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J Magn Reson Imaging. 2019 Dec;50(6):1834-1842. doi: 10.1002/jmri.26744. Epub 2019 Apr 10.

3D quantitative synthetic MRI-derived cortical thickness and subcortical brain volumes: Scan-rescan repeatability and comparison with conventional T1 -weighted images.

Author information

1
Department of Radiology, Juntendo University Hospital, Tokyo, Japan.
2
Department of Radiology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
3
SyntheticMR AB, Sweden.
4
Center for Medical Imaging Science and Visualization (CMIV), Sweden.
5
School of Allied Health Sciences, Kitasato University, Kanagawa, Japan.
6
Department of Radiological Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.

Abstract

BACKGROUND:

Previous quantitative synthetic MRI of the brain has been solely performed in 2D.

PURPOSE:

To evaluate the feasibility of the recently developed sequence 3D-QALAS for brain cortical thickness and volumetric analysis.

STUDY TYPE:

Reproducibility/repeatability study.

SUBJECTS:

Twenty-one healthy volunteers (35.6 ± 13.8 years).

FIELD STRENGTH/SEQUENCE:

3D T1 -weighted fast spoiled gradient recalled echo (FSPGR) sequence was performed once, and 3D-QALAS sequence was performed twice with a 3T scanner.

ASSESSMENT:

FreeSurfer and FIRST were used to measure cortical thickness and volume of subcortical structures, respectively. Agreement with FSPGR and scan-rescan repeatability were evaluated for 3D-QALAS.

STATISTICAL TESTS:

Percent relative difference and intraclass correlation coefficient (ICC) were used to assess reproducibility and scan-rescan repeatability of the 3D-QALAS sequence-derived measurements.

RESULTS:

Percent relative difference compared with FSPGR in cortical thickness of the whole cortex was 3.1%, and 89% of the regional areas showed less than 10% relative difference in cortical thickness. The mean ICC across all regions was 0.65, and 74% of the structures showed substantial to almost perfect agreement. For volumes of subcortical structures, the median percent relative differences were lower than 10% across all subcortical structures, except for the accumbens area, and all structures showed ICCs of substantial to almost perfect agreement. For the scan-rescan test, percent relative difference in cortical thickness of the whole cortex was 2.3%, and 97% of the regional areas showed less than 10% relative difference in cortical thickness. The mean ICC across all regions was 0.73, and 80% showed substantial to almost perfect agreement. For volumes of subcortical structures, relative differences were less than 10% across all subcortical structures except for the accumbens area, and all structures showed ICCs of substantial to almost perfect agreement.

DATA CONCLUSION:

3D-QALAS could be reliably used for measuring cortical thickness and subcortical volumes in most brain regions.

LEVEL OF EVIDENCE:

3 Technical Efficacy: Stage 1 J. Magn. Reson. Imaging 2019;50:1834-1842.

PMID:
30968991
DOI:
10.1002/jmri.26744

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