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Monitoring Spatial Segregation in Surface Colonizing Microbial Populations
Published on: October 29, 2016
Spatial correlation and segregation of multimodal MRI abnormalities in multiple system atrophy
Myung Jun Lee1, Tae-Hyung Kim2, Chi-Woong Mun2
1Department of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Republic of Korea.
Structural MRI abnormalities in multiple system atrophy (MSA) are segregated in basal ganglia (BG) and brainstem-cerebellar (stem-CB) regions. These distinct patterns correlate with clinical presentation and motor severity in MSA patients.
Area of Science:
- Neuroimaging
- Neurology
- Radiology
Background:
- Multiple system atrophy (MSA) presents with clinical heterogeneity due to variable pathological distribution in basal ganglia (BG) and brainstem-cerebellar (stem-CB) systems.
- Understanding these spatial patterns is crucial for defining the motor subtype of MSA.
Purpose of the Study:
- To quantify spatial patterns of multimodal MRI abnormalities in BG and stem-CB regions in MSA.
- To define structural MRI findings correlating with clinical characteristics of MSA.
Main Methods:
- Simultaneous measurement of R2*, mean diffusivity (MD), and volume in subcortical structures (BG, thalamus, stem-CB) of 39 probable MSA and 22 control subjects.
- Application of Principal Component Analysis (PCA) and Structural Equation Modeling (SEM) to analyze inter-dependencies.
Main Results:
- Structural MRI alterations within BG and stem-CB regions were significantly interrelated in MSA patients.
- PCA identified four factors: three related to BG (R2*, MD, volume) and one to stem-CB (MD, volume).
- Putaminal MD and a BG MD factor correlated significantly with UPDRS and UMSARS scores, indicating clinical relevance.
Conclusions:
- Multimodal structural MRI abnormalities in MSA are segregated into BG- and stem-CB-related factors.
- These distinct MRI patterns are associated with the clinical phenotype and motor severity in MSA.
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