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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates


Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleAdult Brain
Open Access

Semiautomated Evaluation of the Primary Motor Cortex in Patients with Amyotrophic Lateral Sclerosis at 3T

G. Donatelli, A. Retico, E. Caldarazzo Ienco, P. Cecchi, M. Costagli, D. Frosini, L. Biagi, M. Tosetti, G. Siciliano and M. Cosottini
American Journal of Neuroradiology January 2018, 39 (1) 63-69; DOI: https://doi.org/10.3174/ajnr.A5423
G. Donatelli
aFrom the Department of Translational Research and New Technologies in Medicine and Surgery (G.D., P.C., M. Cosottini)
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A. Retico
cNational Institute for Nuclear Physics (A.R.), Pisa Division, Pisa, Italy
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E. Caldarazzo Ienco
bNeurology Unit, Department of Clinical and Experimental Medicine (E.C.I., D.F., G.S.), University of Pisa, Pisa, Italy
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P. Cecchi
aFrom the Department of Translational Research and New Technologies in Medicine and Surgery (G.D., P.C., M. Cosottini)
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M. Costagli
dImago7 Research Foundation (M. Costagli, L.B., M.T.), Pisa, Italy
eLaboratory of Medical Physics and Biotechnologies for Magnetic Resonance (M. Costagli, L.B., M.T.), Istituto di Ricovero e Cura a Carattere Scientifico Stella Maris, Pisa, Italy.
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D. Frosini
bNeurology Unit, Department of Clinical and Experimental Medicine (E.C.I., D.F., G.S.), University of Pisa, Pisa, Italy
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L. Biagi
dImago7 Research Foundation (M. Costagli, L.B., M.T.), Pisa, Italy
eLaboratory of Medical Physics and Biotechnologies for Magnetic Resonance (M. Costagli, L.B., M.T.), Istituto di Ricovero e Cura a Carattere Scientifico Stella Maris, Pisa, Italy.
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M. Tosetti
dImago7 Research Foundation (M. Costagli, L.B., M.T.), Pisa, Italy
eLaboratory of Medical Physics and Biotechnologies for Magnetic Resonance (M. Costagli, L.B., M.T.), Istituto di Ricovero e Cura a Carattere Scientifico Stella Maris, Pisa, Italy.
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G. Siciliano
bNeurology Unit, Department of Clinical and Experimental Medicine (E.C.I., D.F., G.S.), University of Pisa, Pisa, Italy
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M. Cosottini
aFrom the Department of Translational Research and New Technologies in Medicine and Surgery (G.D., P.C., M. Cosottini)
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    Fig 1.

    Boxplot of the SH/Thk measured in the deep layers of the primary motor cortex in healthy subjects and patients with ALS at 3T (A) and 7T (B). At both magnetic fields, the ratio is significantly greater in patients than in subjects (P < .001).

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    Fig 2.

    Correlation between the SH/Thk measured in the deep layers of the primary motor cortex of patients with ALS (hand knob and paracentral lobule of both hemispheres) and the UMN scores of the corresponding limbs. Correlations are moderate and significant at both 3T and 7T (ρ = 0.57, P < .001).

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    Fig 3.

    ROC curves elaborated with 3T (A) and 7T (B) data pool. The curves show, respectively, a good and an excellent accuracy to discriminate pathologic and nonpathologic values of SH/Thk.

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    Fig 4.

    The signal profile of the M1 containing the intensity and thickness information is shown for the left knob of a patient with ALS (A) and the right knob of a healthy subject (B), where the deep layers of the cortex are clearly visible.

Tables

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  • Results of visual assessment of 3T and 7T images

    3T7T
    First ReaderSecond ReaderFirst ReaderSecond Reader
    First ReadingSecond ReadingFirst ReadingSecond ReadingFirst ReadingSecond ReadingFirst ReadingSecond Reading
    Sensitivity0.520.560.630.590.630.680.630.58
    Specificity0.920.920.850.850.890.891.001.00
    Positive predictive value0.930.940.890.890.860.871.001.00
    Negative predictive value0.480.500.520.500.700.730.720.69
    Diagnostic accuracy0.650.680.700.680.760.780.810.78
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American Journal of Neuroradiology: 39 (1)
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Cite this article
G. Donatelli, A. Retico, E. Caldarazzo Ienco, P. Cecchi, M. Costagli, D. Frosini, L. Biagi, M. Tosetti, G. Siciliano, M. Cosottini
Semiautomated Evaluation of the Primary Motor Cortex in Patients with Amyotrophic Lateral Sclerosis at 3T
American Journal of Neuroradiology Jan 2018, 39 (1) 63-69; DOI: 10.3174/ajnr.A5423

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Semiautomated Evaluation of the Primary Motor Cortex in Patients with Amyotrophic Lateral Sclerosis at 3T
G. Donatelli, A. Retico, E. Caldarazzo Ienco, P. Cecchi, M. Costagli, D. Frosini, L. Biagi, M. Tosetti, G. Siciliano, M. Cosottini
American Journal of Neuroradiology Jan 2018, 39 (1) 63-69; DOI: 10.3174/ajnr.A5423
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