已被开发为成像生物标志物,旨在提高 MRI 对潜在病理的特异性,与传统的加权 MRI 相比。为了评估白质(WM)的完整性,特别是髓鞘,已经提出并单独研究了几种技术。然而,这些方法之间缺乏比较。在这项研究中,我们在 56 例复发缓解型多发性硬化症(MS)患者和 38 名健康对照者中比较了四种已建立的髓鞘敏感 MRI 技术。我们使用 T2 弛豫与组合梯度和自旋回波(GRASE)来测量髓鞘水分数(MWF-G),多分量驱动平衡单脉冲观察 T 和 T(mcDESPOT)来测量 MWF-D,磁化传递成像来测量磁化传递比(MTR),以及 T 弛豫来测量定量 T(qT)。使用体素间 Spearman 相关,我们测试了整个大脑中方法的对应关系。所有四种方法都显示了不同组织类型之间的关联;MWF-D 和 qT 之间的相关性最高(组织类型中位数ρ为 0.8),MWF-G 和 MWF-D 之间的相关性最高(中位数ρ为 0.59)。在 8 个 WM 束中,所有测量值在 MS 正常表现 WM 和健康对照 WM 之间均存在差异(p<0.05),qT1 显示的不同区域最多(8 个),其次是 MWF-D 和 MTR(6 个),以及 MWF-G(n=4)。在比较方法在 WM 中对 MS 病变的统计敏感性方面,MWF-D 表现出最佳的准确性(p<0.05,经多次比较校正)。为了帮助未来的功率分析,我们从健康对照组样本中提供了四种技术的平均和标准偏差体积。
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