Variability of Clinical Functional MR Imaging Results: A Multicenter Study
| Autor: | Christian Siedentopf, Stephan Felber, Ilse Höllinger, Martin Kronbichler, Thomas Foki, Janpeter Nickel, Wolfgang Staffen, Roland Beisteiner, Stefan Golaszewski, Florian Koppelstätter, Jakob Rath, Moritz C. Wurnig, Rüdiger J. Seitz, Markus Aichhorn, Florian Ph. S. Fischmeister, Engelbert Knosp, Eduard Auff, Michael Verius, A Geissler, N. Klinger |
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| Přispěvatelé: | University of Zurich, Beisteiner, Roland |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Brain activation medicine.medical_specialty Adolescent 610 Medicine & health Signal strength Image Processing Computer-Assisted Humans 2741 Radiology Nuclear Medicine and Imaging Medicine Functional mr Radiology Nuclear Medicine and imaging Medical physics Prospective Studies Analysis of Variance Brain Mapping 10042 Clinic for Diagnostic and Interventional Radiology business.industry Reproducibility of Results Middle Aged Magnetic Resonance Imaging Clinical Practice Multicenter study Linear Models Biomarker (medicine) Female business Nuclear medicine Biomarkers |
| Zdroj: | Radiology. 268:521-531 |
| ISSN: | 1527-1315 0033-8419 |
| Popis: | To investigate intersite variability of clinical functional magnetic resonance (MR) imaging, including influence of task standardization on variability and use of various parameters to inform the clinician whether the reliability of a given functional localization is high or low.Local ethics committees approved the study; all participants gave written informed consent. Eight women and seven men (mean age, 40 years) were prospectively investigated at three experienced functional MR sites with 1.5- (two sites) or 3-T (one site) MR. Nonstandardized motor and highly standardized somatosensory versions of a frequently requested clinical task (localization of the primary sensorimotor cortex) were used. Perirolandic functional MR variability was assessed (peak activation variability, center of mass [COM] variability, intraclass correlation values, overlap ratio [OR], activation size ratio). Data quality measures for functional MR images included percentage signal change (PSC), contrast-to-noise ratio (CNR), and head motion parameters. Data were analyzed with analysis of variance and a correlation analysis.Localization of perirolandic functional MR activity differed by 8 mm (peak activity) and 6 mm (COM activity) among sites. Peak activation varied up to 16.5 mm (COM range, 0.4-16.5 mm) and 45.5 mm (peak activity range, 1.8-45.5 mm). Signal strength (PSC, CNR) was significantly lower for the somatosensory task (mean PSC, 1.0% ± 0.5 [standard deviation]; mean CNR, 1.2 ± 0.4) than for the motor task (mean PSC, 2.4% ± 0.8; mean CNR, 2.9 ± 0.9) (P.001, both). Intersite variability was larger with low signal strength (negative correlations between signal strength and peak activation variability) even if the task was highly standardized (mean OR, 22.0% ± 18.9 [somatosensory task] and 50.1% ± 18.8 [motor task]).Clinical practice and clinical functional MR biomarker studies should consider that the center of task-specific brain activation may vary up to 16.5 mm, with the investigating site, and should maximize functional MR signal strength and evaluate reliability of local results with PSC and CNR. |
| Databáze: | OpenAIRE |
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