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- W2896824716 abstract "Pathological enlargement of perivascular spaces (ePVS) has historically been considered normal, though ePVS have recently been examined more carefully in the setting of Alzheimer's and cerebrovascular disease. We recently published a method to delimitate ePVS using multi-contrast MRI; however, retrospective datasets may not contain four weightings, and prospective datasets may find acquisition times infeasible. We report an ePVS segmentation method in T1 or T2-weighed MRI based on morphology to distinguish ePVS from features of similar intensity which has high reliability with respect to previously published and gold standard visual ratings. T1, T2, PD, and FLAIR MRI were acquired in two separate sessions from fourteen subjects. The published 4-sequence algorithm (mMAPS) was applied and three visual raters scored single slice sections. T1 and T2 were used for single sequence segmentation (MAPS). Inside a white matter (WM) mask, voxels were a) inverse frequency ranked (FRANK4) and b) mean difference scores (DIFF5) calculated (Figure 1). For T1, a voxel (with intensity i) was considered a possible ePVS if [FRANK4>0.95, DIFF5>.15*i]. For T2, [FRANK4<0.95, DIFF5<.15*i]. Each ≥5mm3 cluster was further subjected to morphological filtering on linearity and width; linearity was calculated as percent explained variance of the primary eigenvector of each cluster, width was calculated as the intersection of planes normal to that vector and the edges of each cluster. Graphic representation of the algorithm on a single ePVS in the superior frontal gyrus. There was a high correspondence between visual ePVS counts and mMAPS, T1, and T2 counts over all subjects; all methods were significantly correlated over repeated measurements in the single visually rated slice and over the whole brain (Figure 2). SNR and CNR of segmented ePVS using single sequence methods and all statistical results are available in Table 1. Results. Top left: SNR and CNR measurements Top right: method comparison of single slice averages chosen by visual raters. Bottom: within subject correlations. While consultation of several sequence weightings is preferred to ensure that a putative ePVS is isointense to CSF on all sequences, the single sequence automated method of segmentation, based largely on refined morphological constraints, is highly correlated to expert visual counts and previously published automated methods. This method may be applicable to large single sequence datasets such as ADNI, and would add valuable information regarding location and morphology of ePVS." @default.
- W2896824716 created "2018-10-26" @default.
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- W2896824716 date "2018-07-01" @default.
- W2896824716 modified "2023-10-12" @default.
- W2896824716 title "IC‐P‐168: ENLARGED PERIVASCULAR SPACE SEGMENTATION USING ENHANCED MORPHOLOGICAL ASSESSMENT ON SINGLE SEQUENCE MRI" @default.
- W2896824716 doi "https://doi.org/10.1016/j.jalz.2018.06.2235" @default.
- W2896824716 hasPublicationYear "2018" @default.
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