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Automated structural imaging analysis detects premanifest Huntington’s disease neurodegeneration within one year

Identifieur interne : 003133 ( Ncbi/Curation ); précédent : 003132; suivant : 003134

Automated structural imaging analysis detects premanifest Huntington’s disease neurodegeneration within one year

Auteurs : D. S. Adnan Majid [États-Unis] ; Diederick Stoffers [Pays-Bas] ; Sarah Sheldon [États-Unis] ; Samar Hamza [États-Unis] ; Wesley K. Thompson [États-Unis] ; Jody Goldstein [États-Unis] ; Jody Corey-Bloom [États-Unis] ; Adam R. Aron [États-Unis]

Source :

RBID : PMC:3136652

English descriptors

Abstract

Background

Intense efforts are underway to evaluate neuroimaging measures as biomarkers for neurodegeneration in premanifest Huntington’s disease (preHD). We used a completely automated longitudinal analysis method to compare structural scans in preHD and controls.

Methods

Using a one-year longitudinal design, we analyzedT1-weighted structural scans in 35 preHD individuals and 22 age-matched controls. We used the SIENA software tool (Structural Image Evaluation, using Normalization, of Atrophy) to yield overall Percentage Brain Volume Change (PBVC) and voxel-level changes in atrophy. We calculated sample sizes for a hypothetical disease modifying (neuroprotection) study.

Results

We found significantly greater yearly atrophy in preHD vs. controls (Mean PBVC controls = −0.149%; preHD = −0.388%; p=.031, Cohen’s d=.617). For a preHD subgroup closest to disease onset, yearly atrophy was over three times that of controls (Mean PBVC close-to-onset preHD = −0.510%; p=.019, Cohen’s d=.920). This atrophy was evident at the voxel level in periventricular regions – consistent with well-established preHD basal ganglia atrophy. We estimated that a neuroprotection study using SIENA would only need 74close-to-onset individuals in each arm (treatment vs. placebo) to detect a 50% slowing in yearly atrophy with80% power.

Conclusions

Automated whole-brain analysis of structural MRI can reliably detect preHD disease progression over one year. These results were attained with a readily available imaging analysis tool – SIENA – which is observer-independent, automated, and robust with respect to image quality, slice thickness, and different pulse sequences. This MRI biomarker approach could be used to evaluate neuroprotection in preHD.


Url:
DOI: 10.1002/mds.23656
PubMed: 21484871
PubMed Central: 3136652

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PMC:3136652

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<sec id="S1">
<title>Background</title>
<p id="P1">Intense efforts are underway to evaluate neuroimaging measures as biomarkers for neurodegeneration in premanifest Huntington’s disease (preHD). We used a completely automated longitudinal analysis method to compare structural scans in preHD and controls.</p>
</sec>
<sec sec-type="methods" id="S2">
<title>Methods</title>
<p id="P2">Using a one-year longitudinal design, we analyzedT
<sub>1</sub>
-weighted structural scans in 35 preHD individuals and 22 age-matched controls. We used the SIENA software tool (Structural Image Evaluation, using Normalization, of Atrophy) to yield overall Percentage Brain Volume Change (PBVC) and voxel-level changes in atrophy. We calculated sample sizes for a hypothetical disease modifying (neuroprotection) study.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">We found significantly greater yearly atrophy in preHD vs. controls (Mean PBVC controls = −0.149%; preHD = −0.388%; p=.031, Cohen’s d=.617). For a preHD subgroup closest to disease onset, yearly atrophy was over three times that of controls (Mean PBVC close-to-onset preHD = −0.510%; p=.019, Cohen’s d=.920). This atrophy was evident at the voxel level in periventricular regions – consistent with well-established preHD basal ganglia atrophy. We estimated that a neuroprotection study using SIENA would only need 74close-to-onset individuals in each arm (treatment vs. placebo) to detect a 50% slowing in yearly atrophy with80% power.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Automated whole-brain analysis of structural MRI can reliably detect preHD disease progression over one year. These results were attained with a readily available imaging analysis tool – SIENA – which is observer-independent, automated, and robust with respect to image quality, slice thickness, and different pulse sequences. This MRI biomarker approach could be used to evaluate neuroprotection in preHD.</p>
</sec>
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</front>
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