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Research ArticleAdult Brain
Open Access

Effect of Gadolinium on the Estimation of Myelin and Brain Tissue Volumes Based on Quantitative Synthetic MRI

T. Maekawa, A. Hagiwara, M. Hori, C. Andica, T. Haruyama, M. Kuramochi, M. Nakazawa, S. Koshino, R. Irie, K. Kamagata, A. Wada, O. Abe and S. Aoki
American Journal of Neuroradiology February 2019, 40 (2) 231-237; DOI: https://doi.org/10.3174/ajnr.A5921
T. Maekawa
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
bDepartment of Radiology (T.M., A.H., S.K., R.I., O.A.), Graduate School of Medicine and Faculty of Medicine, University of Tokyo, Tokyo, Japan
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A. Hagiwara
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
bDepartment of Radiology (T.M., A.H., S.K., R.I., O.A.), Graduate School of Medicine and Faculty of Medicine, University of Tokyo, Tokyo, Japan
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M. Hori
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
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C. Andica
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
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T. Haruyama
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
cDepartment of Radiological Sciences (T.H., M.K.), Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.
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M. Kuramochi
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
cDepartment of Radiological Sciences (T.H., M.K.), Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.
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M. Nakazawa
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
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S. Koshino
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
bDepartment of Radiology (T.M., A.H., S.K., R.I., O.A.), Graduate School of Medicine and Faculty of Medicine, University of Tokyo, Tokyo, Japan
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R. Irie
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
bDepartment of Radiology (T.M., A.H., S.K., R.I., O.A.), Graduate School of Medicine and Faculty of Medicine, University of Tokyo, Tokyo, Japan
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K. Kamagata
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
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A. Wada
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
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O. Abe
bDepartment of Radiology (T.M., A.H., S.K., R.I., O.A.), Graduate School of Medicine and Faculty of Medicine, University of Tokyo, Tokyo, Japan
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S. Aoki
aFrom the Department of Radiology (T.M., A.H., M.H., C.A., T.H., M.K., M.N., S.K., R.I., K.K., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan
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    Fig 1.

    Typical images of a patient without brain metastases derived via automatic segmentation software. A, WM segmentation overlaid on a T2-weighted image, in which the intensity of the light-pink color overlay corresponds to the calculated WM partial volume per voxel. The red line indicates the intracranial volume. Similar images are shown for GM in green (B), CSF in blue (C), non-WM/GM/CSF in yellow (D), and myelin partial volume in yellow and green (E).

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    Fig 2.

    Comparison of volumetric and myelin measurements derived via quantitative synthetic MR imaging pre- and postadministration of a gadolinium-based contrast agent. Based on the Wilcoxon signed rank test, asterisk = P < .05; double asterisks = P < .01; and triple asterisks = P < .001.

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    Fig 3.

    Representative quantitative maps of a patient with brain metastasis. T1-weighted image before (A) and after (F) administration of gadolinium-based contrast agent and quantitative maps overlaid on the T1-weighted image before (B–E) and after (G–J) administration of gadolinium-based contrast agents are shown. The brain metastasis shows contrast enhancement (arrows in A and F). The increase in myelin partial volume is clear in the brain metastasis on the myelin partial volume maps (arrows in B and G). The decreases in T1, T2, and proton density are clear in the brain metastasis on the T1 (arrows in C and H), T2 (arrows in D and I), and proton-density (arrows in E and J) maps.

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  • T1, T2, PD values, and VMY determined via quantitative synthetic MRI pre- and postadministration of gadolinium-based contrast agenta

    VMY (%)T1 (ms)T2 (ms)PD (%)
    With metastases pre-GBCA21.14 ± 1.831061.68 ± 59.8099.26 ± 12.3775.90 ± 1.99
    With metastases post-GBCA21.92 ± 1.671010.35 ± 54.5795.59 ± 13.7574.85 ± 2.02
    Difference0.78 ± 0.85b−51.34 ± 43.44b−2.67 ± 9.35c−1.05 ± 1.26b
    Without metastases pre-GBCA20.84 ± 1.081076.41 ± 75.4098.43 ± 13.4275.87 ± 1.79
    Without metastases post-GBCA21.59 ± 1.011029.58 ± 70.9793.73 ± 15.3974.59 ± 2.03
    Difference0.75 ± 0.53d−46.84 ± 31.23d−4.70 ± 12.21b−1.28 ± 1.35b
    • ↵a Data are mean ± SD.

    • ↵b Wilcoxon signed rank test P < .01.

    • ↵c Wilcoxon signed rank test P < .05.

    • ↵d Wilcoxon signed rank test P < .001.

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American Journal of Neuroradiology: 40 (2)
American Journal of Neuroradiology
Vol. 40, Issue 2
1 Feb 2019
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Cite this article
T. Maekawa, A. Hagiwara, M. Hori, C. Andica, T. Haruyama, M. Kuramochi, M. Nakazawa, S. Koshino, R. Irie, K. Kamagata, A. Wada, O. Abe, S. Aoki
Effect of Gadolinium on the Estimation of Myelin and Brain Tissue Volumes Based on Quantitative Synthetic MRI
American Journal of Neuroradiology Feb 2019, 40 (2) 231-237; DOI: 10.3174/ajnr.A5921

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Effect of Gadolinium on the Estimation of Myelin and Brain Tissue Volumes Based on Quantitative Synthetic MRI
T. Maekawa, A. Hagiwara, M. Hori, C. Andica, T. Haruyama, M. Kuramochi, M. Nakazawa, S. Koshino, R. Irie, K. Kamagata, A. Wada, O. Abe, S. Aoki
American Journal of Neuroradiology Feb 2019, 40 (2) 231-237; DOI: 10.3174/ajnr.A5921
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