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弥散张量成像纤维束追踪技术与自动分割约束球谐反卷积在创伤性脑损伤中的对比研究。

A comparison of diffusion tensor imaging tractography and constrained spherical deconvolution with automatic segmentation in traumatic brain injury.

机构信息

Turku Brain Injury Center, Department of Clinical Neurosciences, University of Turku and Turku University Hospital, Hämeentie 11, Turku FI-20521, Finland; Department of Radiology, University of Turku and Turku University Hospital, Hämeentie 11, Turku FI-20521, Finland.

Turku Brain Injury Center, Department of Clinical Neurosciences, University of Turku and Turku University Hospital, Hämeentie 11, Turku FI-20521, Finland.

出版信息

Neuroimage Clin. 2023;37:103284. doi: 10.1016/j.nicl.2022.103284. Epub 2022 Dec 6.

Abstract

Detection of microstructural white matter injury in traumatic brain injury (TBI) requires specialised imaging methods, of which diffusion tensor imaging (DTI) has been extensively studied. Newer fibre alignment estimation methods, such as constrained spherical deconvolution (CSD), are better than DTI in resolving crossing fibres that are ubiquitous in the brain and may improve the ability to detect microstructural injuries. Furthermore, automatic tract segmentation has the potential to improve tractography reliability and accelerate workflow compared to the manual segmentation commonly used. In this study, we compared the results of deterministic DTI based tractography and manual tract segmentation with CSD based probabilistic tractography and automatic tract segmentation using TractSeg. 37 participants with a history of TBI (with Glasgow Coma Scale 13-15) and persistent symptoms, and 41 healthy controls underwent deterministic DTI-based tractography with manual tract segmentation and probabilistic CSD-based tractography with TractSeg automatic segmentation.Fractional anisotropy (FA) and mean diffusivity of corpus callosum and three bilateral association tracts were measured. FA and MD values derived from both tractography methods were generally moderately to strongly correlated. CSD with TractSeg differentiated the groups based on FA, while DTI did not. CSD and TractSeg-based tractography may be more sensitive in detecting microstructural changes associated with TBI than deterministic DTI tractography. Additionally, CSD with TractSeg was found to be applicable at lower b-value and number of diffusion-encoding gradients data than previously reported.

摘要

检测创伤性脑损伤(TBI)的微观结构白质损伤需要专门的成像方法,其中扩散张量成像(DTI)已得到广泛研究。新的纤维排列估计方法,如约束球分解(CSD),在解决大脑中普遍存在的交叉纤维方面比 DTI 更好,并且可能提高检测微观结构损伤的能力。此外,与常用的手动分割相比,自动束分割有可能提高束追踪的可靠性并加速工作流程。在这项研究中,我们比较了基于确定性 DTI 的束追踪和手动束分割的结果,以及基于 CSD 的概率性束追踪和使用 TractSeg 的自动束分割的结果。37 名有 TBI 病史(格拉斯哥昏迷量表 13-15)和持续症状的参与者和 41 名健康对照者接受了基于确定性 DTI 的束追踪和手动束分割以及基于 CSD 的概率性束追踪和 TractSeg 自动分割。测量了胼胝体和三个双侧联合束的各向异性分数(FA)和平均扩散系数。两种束追踪方法得出的 FA 和 MD 值通常具有中度到高度相关性。基于 CSD 和 TractSeg 的束追踪可以基于 FA 区分组,而 DTI 则不能。与确定性 DTI 束追踪相比,CSD 和 TractSeg 基于的束追踪可能更敏感地检测与 TBI 相关的微观结构变化。此外,与之前报道的相比,CSD 和 TractSeg 在较低的 b 值和扩散编码梯度数据数量下也适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd65/9758569/f55a18ec4aa1/gr1.jpg

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