Choroid plexus volume in multiple sclerosis can be estimated on structural MRI avoiding contrast injection

被引:5
作者
Visani, Valentina [1 ]
Pizzini, Francesca B. [2 ]
Natale, Valerio [3 ]
Tamanti, Agnese [4 ]
Anglani, Mariagiulia [5 ]
Bertoldo, Alessandra [1 ,6 ]
Calabrese, Massimiliano [4 ]
Castellaro, Marco [1 ]
机构
[1] Univ Padua, Dept Informat Engn, Padua, Italy
[2] Univ Verona, Dept Engn Innovat Med, Verona, Italy
[3] Univ Verona, Dept Diagnost & Publ Hlth, Verona, Italy
[4] Univ Verona, Dept Neurosci Biomed & Movement Sci, Verona, Italy
[5] Univ Hosp Padova, Neuroradiol Unit, Padua, Italy
[6] Univ Padua, Padova Neurosci Ctr, Padua, Italy
关键词
Choroid plexus; Gadolinium-based contrast media; Image segmentation; Magnetic resonance imaging; Multiple sclerosis; SEGMENTATION; ENLARGEMENT; INVOLVEMENT; ALZHEIMERS; RELEVANCE;
D O I
10.1186/s41747-024-00421-9
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
We compared choroid plexus (ChP) manual segmentation on non-contrast-enhanced (non-CE) sequences and reference standard CE T1- weighted (T1w) sequences in 61 multiple sclerosis patients prospectively included. ChP was separately segmented on T1w, T2-weighted (T2w) fluid-attenuated inversion-recovery (FLAIR), and CE-T1w sequences. Inter-rater variability assessed on 10 subjects showed high reproducibility between sequences measured by intraclass correlation coefficient (T1w 0.93, FLAIR 0.93, CE-T1w 0.99). CE-T1w showed higher signal-to-noise ratio and contrast-to-noise ratio (CE-T1w 23.77 and 18.49, T1w 13.73 and 7.44, FLAIR 13.09 and 10.77, respectively). Manual segmentation of ChP resulted 3.073 +/- 0.563 mL (mean +/- standard deviation) on T1w, 3.787 +/- 0.679 mL on FLAIR, and 2.984 +/- 0.506 mL on CE-T1w images, with an error of 28.02 +/- 19.02% for FLAIR and 3.52 +/- 12.61% for T1w. FLAIR overestimated ChP volume compared to CE-T1w (p < 0.001). The Dice similarity coefficient of CE-T1w versus T1w and FLAIR was 0.67 +/- 0.05 and 0.68 +/- 0.05, respectively. Spatial error distribution per slice was calculated after nonlinear coregistration to the standard MNI152 space and showed a heterogeneous profile along the ChP especially near the fornix and the hippocampus. Quantitative analyses suggest T1w as a surrogate of CE-T1w to estimate ChP volume.
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页数:10
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