无约束定量磁化传递MRI对临床前阿尔茨海默病淀粉样蛋白负荷的敏感性。

Sensitivity of unconstrained quantitative magnetization transfer MRI to amyloid burden in preclinical Alzheimer's disease.

作者信息

Mao Andrew, Flassbeck Sebastian, Marchetto Elisa, Masurkar Arjun V, Rusinek Henry, Assländer Jakob

机构信息

Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States.

Center for Advanced Imaging Innovation and Research (CAI R), Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States.

出版信息

Imaging Neurosci (Camb). 2024 Nov 25;2. doi: 10.1162/imag_a_00367. eCollection 2024.

Abstract

Magnetization transfer MRI is sensitive to semisolid macromolecules, includingamyloid beta, and has previously been used to discriminate Alzheimer'sdisease (AD) patients from controls. Here, we fit an unconstrained 2-poolquantitative MT (qMT) model, that is, without constraints on the longitudinalrelaxation rate of semisolids, and investigate the sensitivity of the estimated parameters toamyloid accumulation in preclinical participants. We scanned 15 cognitivelynormal volunteers, of which 9 were amyloid positive by[F]florbetaben PET. A 12 min hybrid-state qMT scan with aneffective resolution of 1.24 mm isotropic and whole-brain coverage was acquiredto estimate the unconstrained 2-pool qMT parameters. Group comparisons andcorrelations with florbetaben PET standardized uptake value ratios were analyzedat the lobar level. We find that the exchange rate and semisolid pool's were sensitive to the amyloid concentration, while morphometric measures ofcortical thickness derived from structural MRI were not. Changes in the exchangerate are consistent with previous reports in clinical AD, while changes in have not been reported previously as its value is typically constrained in theliterature. Our results demonstrate that qMT MRI may be a promising surrogatemarker of amyloid beta without the need for contrast agents or radiotracers.

摘要

磁化传递磁共振成像(MRI)对包括β淀粉样蛋白在内的半固体大分子敏感,此前已被用于区分阿尔茨海默病(AD)患者和对照者。在此,我们拟合了一个无约束的双池定量MT(qMT)模型,即不对半固体的纵向弛豫率施加约束,并研究估计参数对临床前参与者淀粉样蛋白积累的敏感性。我们扫描了15名认知正常的志愿者,其中9名通过[F]氟代贝他班PET检测为淀粉样蛋白阳性。采集了一次12分钟的混合状态qMT扫描,各向同性有效分辨率为1.24毫米,覆盖全脑,以估计无约束的双池qMT参数。在脑叶水平分析了组间比较以及与氟代贝他班PET标准化摄取值比率的相关性。我们发现,交换率和半固体池的[此处原文可能缺失具体内容]对淀粉样蛋白浓度敏感,而源自结构MRI的皮质厚度形态测量指标则不敏感。交换率变化与临床AD的先前报道一致,而[此处原文可能缺失具体内容]的变化此前未被报道,因为其值在文献中通常受到约束。我们的结果表明,qMT MRI可能是一种有前景的无需造影剂或放射性示踪剂的β淀粉样蛋白替代标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c13/12315764/2b85172d3284/imag_a_00367_fig1.jpg

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