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Research ArticleADULT BRAIN

Myelin Detection Using Rapid Quantitative MR Imaging Correlated to Macroscopically Registered Luxol Fast Blue–Stained Brain Specimens

J.B.M. Warntjes, A. Persson, J. Berge and W. Zech
American Journal of Neuroradiology June 2017, 38 (6) 1096-1102; DOI: https://doi.org/10.3174/ajnr.A5168
J.B.M. Warntjes
aFrom the Center for Medical Image Science and Visualization (J.B.M.W., A.P., W.Z.)
bDivision of Cardiovascular Medicine, Department of Medical and Health Sciences (J.B.M.W.), Linköping University, Linköping, Sweden
cSyntheticMR AB (J.B.M.W.), Linköping, Sweden
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A. Persson
aFrom the Center for Medical Image Science and Visualization (J.B.M.W., A.P., W.Z.)
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J. Berge
dInstitute of Forensic Medicine (J.B., W.Z.), Linköping, Sweden
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W. Zech
aFrom the Center for Medical Image Science and Visualization (J.B.M.W., A.P., W.Z.)
dInstitute of Forensic Medicine (J.B., W.Z.), Linköping, Sweden
eInstitute of Forensic Medicine (W.Z.), University of Bern, Bern, Switzerland.
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    Fig 1.

    The process used for myelin evaluation on a male subject, 69 years of age, acquired at a temperature of 10°C. The MR imaging quantification sequence provided the R1, R2, and PD maps of coronal slices of the cadaver (A–C). A synthetic proton density–weighted image was created for registration purposes using the R1, R2, and PD maps as input, resampled to 0.1 mm/pixel (D, zoomed in). The R1 map was corrected for temperature and then used, with the original R2 and PD maps, to generate the myelin partial volume map with the same algorithm as used for living subjects (E). For the histologic images, the brain was extracted and cut into coronal slices (F). Slices were fixated by using formaldehyde and cut into smaller pieces after fixation (G). The separate pieces of brain slices were stained with Luxol fast blue and photographed (H). The optical density of the photographs was converted to an intensity scale. These images were also resampled to 0.1 mm/pixel (I). All pieces were registered to the synthetic proton density–weighted image (J), so that each pixel from the slice photographs was at the same place as the corresponding MR imaging pixel. Finally, the resolution of both MR images and photographs was down-sampled to the original MR imaging resolution of 0.7 mm/pixel.

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    Fig 2.

    A, The observed mean T1 relaxation time in frontal white matter (squares), cortical gray matter (triangles), and ventricular CSF (dots) as a function of the core body temperature of all subjects. Added are the estimated slopes of T1 change per temperature. B, The observed mean T2 relaxation time in frontal WM (squares), cortical GM (triangles), and ventricular CSF (dots) as a function of core body temperature of all subjects.

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    Fig 3.

    Zoomed-in images of all subjects, ordered according to increasing age (A, 46; B, 47; C, 52; D, 55; E, 59; F, 61; G, 69; H, 70; I, 70; J, 71; K, 72; and L, 74 years of age). On the left, the registered LFB stains are shown as optical density, in the center is the MR imaging–detected myelin partial volume, and on the right is the synthetic PD-weighted images.

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    Fig 4.

    2D histograms of all subjects of the Luxol fast blue optical density values, plotted as a function of the observed R1 relaxation rate (A), R2 relaxation rate (B), and proton density (C). Also, the estimated myelin partial volume, based on temperature-corrected R1, R2, and PD is plotted (D). The intensity of the 2D histograms corresponds to the number of times a value occurs within each value interval. Intervals were divided into 40 × 40 bins.

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    Table 1:

    The mean and SD for all subjects of the intercept and slopea

    InterceptSlopeSpearman ρ
    R11.19 ± 0.10 s−10.065 ± 0.009 s−1/%0.63 ± 0.12
    R212.31 ± 1.17 s−10.044 ± 0.131 s−1/%0.11 ± 0.28
    PD71.96 ± 4.22%−2.45 ± 0.53 %/%−0.73 ± 0.09
    Myelin1.50% ± 2.84%4.37% ± 1.73 %/%0.74% ± 0.11
    • ↵a Estimated by linear regression and the Spearman ρ of the LFB optical density as a function of (uncorrected) R1 and R2 relaxation, proton density, and (temperature-corrected) MRI-estimated myelin partial volume.

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    Table 2:

    The mean and SD for all subjects of the position of highest value density for white matter and gray matter observed in the 2D histogramsa

    WMGMInterceptSlope
    R11.47 ± 0.08 s−11.27 ± 0.09 s−11.24 s−10.030 s−1/%
    R212.55 ± 1.25 s−112.11 ± 1.08 s−112.06 s−10.066 s−1/%
    PD52.01% ± 2.98%71.36% ± 3.95%73.46%−2.85 %/%
    Myelin30.98% ± 3.77%4.84% ± 2.30%2.01%3.84 %/%
    LFB7.54% ± 2.06%0.74% ± 0.65%––
    • ↵a Added are the derived slopes and intercepts when using the positions of R1, R2, PD, and myelin as a function of the position of LFB.

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American Journal of Neuroradiology: 38 (6)
American Journal of Neuroradiology
Vol. 38, Issue 6
1 Jun 2017
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J.B.M. Warntjes, A. Persson, J. Berge, W. Zech
Myelin Detection Using Rapid Quantitative MR Imaging Correlated to Macroscopically Registered Luxol Fast Blue–Stained Brain Specimens
American Journal of Neuroradiology Jun 2017, 38 (6) 1096-1102; DOI: 10.3174/ajnr.A5168

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Myelin Detection Using Rapid Quantitative MR Imaging Correlated to Macroscopically Registered Luxol Fast Blue–Stained Brain Specimens
J.B.M. Warntjes, A. Persson, J. Berge, W. Zech
American Journal of Neuroradiology Jun 2017, 38 (6) 1096-1102; DOI: 10.3174/ajnr.A5168
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