White matter hyperintensity quantification in large-scale clinical acute ischemic stroke cohorts – The MRI-GENIE study
White matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of diseases, such as acute ischemic stroke (AIS). However, current approaches to its quantification on clinical MRI often rely on time intensive manual delinea...
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Published in | NeuroImage clinical Vol. 23; p. 101884 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Netherlands
Elsevier Inc
01.01.2019
Elsevier |
Subjects | |
Online Access | Get full text |
ISSN | 2213-1582 2213-1582 |
DOI | 10.1016/j.nicl.2019.101884 |
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Abstract | White matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of diseases, such as acute ischemic stroke (AIS). However, current approaches to its quantification on clinical MRI often rely on time intensive manual delineation of the disease on T2 fluid attenuated inverse recovery (FLAIR), which hinders high-throughput analyses such as genetic discovery.
In this work, we present a fully automated pipeline for quantification of WMH in clinical large-scale studies of AIS. The pipeline incorporates automated brain extraction, intensity normalization and WMH segmentation using spatial priors. We first propose a brain extraction algorithm based on a fully convolutional deep learning architecture, specifically designed for clinical FLAIR images. We demonstrate that our method for brain extraction outperforms two commonly used and publicly available methods on clinical quality images in a set of 144 subject scans across 12 acquisition centers, based on dice coefficient (median 0.95; inter-quartile range 0.94–0.95; p < 0.01) and Pearson correlation of total brain volume (r = 0.90). Subsequently, we apply it to the large-scale clinical multi-site MRI-GENIE study (N = 2783) and identify a decrease in total brain volume of −2.4 cc/year. Additionally, we show that the resulting total brain volumes can successfully be used for quality control of image preprocessing.
Finally, we obtain WMH volumes by building on an existing automatic WMH segmentation algorithm that delineates and distinguishes between different cerebrovascular pathologies. The learning method mimics expert knowledge of the spatial distribution of the WMH burden using a convolutional auto-encoder. This enables successful computation of WMH volumes of 2533 clinical AIS patients. We utilize these results to demonstrate the increase of WMH burden with age (0.950 cc/year) and show that single site estimates can be biased by the number of subjects recruited.
•Fully automated high-throughput white matter hyperintensity segmentation pipeline.•Methodology designed for and applied to international clinical multi-site data.•Calculation of disease burden in 2533 acute ischemic stroke patients.•Total brain volume change with age (−2.4 cc/year) used in automated quality control.•Increase of white matter hyperintensity burden of 0.95 cc/year. |
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AbstractList | White matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of diseases, such as acute ischemic stroke (AIS). However, current approaches to its quantification on clinical MRI often rely on time intensive manual delineation of the disease on T2 fluid attenuated inverse recovery (FLAIR), which hinders high-throughput analyses such as genetic discovery. In this work, we present a fully automated pipeline for quantification of WMH in clinical large-scale studies of AIS. The pipeline incorporates automated brain extraction, intensity normalization and WMH segmentation using spatial priors. We first propose a brain extraction algorithm based on a fully convolutional deep learning architecture, specifically designed for clinical FLAIR images. We demonstrate that our method for brain extraction outperforms two commonly used and publicly available methods on clinical quality images in a set of 144 subject scans across 12 acquisition centers, based on dice coefficient (median 0.95; inter-quartile range 0.94-0.95; p < 0.01) and Pearson correlation of total brain volume (r = 0.90). Subsequently, we apply it to the large-scale clinical multi-site MRI-GENIE study (N = 2783) and identify a decrease in total brain volume of -2.4 cc/year. Additionally, we show that the resulting total brain volumes can successfully be used for quality control of image preprocessing. Finally, we obtain WMH volumes by building on an existing automatic WMH segmentation algorithm that delineates and distinguishes between different cerebrovascular pathologies. The learning method mimics expert knowledge of the spatial distribution of the WMH burden using a convolutional auto-encoder. This enables successful computation of WMH volumes of 2533 clinical AIS patients. We utilize these results to demonstrate the increase of WMH burden with age (0.950 cc/year) and show that single site estimates can be biased by the number of subjects recruited. White matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of diseases, such as acute ischemic stroke (AIS). However, current approaches to its quantification on clinical MRI often rely on time intensive manual delineation of the disease on T2 fluid attenuated inverse recovery (FLAIR), which hinders high-throughput analyses such as genetic discovery. In this work, we present a fully automated pipeline for quantification of WMH in clinical large-scale studies of AIS. The pipeline incorporates automated brain extraction, intensity normalization and WMH segmentation using spatial priors. We first propose a brain extraction algorithm based on a fully convolutional deep learning architecture, specifically designed for clinical FLAIR images. We demonstrate that our method for brain extraction outperforms two commonly used and publicly available methods on clinical quality images in a set of 144 subject scans across 12 acquisition centers, based on dice coefficient (median 0.95; inter-quartile range 0.94–0.95; p < 0.01) and Pearson correlation of total brain volume (r = 0.90). Subsequently, we apply it to the large-scale clinical multi-site MRI-GENIE study (N = 2783) and identify a decrease in total brain volume of −2.4 cc/year. Additionally, we show that the resulting total brain volumes can successfully be used for quality control of image preprocessing. Finally, we obtain WMH volumes by building on an existing automatic WMH segmentation algorithm that delineates and distinguishes between different cerebrovascular pathologies. The learning method mimics expert knowledge of the spatial distribution of the WMH burden using a convolutional auto-encoder. This enables successful computation of WMH volumes of 2533 clinical AIS patients. We utilize these results to demonstrate the increase of WMH burden with age (0.950 cc/year) and show that single site estimates can be biased by the number of subjects recruited. •Fully automated high-throughput white matter hyperintensity segmentation pipeline.•Methodology designed for and applied to international clinical multi-site data.•Calculation of disease burden in 2533 acute ischemic stroke patients.•Total brain volume change with age (−2.4 cc/year) used in automated quality control.•Increase of white matter hyperintensity burden of 0.95 cc/year. White matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of diseases, such as acute ischemic stroke (AIS). However, current approaches to its quantification on clinical MRI often rely on time intensive manual delineation of the disease on T2 fluid attenuated inverse recovery (FLAIR), which hinders high-throughput analyses such as genetic discovery. In this work, we present a fully automated pipeline for quantification of WMH in clinical large-scale studies of AIS. The pipeline incorporates automated brain extraction, intensity normalization and WMH segmentation using spatial priors. We first propose a brain extraction algorithm based on a fully convolutional deep learning architecture, specifically designed for clinical FLAIR images. We demonstrate that our method for brain extraction outperforms two commonly used and publicly available methods on clinical quality images in a set of 144 subject scans across 12 acquisition centers, based on dice coefficient (median 0.95; inter-quartile range 0.94–0.95; p < 0.01) and Pearson correlation of total brain volume (r = 0.90). Subsequently, we apply it to the large-scale clinical multi-site MRI-GENIE study (N = 2783) and identify a decrease in total brain volume of −2.4 cc/year. Additionally, we show that the resulting total brain volumes can successfully be used for quality control of image preprocessing. Finally, we obtain WMH volumes by building on an existing automatic WMH segmentation algorithm that delineates and distinguishes between different cerebrovascular pathologies. The learning method mimics expert knowledge of the spatial distribution of the WMH burden using a convolutional auto-encoder. This enables successful computation of WMH volumes of 2533 clinical AIS patients. We utilize these results to demonstrate the increase of WMH burden with age (0.950 cc/year) and show that single site estimates can be biased by the number of subjects recruited. White matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of diseases, such as acute ischemic stroke (AIS). However, current approaches to its quantification on clinical MRI often rely on time intensive manual delineation of the disease on T2 fluid attenuated inverse recovery (FLAIR), which hinders high-throughput analyses such as genetic discovery. In this work, we present a fully automated pipeline for quantification of WMH in clinical large-scale studies of AIS. The pipeline incorporates automated brain extraction, intensity normalization and WMH segmentation using spatial priors. We first propose a brain extraction algorithm based on a fully convolutional deep learning architecture, specifically designed for clinical FLAIR images. We demonstrate that our method for brain extraction outperforms two commonly used and publicly available methods on clinical quality images in a set of 144 subject scans across 12 acquisition centers, based on dice coefficient (median 0.95; inter-quartile range 0.94–0.95; p < 0.01) and Pearson correlation of total brain volume ( r = 0.90). Subsequently, we apply it to the large-scale clinical multi-site MRI-GENIE study ( N = 2783) and identify a decrease in total brain volume of −2.4 cc/year. Additionally, we show that the resulting total brain volumes can successfully be used for quality control of image preprocessing. Finally, we obtain WMH volumes by building on an existing automatic WMH segmentation algorithm that delineates and distinguishes between different cerebrovascular pathologies. The learning method mimics expert knowledge of the spatial distribution of the WMH burden using a convolutional auto-encoder. This enables successful computation of WMH volumes of 2533 clinical AIS patients. We utilize these results to demonstrate the increase of WMH burden with age (0.950 cc/year) and show that single site estimates can be biased by the number of subjects recruited. • Fully automated high-throughput white matter hyperintensity segmentation pipeline. • Methodology designed for and applied to international clinical multi-site data. • Calculation of disease burden in 2533 acute ischemic stroke patients. • Total brain volume change with age (−2.4 cc/year) used in automated quality control. • Increase of white matter hyperintensity burden of 0.95 cc/year. AbstractWhite matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of diseases, such as acute ischemic stroke (AIS). However, current approaches to its quantification on clinical MRI often rely on time intensive manual delineation of the disease on T2 fluid attenuated inverse recovery (FLAIR), which hinders high-throughput analyses such as genetic discovery. In this work, we present a fully automated pipeline for quantification of WMH in clinical large-scale studies of AIS. The pipeline incorporates automated brain extraction, intensity normalization and WMH segmentation using spatial priors. We first propose a brain extraction algorithm based on a fully convolutional deep learning architecture, specifically designed for clinical FLAIR images. We demonstrate that our method for brain extraction outperforms two commonly used and publicly available methods on clinical quality images in a set of 144 subject scans across 12 acquisition centers, based on dice coefficient (median 0.95; inter-quartile range 0.94–0.95; p < 0.01) and Pearson correlation of total brain volume ( r = 0.90). Subsequently, we apply it to the large-scale clinical multi-site MRI-GENIE study ( N = 2783) and identify a decrease in total brain volume of −2.4 cc/year. Additionally, we show that the resulting total brain volumes can successfully be used for quality control of image preprocessing. Finally, we obtain WMH volumes by building on an existing automatic WMH segmentation algorithm that delineates and distinguishes between different cerebrovascular pathologies. The learning method mimics expert knowledge of the spatial distribution of the WMH burden using a convolutional auto-encoder. This enables successful computation of WMH volumes of 2533 clinical AIS patients. We utilize these results to demonstrate the increase of WMH burden with age (0.950 cc/year) and show that single site estimates can be biased by the number of subjects recruited. White matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of diseases, such as acute ischemic stroke (AIS). However, current approaches to its quantification on clinical MRI often rely on time intensive manual delineation of the disease on T2 fluid attenuated inverse recovery (FLAIR), which hinders high-throughput analyses such as genetic discovery. In this work, we present a fully automated pipeline for quantification of WMH in clinical large-scale studies of AIS. The pipeline incorporates automated brain extraction, intensity normalization and WMH segmentation using spatial priors. We first propose a brain extraction algorithm based on a fully convolutional deep learning architecture, specifically designed for clinical FLAIR images. We demonstrate that our method for brain extraction outperforms two commonly used and publicly available methods on clinical quality images in a set of 144 subject scans across 12 acquisition centers, based on dice coefficient (median 0.95; inter-quartile range 0.94-0.95; p < 0.01) and Pearson correlation of total brain volume (r = 0.90). Subsequently, we apply it to the large-scale clinical multi-site MRI-GENIE study (N = 2783) and identify a decrease in total brain volume of -2.4 cc/year. Additionally, we show that the resulting total brain volumes can successfully be used for quality control of image preprocessing. Finally, we obtain WMH volumes by building on an existing automatic WMH segmentation algorithm that delineates and distinguishes between different cerebrovascular pathologies. The learning method mimics expert knowledge of the spatial distribution of the WMH burden using a convolutional auto-encoder. This enables successful computation of WMH volumes of 2533 clinical AIS patients. We utilize these results to demonstrate the increase of WMH burden with age (0.950 cc/year) and show that single site estimates can be biased by the number of subjects recruited.White matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of diseases, such as acute ischemic stroke (AIS). However, current approaches to its quantification on clinical MRI often rely on time intensive manual delineation of the disease on T2 fluid attenuated inverse recovery (FLAIR), which hinders high-throughput analyses such as genetic discovery. In this work, we present a fully automated pipeline for quantification of WMH in clinical large-scale studies of AIS. The pipeline incorporates automated brain extraction, intensity normalization and WMH segmentation using spatial priors. We first propose a brain extraction algorithm based on a fully convolutional deep learning architecture, specifically designed for clinical FLAIR images. We demonstrate that our method for brain extraction outperforms two commonly used and publicly available methods on clinical quality images in a set of 144 subject scans across 12 acquisition centers, based on dice coefficient (median 0.95; inter-quartile range 0.94-0.95; p < 0.01) and Pearson correlation of total brain volume (r = 0.90). Subsequently, we apply it to the large-scale clinical multi-site MRI-GENIE study (N = 2783) and identify a decrease in total brain volume of -2.4 cc/year. Additionally, we show that the resulting total brain volumes can successfully be used for quality control of image preprocessing. Finally, we obtain WMH volumes by building on an existing automatic WMH segmentation algorithm that delineates and distinguishes between different cerebrovascular pathologies. The learning method mimics expert knowledge of the spatial distribution of the WMH burden using a convolutional auto-encoder. This enables successful computation of WMH volumes of 2533 clinical AIS patients. We utilize these results to demonstrate the increase of WMH burden with age (0.950 cc/year) and show that single site estimates can be biased by the number of subjects recruited. |
ArticleNumber | 101884 |
Author | Slowik, Agnieszka Roquer, Jaume Nardin, Marco J. Worrall, Bradford B. Mocking, Steven J.T. Rost, Natalia S. McArdle, Patrick F. Jern, Christina Lindgren, Arne G. Rundek, Tatjana Mitchell, Braxton D. Donahue, Kathleen L. McIntosh, Elissa C. Jimenez-Conde, Jordi Xu, Huichun Lemmens, Robin Vagal, Achala Giese, Anne-Katrin Frid, Petrea Wasselius, Johan Cole, John W. Sharma, Pankaj Schirmer, Markus D. Sridharan, Ramesh Sacco, Ralph L. Thijs, Vincent Woo, Daniel Rosand, Jonathan Kittner, Steven J. Holmegaard, Lukas Dalca, Adrian V. Meschia, James F. Golland, Polina Schmidt, Reinhold Wu, Ona |
AuthorAffiliation | s Institute of Cardiovascular Research, St Peter's and Ashford Hospitals, Royal Holloway University of London (ICR2UL), Egham, UK u Stroke Division, Australia and Department of Neurology, Austin Health, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia j Institute of Neuroscience and Physiology, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden n VIB, Vesalius Research Center, Laboratory of Neurobiology, Department of Neurology, University Hospitals Leuven, Leuven, Belgium r Department of Neurology, Clinical Division of Neurogeriatrics, Medical University Graz, Graz, Austria i Department of Neurology, University of Maryland School of Medicine and Veterans Affairs Maryland Health Care System, Baltimore, MD, USA t Department of Neurology, Jagiellonian University Medical College, Krakow, Poland p Department of Neurology, Mayo Clinic, Jacksonville, FL, USA k Institute of Biomedicine, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Swed |
AuthorAffiliation_xml | – name: l Department of Neurology, Neurovascular Research Group (NEUVAS), IMIM-Hospital del Mar (Institut Hospital del Mar d'Investigacions Mèdiques), Universitat Autonoma de Barcelona, Barcelona, Spain – name: f Department of Clinical Sciences Lund, Neurology, Lund University, Lund, Sweden – name: m Department of Neurosciences, Experimental Neurology and Leuven Research Institute for Neuroscience and Disease (LIND), KU Leuven - University of Leuven, Leuven, Belgium – name: e Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA – name: z Departments of Neurology and Public Health Sciences, University of Virginia, Charlottesville, VA, USA – name: i Department of Neurology, University of Maryland School of Medicine and Veterans Affairs Maryland Health Care System, Baltimore, MD, USA – name: y Center for Human Genetic Research, Massachusetts General Hospital, Boston, MA, USA – name: j Institute of Neuroscience and Physiology, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden – name: o Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund, Sweden – name: r Department of Neurology, Clinical Division of Neurogeriatrics, Medical University Graz, Graz, Austria – name: b Computer Science and Artificial Intelligence Lab, MIT, USA – name: g Department of Clinical Sciences Lund, Radiology, Lund University, Lund, Sweden – name: k Institute of Biomedicine, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden – name: q Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA – name: x Division of Endocrinology, Diabetes and Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA – name: u Stroke Division, Australia and Department of Neurology, Austin Health, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia – name: h Department of Radiology, Neuroradiology, Skåne University Hospital, Malmö, Sweden – name: s Institute of Cardiovascular Research, St Peter's and Ashford Hospitals, Royal Holloway University of London (ICR2UL), Egham, UK – name: w Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA – name: d Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA – name: n VIB, Vesalius Research Center, Laboratory of Neurobiology, Department of Neurology, University Hospitals Leuven, Leuven, Belgium – name: c Department of Population Health Sciences, German Centre for Neurodegenerative Diseases (DZNE), Germany – name: p Department of Neurology, Mayo Clinic, Jacksonville, FL, USA – name: t Department of Neurology, Jagiellonian University Medical College, Krakow, Poland – name: a Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA – name: v Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA |
Author_xml | – sequence: 1 givenname: Markus D. orcidid: 0000-0001-9561-0239 surname: Schirmer fullname: Schirmer, Markus D. email: mschirmer1@mgh.harvard.edu organization: Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA – sequence: 2 givenname: Adrian V. surname: Dalca fullname: Dalca, Adrian V. organization: Computer Science and Artificial Intelligence Lab, MIT, USA – sequence: 3 givenname: Ramesh surname: Sridharan fullname: Sridharan, Ramesh organization: Computer Science and Artificial Intelligence Lab, MIT, USA – sequence: 4 givenname: Anne-Katrin surname: Giese fullname: Giese, Anne-Katrin organization: Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA – sequence: 5 givenname: Kathleen L. surname: Donahue fullname: Donahue, Kathleen L. organization: Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA – sequence: 6 givenname: Marco J. surname: Nardin fullname: Nardin, Marco J. organization: Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA – sequence: 7 givenname: Steven J.T. surname: Mocking fullname: Mocking, Steven J.T. organization: Athinoula A. 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Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA – sequence: 9 givenname: Petrea surname: Frid fullname: Frid, Petrea organization: Department of Clinical Sciences Lund, Neurology, Lund University, Lund, Sweden – sequence: 10 givenname: Johan surname: Wasselius fullname: Wasselius, Johan organization: Department of Clinical Sciences Lund, Radiology, Lund University, Lund, Sweden – sequence: 11 givenname: John W. surname: Cole fullname: Cole, John W. organization: Department of Neurology, University of Maryland School of Medicine and Veterans Affairs Maryland Health Care System, Baltimore, MD, USA – sequence: 12 givenname: Lukas surname: Holmegaard fullname: Holmegaard, Lukas organization: Institute of Neuroscience and Physiology, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden – sequence: 13 givenname: Christina surname: Jern fullname: Jern, Christina organization: Institute of Biomedicine, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden – sequence: 14 givenname: Jordi surname: Jimenez-Conde fullname: Jimenez-Conde, Jordi organization: Department of Neurology, Neurovascular Research Group (NEUVAS), IMIM-Hospital del Mar (Institut Hospital del Mar d'Investigacions Mèdiques), Universitat Autonoma de Barcelona, Barcelona, Spain – sequence: 15 givenname: Robin surname: Lemmens fullname: Lemmens, Robin organization: Department of Neurosciences, Experimental Neurology and Leuven Research Institute for Neuroscience and Disease (LIND), KU Leuven - University of Leuven, Leuven, Belgium – sequence: 16 givenname: Arne G. surname: Lindgren fullname: Lindgren, Arne G. organization: Department of Clinical Sciences Lund, Neurology, Lund University, Lund, Sweden – sequence: 17 givenname: James F. surname: Meschia fullname: Meschia, James F. organization: Department of Neurology, Mayo Clinic, Jacksonville, FL, USA – sequence: 18 givenname: Jaume surname: Roquer fullname: Roquer, Jaume organization: Department of Neurology, Neurovascular Research Group (NEUVAS), IMIM-Hospital del Mar (Institut Hospital del Mar d'Investigacions Mèdiques), Universitat Autonoma de Barcelona, Barcelona, Spain – sequence: 19 givenname: Tatjana surname: Rundek fullname: Rundek, Tatjana organization: Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA – sequence: 20 givenname: Ralph L. surname: Sacco fullname: Sacco, Ralph L. organization: Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA – sequence: 21 givenname: Reinhold surname: Schmidt fullname: Schmidt, Reinhold organization: Department of Neurology, Clinical Division of Neurogeriatrics, Medical University Graz, Graz, Austria – sequence: 22 givenname: Pankaj surname: Sharma fullname: Sharma, Pankaj organization: Institute of Cardiovascular Research, St Peter's and Ashford Hospitals, Royal Holloway University of London (ICR2UL), Egham, UK – sequence: 23 givenname: Agnieszka surname: Slowik fullname: Slowik, Agnieszka organization: Department of Neurology, Jagiellonian University Medical College, Krakow, Poland – sequence: 24 givenname: Vincent surname: Thijs fullname: Thijs, Vincent organization: Stroke Division, Australia and Department of Neurology, Austin Health, Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia – sequence: 25 givenname: Daniel surname: Woo fullname: Woo, Daniel organization: Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA – sequence: 26 givenname: Achala surname: Vagal fullname: Vagal, Achala organization: Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA – sequence: 27 givenname: Huichun surname: Xu fullname: Xu, Huichun organization: Division of Endocrinology, Diabetes and Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA – sequence: 28 givenname: Steven J. surname: Kittner fullname: Kittner, Steven J. organization: Department of Neurology, University of Maryland School of Medicine and Veterans Affairs Maryland Health Care System, Baltimore, MD, USA – sequence: 29 givenname: Patrick F. surname: McArdle fullname: McArdle, Patrick F. organization: Division of Endocrinology, Diabetes and Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA – sequence: 30 givenname: Braxton D. surname: Mitchell fullname: Mitchell, Braxton D. organization: Division of Endocrinology, Diabetes and Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA – sequence: 31 givenname: Jonathan surname: Rosand fullname: Rosand, Jonathan organization: Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA – sequence: 32 givenname: Bradford B. surname: Worrall fullname: Worrall, Bradford B. organization: Departments of Neurology and Public Health Sciences, University of Virginia, Charlottesville, VA, USA – sequence: 33 givenname: Ona surname: Wu fullname: Wu, Ona organization: Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA – sequence: 34 givenname: Polina surname: Golland fullname: Golland, Polina organization: Computer Science and Artificial Intelligence Lab, MIT, USA – sequence: 35 givenname: Natalia S. surname: Rost fullname: Rost, Natalia S. organization: Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31200151$$D View this record in MEDLINE/PubMed https://gup.ub.gu.se/publication/284488$$DView record from Swedish Publication Index |
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CorporateAuthor | on behalf of the MRI-GENIE Investigators MRI-GENIE Investigators Clinical Stroke Research Group Section V Diagnostic Radiology, (Lund) Institutionen för kliniska vetenskaper, Lund Lunds universitet Profile areas and other strong research environments Lund University Sektion V Neuroradiology Department of Clinical Sciences, Lund Neurology, Lund Diagnostisk radiologi, Lund Strategiska forskningsområden (SFO) EpiHealth: Epidemiology for Health Faculty of Medicine Strategic research areas (SRA) Klinisk strokeforskning Section IV Medicinska fakulteten Sektion IV Profilområden och andra starka forskningsmiljöer Neurologi, Lund Neuroradiologi |
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Snippet | White matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of diseases, such... AbstractWhite matter hyperintensity (WMH) burden is a critically important cerebrovascular phenotype linked to prediction of diagnosis and prognosis of... |
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SubjectTerms | Adult Aged Aged, 80 and over Brain Ischemia - diagnostic imaging burden Clinical Medicine Cohort Studies determinants Engineering and Technology Female Humans Klinisk medicin Magnetic Resonance Imaging - methods Male Medical and Health Sciences Medical Engineering Medical Imaging Medicin och hälsovetenskap Medicinsk bildvetenskap Medicinteknik Middle Aged Neuroimaging - methods Neurologi Neurology Neurosciences Neurosciences & Neurology Neurovetenskaper Radiologi och bildbehandling Radiology Radiology and Medical Imaging Regular Stroke - diagnostic imaging Teknik White Matter - diagnostic imaging |
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Title | White matter hyperintensity quantification in large-scale clinical acute ischemic stroke cohorts – The MRI-GENIE study |
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