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Published on: May 19, 2015
Impact of physiological factors on longitudinal structural MRI measures of the brain
Uzma Zahid1, Emily P Hedges1, Mihail Dimitrov2
1Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, United Kingdom.
Abstract:
Longitudinal MRI is used in clinical research studies to examine illness progression, neurodevelopment, and the effect of medical interventions. Such studies typically report changes in brain volume of less than 5%. However, there is a concern that these findings could be obscured or confounded by small changes in brain volume estimates caused by physiological factors such as, dehydration, blood pressure, caffeine levels, and circadian rhythm. In this study, MRI scans using the ADNI-III protocol were acquired from 20 participants (11 female) at two time points (mean interval = 20.3 days). Hydration, systolic and diastolic blood pressure, caffeine intake, and time of day were recorded at both visits. Images were processed using FreeSurfer. Three a priori hypothesised brain regions (hippocampus, lateral ventricles, and total brain) were selected, and an exploratory analysis was conducted on FreeSurfer's auto-segmented brain regions. There was no significant effect of the physiological factors on changes in the hypothesised brain regions. We provide estimates for the maximum percentage change in regional brain volumes that could be expected to occur from normal variation in each of the physiological measures. In this study, normal variations in physiological parameters did not have a detectable effect on longitudinal changes in brain volume.
Insights
Physiological factors like hydration and blood pressure do not significantly affect brain volume changes measured in longitudinal MRI studies. This finding supports the reliability of brain volume estimation in clinical research.
Area of Science:
- Neuroimaging
- Clinical Research
Background:
- Longitudinal MRI studies track illness progression and treatment effects, often detecting subtle brain volume changes (<5%).
- Concerns exist that physiological variations (dehydration, blood pressure, caffeine, circadian rhythm) may confound these small volume change estimates.
Purpose of the Study:
- To investigate the impact of physiological factors on longitudinal brain volume changes.
- To quantify potential confounding effects in MRI-based clinical research.
Main Methods:
- Acquired MRI scans from 20 participants (ADNI-III protocol) at two time points (mean interval 20.3 days).
- Recorded hydration, blood pressure, caffeine intake, and time of day at both visits.
- Processed images with FreeSurfer, analyzing hypothesized (hippocampus, lateral ventricles, total brain) and exploratory regions.
Main Results:
- No significant effect of hydration, blood pressure, caffeine, or time of day on regional brain volume changes was detected.
- Provided estimates for maximum expected percentage change in regional brain volumes due to normal physiological variations.
Conclusions:
- Normal variations in physiological parameters did not demonstrate a detectable effect on longitudinal brain volume changes in this study.
- Findings suggest that standard physiological fluctuations do not significantly confound subtle brain volume changes in longitudinal MRI research.
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