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磁共振成像纹理分析在阿尔茨海默病诊断与跟踪中的应用。

MR image texture analysis applied to the diagnosis and tracking of Alzheimer's disease.

作者信息

Freeborough P A, Fox N C

出版信息

IEEE Trans Med Imaging. 1998 Jun;17(3):475-9. doi: 10.1109/42.712137.

DOI:10.1109/42.712137
PMID:9735911
Abstract

We assess the value of magnetic resonance (MR) image texture in Alzheimer's disease (AD) both as a diagnostic marker and as a measure of progression. T1-weighted MR scans were acquired from 40 normal controls and 24 AD patients. These were split into a training set (20 controls, 10 AD) and a test set (20 controls, 14 AD). In addition, five control subjects and five AD patients were scanned repeatedly over several years. On each scan a texture feature vector was evaluated over the brain; this consisted of 260 measures derived from the spatial gray-level dependence method. A stepwise discriminant analysis was applied to the training set, to obtain a linear discriminant function. In the test set, this function yielded significantly different values for the control and AD groups (p < 10(-4)) with only small group overlap; a classification rate of 91% was obtained. For the repeatedly scanned control subjects, the median increment in the discriminant function between successive scans of 0.12 was not significantly different from zero (p > 0.05); for the repeatedly scanned AD patients the corresponding median increment of 1.4 was significantly different from zero (p < 0.05). MR image texture may be a useful aid in the diagnosis and tracking of Alzheimer's disease.

摘要

我们评估磁共振(MR)图像纹理在阿尔茨海默病(AD)中的价值,既作为一种诊断标志物,也作为疾病进展的一种衡量指标。对40名正常对照者和24名AD患者进行了T1加权MR扫描。这些被分为一个训练集(20名对照者,10名AD患者)和一个测试集(20名对照者,14名AD患者)。此外,对5名对照受试者和5名AD患者进行了数年的重复扫描。在每次扫描中,对大脑评估一个纹理特征向量;它由源自空间灰度依赖方法的260项测量值组成。对训练集应用逐步判别分析,以获得一个线性判别函数。在测试集中,该函数在对照组和AD组中产生了显著不同的值(p < 10^(-4)),且两组重叠很小;分类率为91%。对于重复扫描的对照受试者,连续扫描之间判别函数的中位数增量为0.12,与零无显著差异(p > 0.05);对于重复扫描的AD患者,相应的中位数增量为1.4,与零有显著差异(p < 0.05)。MR图像纹理可能有助于阿尔茨海默病的诊断和追踪。

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