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一种用于检测帕金森病患者黑质附近弛豫参数和游离水含量微小变化的稳健方法。

A robust method for the detection of small changes in relaxation parameters and free water content in the vicinity of the substantia nigra in Parkinson's disease patients.

机构信息

Institute of Neuroscience and Medicine 4 (INM-4), Forschungszentrum Jülich GmbH, Jülich, Germany.

Department of Nuclear Medicine and PET Center, Aarhus University, Aarhus, Denmark.

出版信息

PLoS One. 2021 Feb 24;16(2):e0247552. doi: 10.1371/journal.pone.0247552. eCollection 2021.

Abstract

Alterations in the substantia nigra are strongly associated with Parkinson's disease. However, due to low contrast and partial volume effects present in typical MRI images, the substantia nigra is not of sufficient size to obtain a reliable segmentation for region-of-interest based analysis. To combat this problem, the approach proposed here offers a method to investigate and reveal changes in quantitative MRI parameters in the vicinity of substantia nigra without any a priori delineation. This approach uses an alternative method of statistical, voxel-based analysis of quantitative maps and was tested on 18 patients and 15 healthy controls using a well-established, quantitative free water mapping protocol. It was possible to reveal the topology and the location of pathological changes in the substantia nigra and its vicinity. Moreover, a decrease in free water content, T1 and T2* in the vicinity of substantia nigra was indicated in the Parkinson's disease patients compared to the healthy controls. These findings reflect a disruption of grey matter and iron accumulation, which is known to lead to neurodegeneration. Consequently, the proposed method demonstrates an increased sensitivity for the detection of pathological changes-even in small regions-and can facilitate disease monitoring via quantitative MR parameters.

摘要

黑质的改变与帕金森病密切相关。然而,由于典型 MRI 图像中存在低对比度和部分容积效应,黑质的大小不足以进行基于感兴趣区域的可靠分割。为了解决这个问题,这里提出的方法提供了一种无需先验描绘即可研究和揭示黑质附近定量 MRI 参数变化的方法。该方法使用了一种替代的统计、体素基定量图分析方法,并使用成熟的定量游离水映射方案在 18 名患者和 15 名健康对照者中进行了测试。能够揭示黑质及其附近的拓扑和病理变化位置。此外,与健康对照组相比,帕金森病患者黑质附近的游离水含量、T1 和 T2* 降低。这些发现反映了灰质的破坏和铁的积累,这已知会导致神经退行性变。因此,所提出的方法在检测病理变化方面具有更高的敏感性,甚至在小区域也如此,并且可以通过定量 MR 参数来促进疾病监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db8/7904163/921477ff7a0d/pone.0247552.g001.jpg

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