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Research ArticleBrain
Open Access

Automatic Voxel-Based Morphometry of Structural MRI by SPM8 plus Diffeomorphic Anatomic Registration Through Exponentiated Lie Algebra Improves the Diagnosis of Probable Alzheimer Disease

H. Matsuda, S. Mizumura, K. Nemoto, F. Yamashita, E. Imabayashi, N. Sato and T. Asada
American Journal of Neuroradiology June 2012, 33 (6) 1109-1114; DOI: https://doi.org/10.3174/ajnr.A2935
H. Matsuda
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S. Mizumura
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K. Nemoto
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F. Yamashita
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E. Imabayashi
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N. Sato
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T. Asada
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    Fig 1.

    Group comparison of gray matter volume by SPM8 plus DARTEL and SPM2 between 30 patients with very mild AD and 40 healthy age-matched volunteers. The SPM8 plus DARTEL analysis demonstrates significant decline of gray matter volume in the bilateral medial temporal structures both with and without global normalization in patients with very mild AD. The cluster shape is very close to the anatomic configuration of the medial temporal structures involving the entorhinal cortex, amygdala, and hippocampal formation from head to tail. Although the SPM 2 analysis demonstrates a significant decline of gray matter volume in the bilateral medial temporal structures, the cluster is confined to the anterior parts of the medial temporal structures.

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    Fig 2.

    Cross-sectional VBM study by using SPM8 plus DARTEL. A, MR image of a 52-year-old woman with an MMSE score of 27. One year later the MMSE score declined to 19. B, SPM8 plus DARTEL analysis with global normalization reveals a significant decrease of gray matter volume in the right entorhinal area. Colored areas with z scores of >2 are overlaid as significantly atrophied regions on tomographic sections and cortical surface of the standardized MRI template. A target VOI in the medial temporal structures is demarcated with purple lines. The right temporoparietal cortex also shows extensive significant atrophy.

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    Fig 3.

    Longitudinal VBM studies by using SPM8 plus DARTEL. A 63-year-old woman with an MMSE score of 27 at the first visit was followed up for 6 years. One year later, the MMSE score decreased to 20 and gradually decreased thereafter. VBM analysis with global normalization reveals significant atrophy in the bilateral medial temporal areas even at the time of the initial study. Then the z score in a target VOI increased step by step with time. In contrast, analysis without global normalization does not demonstrate significant atrophy in the medial temporal areas for the first 3 years. Severity scores as an indicator for characterizing atrophy in the medial temporal structures are shown.

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    Table 1:

    Values of 4 indicators for characterizing atrophya

    GroupGlobal NormalizationSPM8 plus DARTELSPM2
    Target VOIWhole-Brain Extent (%)Target VOIWhole-Brain Extent (%)
    SeverityExtent (%)RatioSeverityExtent (%)Ratio
    Healthy controls−0.7 ± 0.54.4 ± 9.80.8 ± 1.52.5 ± 4.7NANANANA
    +0.7 ± 0.32.0 ± 4.91.3 ± 2.81.4 ± 0.90.5 ± 0.31.8 ± 7.30.5 ± 1.82.6± 3.1
    Very mild AD−1.8 ± 0.9b39.0 ± 35.5b9.9 ± 8.9b5.4 ± 7.6bNANANANA
    +2.2 ± 0.9b49.2 ± 30.2b12.9 ± 7.8b4.1 ± 2.5b1.6 ± 1.0b30.8 ± 32.1b6.7 ± 7.8b5.4 ± 3.7b
    Mild AD−2.2 ± 0.7b53.7 ± 29.8b12.8 ± 8.8b5.5 ± 5.1bNANANANA
    +2.7 ± 0.8b63.7 ± 25.8b15.4 ± 7.8b4.3 ± 1.9b2.1 ± 1.1b42.0 ± 32.3b9.6 ± 9.2b5.4 ± 3.0b
    Moderate-to-advanced AD−2.8 ± 1.0b,c,d72.2 ± 26.5b,c,d8.4 ± 7.2b15.1 ± 14.0b,c,dNANANANA
    +3.0 ± 1.0b,c68.7 ± 24.1b,c11.7 ± 6.7b,d7.1 ± 3.7b,c,d2.6 ± 1.4b,c56.3 ± 33.2b,c7.6 ± 6.2b9.0 ± 5.0b,c,d
    • Note:—NA indicates not applicable; +, presence; −, absence.

    • ↵a Tukey honest significance test in each condition of global normalization.

    • ↵b P < .001 versus healthy controls.

    • ↵c P < .001 versus very mild AD group.

    • ↵d P < .001 versus mild AD group.

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    Table 2:

    Values of 4 indicators in early- and late-onset subgroups in very mild AD

    Global NormalizationOnsetSPM8 plus DARTELSPM2
    Target VOIWhole-Brain Extent (%)Target VOIWhole-Brain Extent (%)
    SeverityExtent (%)RatioSeverityExtent (%)Ratio
    −Early1.5 ± 0.725.3 ± 31.13.8 ± 3.85.1 ± 4.9NANANANA
    −Late1.9 ± 0.943.8 ± 35.65.9 ± 8.411.6 ± 9.5NANANANA
    +Early1.9 ± 0.737.4 ± 26.29.5 ± 6.04.1 ± 1.71.4 ± 1.024.4 ± 34.64.7 ± 5.53.8 ± 2.4
    +Late2.3 ± 0.953.6 ± 30.714.1 ± 8.14.1 ± 2.71.7 ± 1.033.2 ± 31.27.5 ± 8.56.0 ± 3.9
    • Note:—NA indicates not applicable; +, presence; −, absence.

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American Journal of Neuroradiology: 33 (6)
American Journal of Neuroradiology
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H. Matsuda, S. Mizumura, K. Nemoto, F. Yamashita, E. Imabayashi, N. Sato, T. Asada
Automatic Voxel-Based Morphometry of Structural MRI by SPM8 plus Diffeomorphic Anatomic Registration Through Exponentiated Lie Algebra Improves the Diagnosis of Probable Alzheimer Disease
American Journal of Neuroradiology Jun 2012, 33 (6) 1109-1114; DOI: 10.3174/ajnr.A2935

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Automatic Voxel-Based Morphometry of Structural MRI by SPM8 plus Diffeomorphic Anatomic Registration Through Exponentiated Lie Algebra Improves the Diagnosis of Probable Alzheimer Disease
H. Matsuda, S. Mizumura, K. Nemoto, F. Yamashita, E. Imabayashi, N. Sato, T. Asada
American Journal of Neuroradiology Jun 2012, 33 (6) 1109-1114; DOI: 10.3174/ajnr.A2935
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