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

Research ArticleAdult Brain
Open Access

Quantitative MRI of Perivascular Spaces at 3T for Early Diagnosis of Mild Cognitive Impairment

M. Niazi, M. Karaman, S. Das, X.J. Zhou, P. Yushkevich and K. Cai
American Journal of Neuroradiology September 2018, 39 (9) 1622-1628; DOI: https://doi.org/10.3174/ajnr.A5734
M. Niazi
aFrom the Department of Radiology (M.N., X.J.Z., K.C.)
cChicago College of Osteopathic Medicine (M.N.), Midwestern University, Downers Grove, Illinois
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M. Karaman
bCenter for MR Research (M.K., X.J.Z., K.C.), College of Medicine, University of Illinois at Chicago, Chicago, Illinois
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S. Das
dDepartment of Radiology (S.D., P.Y.), School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
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X.J. Zhou
aFrom the Department of Radiology (M.N., X.J.Z., K.C.)
bCenter for MR Research (M.K., X.J.Z., K.C.), College of Medicine, University of Illinois at Chicago, Chicago, Illinois
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P. Yushkevich
dDepartment of Radiology (S.D., P.Y.), School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
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K. Cai
aFrom the Department of Radiology (M.N., X.J.Z., K.C.)
bCenter for MR Research (M.K., X.J.Z., K.C.), College of Medicine, University of Illinois at Chicago, Chicago, Illinois
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    Fig 1.

    Illustration of the EPVS segmentation process. A, A coronal MR brain image of a patient with aMCI. The original image fitted with a brain mask (B) and the original image fitted with a mask generated with first-order k-means clustering to remove the CSF (C). D, Contrast-enhanced image of the brain fitted with the mask generated with second-order k-means clustering to exclude the cortical gray matter. E, A mask for pixels with high and positive spatial gradient values obtained from a pixel-wise spatial gradient map. The brain stem was manually removed. F, EPVS selected on the basis of object size after removing the edges of the brain structures. G, Color-coded EPVS overlaid on the original brain image.

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    Fig 2.

    A side-by-side comparison of EPVS in a cognitively healthy control versus a patient with aMCI A, A coronal MR brain image of a cognitively healthy control. B, Segmented EPVS color-overlaid on the MR brain image of a cognitively healthy control. C, A coronal MR brain image of a patient with aMCI. D, Color-coded EPVS overlaid on the MR brain image of a patient with aMCI.

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    Fig 3.

    Representative multislice MIP projections of EPVS in the subcortical brain structures and the basal ganglia of a control and a subject with aMCI. A, MIP image of subcortical structures within the middle of the brain of a control subject. B, The MIP image of subcortical structures within the middle of the brain of a subject with aMCI. C, MIP image of the basal ganglia of a control subject. D, MIP image of the basal ganglia of a subject with aMCI.

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    Fig 4.

    Summarized EPVS densities within the middle part of the subcortical brain (SB) and the basal ganglia (BG) of healthy controls and subjects with aMCI. The asterisk indicates P < .001.

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    Fig 5.

    The receiver operating characteristic curve for using EPVS as a differentiating biomarker between aMCI and cognitively healthy individuals. The area under the curve is 0.96, the 95% confidence interval is 0.89–1.00, and the standard error is 0.04. The cutoff point that gives the best sensitivity (92.86%) and the specificity (93.33%) is 3.35 v/v%.

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American Journal of Neuroradiology: 39 (9)
American Journal of Neuroradiology
Vol. 39, Issue 9
1 Sep 2018
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M. Niazi, M. Karaman, S. Das, X.J. Zhou, P. Yushkevich, K. Cai
Quantitative MRI of Perivascular Spaces at 3T for Early Diagnosis of Mild Cognitive Impairment
American Journal of Neuroradiology Sep 2018, 39 (9) 1622-1628; DOI: 10.3174/ajnr.A5734

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Quantitative MRI of Perivascular Spaces at 3T for Early Diagnosis of Mild Cognitive Impairment
M. Niazi, M. Karaman, S. Das, X.J. Zhou, P. Yushkevich, K. Cai
American Journal of Neuroradiology Sep 2018, 39 (9) 1622-1628; DOI: 10.3174/ajnr.A5734
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