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Research ArticleAdult Brain

A Fully Automated, Atlas-Based Approach for Superior Cerebellar Peduncle Evaluation in Progressive Supranuclear Palsy Phenotypes

G. Nicoletti, M.E. Caligiuri, A. Cherubini, M. Morelli, F. Novellino, G. Arabia, M. Salsone and A. Quattrone
American Journal of Neuroradiology March 2017, 38 (3) 523-530; DOI: https://doi.org/10.3174/ajnr.A5048
G. Nicoletti
aFrom the Institute of Bioimaging and Molecular Physiology (G.N., M.E.C., A.C., F.N., M.S., A.Q.), National Research Council, Catanzaro, Italy
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  • ORCID record for G. Nicoletti
M.E. Caligiuri
aFrom the Institute of Bioimaging and Molecular Physiology (G.N., M.E.C., A.C., F.N., M.S., A.Q.), National Research Council, Catanzaro, Italy
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A. Cherubini
aFrom the Institute of Bioimaging and Molecular Physiology (G.N., M.E.C., A.C., F.N., M.S., A.Q.), National Research Council, Catanzaro, Italy
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M. Morelli
bInstitute of Neurology (M.M., G.A., A.Q.), University “Magna Graecia”, Catanzaro, Italy.
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F. Novellino
aFrom the Institute of Bioimaging and Molecular Physiology (G.N., M.E.C., A.C., F.N., M.S., A.Q.), National Research Council, Catanzaro, Italy
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G. Arabia
bInstitute of Neurology (M.M., G.A., A.Q.), University “Magna Graecia”, Catanzaro, Italy.
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M. Salsone
aFrom the Institute of Bioimaging and Molecular Physiology (G.N., M.E.C., A.C., F.N., M.S., A.Q.), National Research Council, Catanzaro, Italy
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A. Quattrone
aFrom the Institute of Bioimaging and Molecular Physiology (G.N., M.E.C., A.C., F.N., M.S., A.Q.), National Research Council, Catanzaro, Italy
bInstitute of Neurology (M.M., G.A., A.Q.), University “Magna Graecia”, Catanzaro, Italy.
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    Fig 1.

    Image-processing workflow. The coregistration of different sequences allows the extraction of multimodal parameters from an ROI.

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    Fig 2.

    Box-and-whisker plots of volumes, FA, and MD of the right and left SCPs in patients and controls.

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    Table 1:

    Demographic, clinical, and neuroimaging features in patients with PSP-P, PSP-RS, PD, and healthy controls

    PSP-P (n = 9)PSP-RS (n = 21)PD (n = 20)HC (n = 30)
    Age (mean) (yr)70.1 ± 4.871.9 ± 5.966.2 ± 3.067.2 ± 7.2
    Sex, % male100%57%50%47%
    Disease duration (mean) (yr)6.3 ± 3.73.1 ± 1.47.5 ± 3.7–
    MMSE (mean)22.1 ± 3.619.0 ± 5.423.2 ± 3.3–
    UPDRS-III (mean)22.8 ± 17.739.3 ± 7.727.1 ± 9.1–
    HY (mean)2.9 ± 0.73.4 ± 0.82.2 ± 0.5–
    SCP right
        Volume (No. of voxels) (mean)5652 ± 11725282 ± 7536907 ± 13066569 ± 944
        FA (mean)0.44 ± 0.050.40 ± 0.050.48 ± 0.040.45 ± 0.02
        MD (×10−3 mm2/s) (mean)0.873 ± 0.060.949 ± 0.1700.851 ± 0.0890.833 ± 0.031
    SCP left
        Volume (No. of voxels) (mean)5315 ± 11214812 ± 7016369 ± 12055961 ± 894
        FA (mean)0.44 ± 0.040.39 ± 0.050.47 ± 0.040.45 ± 0.02
        MD (×10−3 mm2/s (mean)0.895 ± 0.0610.974 ± 0.0740.874 ± 0.0660.857 ± 0.023
    • Note:—HC indicates healthy controls; MMSE, Mini-Mental State Examination; UPDRS-III, Unified Parkinson's Disease Rating Scale–Motor Examination; HY, Hohen and Yahr score.

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    Table 2:

    P values from the statistical tests among different groups after correction for multiple comparisons (Tukey test)a

    PD vs HCPSP-P vs HCPSP-RS vs HCPSP-P vs PDPSP-RS vs PDPSP-P vs PSP-RS
    Age11.02b0.1.01b1
    Sex.1.0001b.1.008b1.01b
    Disease duration–––1.0001b.02b
    MMSE–––1.01b1
    UPDRS-III–––1.0022b.002b
    HY–––.0004b.94.001b
    SCP right
        Volume.66.008b.00005b.001b.000004b.95
        FA.01b.66.0005b.004b1.45 × 10−8b.16
        MD.89.38.0003b.77.01b.31
    SCP left
        Volume.44.03b.00008b.002b.000002b.81
        FA.15.58.0000005b.03b9.33 × 10−10b.007b
        MD.70.169.30 × 10−10b.67.000001b.003b
    • Note:— HC indicates healthy controls; MMSE, Mini-Mental State Examination; UPDRS-III, Unified Parkinson's Disease Rating Scale-Motor Examination; HY, Hohen and Yahr score.

    • ↵a Sex differences were assessed with χ2 tests. Age differences were assessed with ANOVA. Disease duration differences were assessed using ANCOVA, with age and sex as covariates. Other clinical and imaging differences were assessed with ANCOVA, with age, sex, and disease duration, as covariates. Correction for multiple comparisons was performed with the Tukey honest significant difference test.

    • ↵b Significant.

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G. Nicoletti, M.E. Caligiuri, A. Cherubini, M. Morelli, F. Novellino, G. Arabia, M. Salsone, A. Quattrone
A Fully Automated, Atlas-Based Approach for Superior Cerebellar Peduncle Evaluation in Progressive Supranuclear Palsy Phenotypes
American Journal of Neuroradiology Mar 2017, 38 (3) 523-530; DOI: 10.3174/ajnr.A5048

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A Fully Automated, Atlas-Based Approach for Superior Cerebellar Peduncle Evaluation in Progressive Supranuclear Palsy Phenotypes
G. Nicoletti, M.E. Caligiuri, A. Cherubini, M. Morelli, F. Novellino, G. Arabia, M. Salsone, A. Quattrone
American Journal of Neuroradiology Mar 2017, 38 (3) 523-530; DOI: 10.3174/ajnr.A5048
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