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Research ArticleBRAIN

Magnetization Transfer Ratio in Alzheimer Disease: Comparison with Volumetric Measurements

B.H. Ridha, M.R. Symms, D.J. Tozer, K.C. Stockton, C. Frost, M.M. Siddique, E.B. Lewis, D.G. MacManus, P.A. Boulby, G.J. Barker, M.N. Rossor, N.C. Fox and P.S. Tofts
American Journal of Neuroradiology May 2007, 28 (5) 965-970;
B.H. Ridha
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M.R. Symms
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D.J. Tozer
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K.C. Stockton
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C. Frost
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M.M. Siddique
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E.B. Lewis
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D.G. MacManus
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P.A. Boulby
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G.J. Barker
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M.N. Rossor
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N.C. Fox
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P.S. Tofts
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    Fig 1.

    Outlining volumes-of-interest in the coronal plane of magnetization transfer ratio maps of a patient with Alzheimer disease: left and right hippocampal and central pontine regions (A) and left and right parietal white matter regions (B).

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    Fig 2.

    Receiver operating curves plotting the sensitivity and specificity of differentiating Alzheimer disease patients from control subjects by measuring adjusted volume, mean magnetization transfer ratio or both for whole brain (A) and hippocampal regions (B).

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    Fig 3.

    Relationship between adjusted whole brain volume and MMSE score among patients with AD and control subjects. The line indicates the linear regression of adjusted whole brain volume on MMSE score among patients with AD (correlation coefficient = 0.47, P = .048).

Tables

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    Table 1:

    Demographic, clinical, and MR imaging data

    Patients with AD(n = 18)Control Subjects(n = 18)P*
    Age (y)69.1 (6.8)67.1 (8.9).45
    Male, n (%)10 (56)11 (61).74
    MMSE19.1 (6.2)29.7 (0.6)<.0001
    Adjusted WB volume (ml)1019 (76)1125 (61)<.0001
    Adjusted total Hc volume (ml)4.13 (0.70)5.64 (0.51)<.0001
    WB MTR (pu)39.79 (0.72)40.51 (0.58).002
    Hc mean MTR (pu)36.71 (0.78)37.92 (0.62)<.0001
    PWM mean MTR (pu)44.60 (1.20)44.98 (0.71).26
    Pons mean MTR (pu)44.49 (1.72)44.37 (1.62).83
    WB MTR peak height (%vol/pu)7.29 (0.66)7.60 (0.31).08
    WB MTR peak location (pu)42.43 (1.01)42.47 (0.86).92
    WB MTR 25th percentile (pu)36.42 (1.15)37.14 (0.62).03
    WB MTR median (pu)40.94 (0.79)41.31 (0.53).11
    WB MTR 75th percentile (pu)44.58 (0.58)44.75 (0.49).34
    • Note:—MMSE indicates Mini-Mental State Examination; WB, whole brain; Hc, hippocampus; pu, percentage units; vol, volume; MTR, magnetization transfer ratio; PWM, parietal white matter. Values are mean (SD) unless otherwise specified.

    • * Two-sample t test for all comparisons except sex, where Pearson χ2 test was used.

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    Table 2:

    Pearson correlation coefficients (r) for the associations between MMSE and various MR imaging measures among patients with AD (n = 18)

    rP
    Adjusted WB volume0.47.048
    Adjusted total Hc volume0.18.47
    WB mean MTR0.00.99
    Total Hc mean MTR0.19.44
    Total PWM mean MTR0.10.71
    Pons mean MTR0.09.71
    WB MTR peak height0.03.90
    WB MTR peak location0.17.49
    WB MTR 25th percentile0.12.63
    WB MTR median0.17.47
    WB MTR 75th percentile0.21.40
    • Note:—MMSE indicates Mini-Mental State Examination; WB, whole brain; Hc, hippocampus; MTR, magnetization transfer ratio; PWM, parietal white matter.

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American Journal of Neuroradiology: 28 (5)
American Journal of Neuroradiology
Vol. 28, Issue 5
May 2007
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Magnetization Transfer Ratio in Alzheimer Disease: Comparison with Volumetric Measurements
B.H. Ridha, M.R. Symms, D.J. Tozer, K.C. Stockton, C. Frost, M.M. Siddique, E.B. Lewis, D.G. MacManus, P.A. Boulby, G.J. Barker, M.N. Rossor, N.C. Fox, P.S. Tofts
American Journal of Neuroradiology May 2007, 28 (5) 965-970;

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Magnetization Transfer Ratio in Alzheimer Disease: Comparison with Volumetric Measurements
B.H. Ridha, M.R. Symms, D.J. Tozer, K.C. Stockton, C. Frost, M.M. Siddique, E.B. Lewis, D.G. MacManus, P.A. Boulby, G.J. Barker, M.N. Rossor, N.C. Fox, P.S. Tofts
American Journal of Neuroradiology May 2007, 28 (5) 965-970;
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