Urgent challenges in quantification and interpretation of brain grey matter atrophy in individual MS patients using MRI

被引:43
|
作者
Amiri, Houshang [1 ]
de Sitter, Alexandra [1 ]
Bendfeldt, Kerstin [2 ]
Battaglini, Marco [3 ]
Wheeler-Kingshott, Claudia A. M. Gandini [4 ]
Calabrese, Massimiliano [5 ]
Geurts, Jeroen J. G. [6 ]
Rocca, Maria A. [7 ]
Sastre-Garriga, Jaume [8 ]
Enzinger, Christian [9 ,10 ]
de Stefano, Nicola [3 ]
Filippi, Massimo [7 ]
Rovira, Alex [11 ]
Barkhof, Frederik [1 ,12 ,13 ]
Vrenken, Hugo [1 ]
机构
[1] Vrije Univ Amsterdam, Med Ctr, Dept Radiol & Nucl Med, Amsterdam, Netherlands
[2] Med Image Anal Ctr MIAC AG Basel, Basel, Switzerland
[3] Univ Siena, Dept Med Surg & Neurosci, Siena, Italy
[4] UCL Inst Neurol, NMR Res Unit, Dept Neuroinflammat, Queen Sq MS Ctr, London, England
[5] Univ Verona, Multiple Sclerosis Ctr, Dept Neurosci Biomedicine & Movements, Neurol Sect, Verona, Italy
[6] Vrije Univ Amsterdam, Med Ctr, Anat & Neurosci, Amsterdam Neurosci, Amsterdam, Netherlands
[7] Univ Vita Salute San Raffaele, Neuroimaging Res Unit, Inst Expt Neurol, Div Neurosci,San Raffaele Sci Inst, Milan, Italy
[8] Univ Autonoma Barcelona, Serv Neurol Neuroimmunol, Multiple Sclerosis Ctr Catalonia Cemcat, Hosp Univ Vall dHebron, Barcelona, Spain
[9] Med Univ Graz, Dept Neurol, Graz, Austria
[10] Med Univ Graz, Div Neuroradiol Vasc & Intervent Radiol, Dept Radiol, Graz, Austria
[11] Univ Autonoma Barcelona, Unitat Ressonancia Magnet, Serv Radiol, Hosp Univ Vall dHebron, Barcelona, Spain
[12] UCL, Inst Neurol, London, England
[13] UCL, Inst Healthcare Engn, London, England
关键词
Multiple sclerosis; Brain atrophy; Grey matter; Magnetic resonance imaging; PROGRESSIVE MULTIPLE-SCLEROSIS; VOXEL-BASED MORPHOMETRY; DEEP GRAY-MATTER; CORTICAL THICKNESS MEASUREMENTS; SURFACE-BASED ANALYSIS; ABNORMAL WHITE-MATTER; REGIONAL GREY; IN-VIVO; HIPPOCAMPAL ATROPHY; T1-WEIGHTED IMAGES;
D O I
10.1016/j.nicl.2018.04.023
中图分类号
R445 [影像诊断学];
学科分类号
100207 ;
摘要
Atrophy of the brain grey matter (GM) is an accepted and important feature of multiple sclerosis (MS). However, its accurate measurement is hampered by various technical, pathological and physiological factors. As a consequence, it is challenging to investigate the role of GM atrophy in the disease process as well as the effect of treatments that aim to reduce neurodegeneration. In this paper we discuss the most important challenges currently hampering the measurement and interpretation of GM atrophy in MS. The focus is on measurements that are obtained in individual patients rather than on group analysis methods, because of their importance in clinical trials and ultimately in clinical care. We discuss the sources and possible solutions of the current challenges, and provide recommendations to achieve reliable measurement and interpretation of brain GM atrophy in MS.
引用
收藏
页码:466 / 475
页数:10
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