Multi-Atlas MRI-Based Striatum Segmentation for 123 I-FP-CIT SPECT (DAT-SPECT) Compared With the Bolt Method and SPECT-Atlas-Based Segmentation Method Toward the Accurate Diagnosis of Parkinson's Disease/Syndrome

Frontiers in Medicine

article

Koji Sohara¹  Tetsuro Sekine²  Amane Tateno³  Sunao Mizumura⁴  Masaya Suda¹  Takeshi Sakayori³  Yoshiro Okubo³  Shin-ichiro Kumita¹ 

[1] Department of Radiology, Nippon Medical School Hospital;Department of Radiology, Nippon Medical School Musashi Kosugi Hospital;Department of Neuropsychiatry, Nippon Medical School;Department of Radiology, Omori Medical Center, Toho University

关键词: 123 I-FP-CIT;    18 F-FE-PE2I;    positron emission tomography;    semi-quantification;    multi-atlas MRI based parcellation;    Bolt method;    single photon emission computed tomography;    dopamine transporter;   

DOI  :  10.3389/fmed.2021.662233

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Aims: This study aimed to analyze the performance of multi-atlas MRI-based parcellation for 123 I-FP-CIT SPECT (DAT-SPECT) in healthy volunteers. The proposed method was compared with the SPECT-atlas-based and Bolt methods. 18 F-FE-PE2I-PET (DAT-PET) was used as a reference. Methods: Thirty healthy subjects underwent DAT-SPECT, DAT-PET, and 3D-T1WI-MRI. We calculated the striatum uptake ratio (SUR/SBR), caudate uptake ratio (CUR), and putamen uptake ratio (PUR) for DAT-SPECT using the multi-atlas MRI-based method, SPECT-atlas-based method, and Bolt method. In the multi-atlas MRI-based method, the cerebellum, occipital cortex, and whole-brain were used as reference regions. The correlation of age with DAT-SPECT activity and the correlations of SUR/SBR, CUR, and PUR between DAT-SPECT and DAT-PET were calculated by each of the three methods. Results: The correlation between age and SUR/SBR for DAT-SPECT based on the multi-atlas MRI-based method was comparable to that based on the SPECT-atlas-based method ( r = −0.441 to −0.496 vs. −0.488). The highest correlation between DAT-SPECT and DAT-PET was observed using the multi-atlas MRI-based method with the occipital lobe defined as the reference region compared with the SPECT-atlas-based and Bolt methods (SUR, CUR, and PUR: 0.687, 0.723, and 0.676 vs. 0.698, 0.660, and 0.616 vs. 0.655). Conclusion: Multi-atlas MRI-based parcellation with the occipital lobe defined as the reference region was at least comparable to the clinical methods.

【 授权许可】

CC BY