Validation of FDG-PET datasets of normal controls for the extraction of SPM-based brain metabolism maps

Validation of FDG-PET datasets of normal controls for the extraction of SPM-based brain metabolism maps
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DOI:
10.1007/s00259-020-05175-1
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发表时间:
2021-01-10
影响因子:
9.1
通讯作者:
Perani, Daniela
Perani, Daniela
中科院分区:
医学1区
文献类型:
--
作者:
Caminiti, Silvia Paola;Sala, Arianna;Perani, Daniela

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一个适当的健康对照数据集是强制性的,以实现良好的性能,在体素分析。我们的目的是评估[18 F]FDG PET健康对照(HC)的大脑数据集,基于公开的数据,提取基于体素的大脑代谢maps在单一subjectlevel.Methods HC图像的选择是基于视觉评级,库克的距离和折刀分析后,排除伪影和/或离群值。通过Dice评分分析,与标准参考HC数据集(HSR-HC)相比,测试了这些HC数据集(ADNI-HC和AIMN-HC)提取单个患者代谢低下模式的性能。我们评价了不同HC数据集在三个独立患者队列(即ADD、bvFTD和DLB)中评估单受试者SPM代谢低下的性能和可比性。结果两步Cook距离分析和随后的折刀分析从AIMN-HC数据集中选择了n = 125例受试者,从ADNI-HC数据集中选择了n = 75例受试者。使用新数据集获得的3个患者队列中SPM代谢减退t图与HSR-HC标准参考数据集相比的平均一致性为AIMN-HC数据集0.87,ADNI-HC数据集0.83。模式表达分析显示高的整体准确性(> 80%)的SPM的t图分类根据不同的统计阈值和sample sizes.Conclusions应用程序确保这些HC数据集的有效性,为单受试者估计脑代谢使用体素明智的比较。这些精心挑选的HC数据集可随时用于研究和临床环境。
Purpose An appropriate healthy control dataset is mandatory to achieve good performance in voxel-wise analyses. We aimed at evaluating [18F]FDG PET brain datasets of healthy controls (HC), based on publicly available data, for the extraction of voxel-based brain metabolism maps at the single-subject level.Methods Selection of HC images was based on visual rating, after Cook's distance and jack-knife analyses, to exclude artefacts and/or outliers. The performance of these HC datasets (ADNI-HC and AIMN-HC) to extract hypometabolism patterns in single patients was tested in comparison with the standard reference HC dataset (HSR-HC) by means of Dice score analysis. We evaluated the performance and comparability of the different HC datasets in the assessment of single-subject SPM-based hypometabolism in three independent cohorts of patients, namely, ADD, bvFTD and DLB.Results Two-step Cook's distance analysis and the subsequent jack-knife analysis resulted in the selection of n = 125 subjects from the AIMN-HC dataset and n = 75 subjects from the ADNI-HC dataset. The average concordance between SPM hypometabolism t-maps in the three patient cohorts, as obtained with the new datasets and compared to the HSR-HC standard reference dataset, was 0.87 for the AIMN-HC dataset and 0.83 for the ADNI-HC dataset. Pattern expression analysis revealed high overall accuracy (> 80%) of the SPM t-map classification according to different statistical thresholds and sample sizes.Conclusions The applied procedures ensure validity of these HC datasets for the single-subject estimation of brain metabolism using voxel-wise comparisons. These well-selected HC datasets are ready-to-use in research and clinical settings.