Navigating Parkinson’s Disease: Enhancing Diagnosis with a Multi-Atlas Segmentation Method

Published on June 13, 2022

Imagine you’re exploring a new city and you have a map that divides the city into different regions. In this study, researchers developed a new method for quantifying Parkinson’s disease (PD) using [18F]9-fluoropropyl-(+)-dihydrotetrabenazine ([18F]-FP-DTBZ) positron emission tomography (PET) images. They created a set of atlases, like dividing the brain into different regions, to help guide the segmentation process. The new method showed better consistency and accuracy compared to the traditional template-based approach, improving the diagnosis of PD. By examining specific areas of the brain called striatum and its subregions, they found differences in the standard uptake value ratio (SUVR) between healthy controls and PD patients. Notably, the median and posterior putamen regions were particularly effective in distinguishing PD patients from healthy individuals. This exciting research opens up possibilities for more accurate and efficient PD diagnosis in clinical practice. To learn more about this study, check out the link below!

Objectives[18F]9-fluoropropyl-(+)-dihydrotetrabenazine ([18F]-FP-DTBZ) positron emission tomography (PET) provides reliable information for the diagnosis of Parkinson’s disease (PD). In this study, we proposed a multi-atlas-based [18F]-FP-DTBZ PET image segmentation method for PD quantification assessment.MethodsA total of 99 subjects from Xuanwu Hospital of Capital Medical University were included in this study, and both brain PET and magnetic resonance (MR) scans were conducted. Data from 20 subjects were used to generate atlases, based on which a multi-atlas-based [18F]-FP-DTBZ PET segmentation method was developed especially for striatum and its subregions. The proposed method was compared with the template-based method through striatal subregion parcellation performance and the standard uptake value ratio (SUVR) quantification accuracy. Discriminant analysis between healthy controls (HCs) and PD patients was further performed.ResultsSegmentation results of the multi-atlas-based method showed better consistency than the template-based method with the ground truth, yielding a dice coefficient of 0.81 over 0.73 on the full striatum. The SUVRs calculated by the multi-atlas-based method had an average interclass correlation coefficient (ICC) of 0.953 with the standardized result, whereas the template-based method only reached 0.815. The SUVRs of HCs were generally higher than that of patients with PD and showed significant differences in all of the striatal subregions (all p < 0.001). The median and posterior putamen performed best in discriminating patients with PD from HCs.ConclusionThe proposed multi-atlas-based [18F]-FP-DTBZ PET image segmentation method achieved better performance than the template-based method, indicating great potential in improving accuracy and efficiency for PD diagnosis in clinical routine.

Read Full Article (External Site)

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes:

<a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>