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Development and evaluation of image preprocessing pipelines for the Centiloid method on Down Syndrome data.

Weiquan Luo1, Davneet S Minhas2, Ethan D Rubenstein3

  • 1Department of Bioengineering, University of Pittsburgh, Swanson School of Engineering, Pittsburgh, Pennsylvania, USA.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|October 11, 2025
PubMed
Summary

Preprocessing methods significantly improved Centiloid processing success rates for brain amyloid quantification in individuals with Down syndrome (DS), increasing yield from 61.3% to 95.6%. This enhances diagnostic capabilities for DS populations.

Keywords:
CentiloidDown SyndromeMRIPETamyloid imagingimage processing

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Area of Science:

  • Neuroimaging
  • Biomedical Engineering
  • Neurology

Background:

  • Centiloid is a standardized method for quantifying brain amyloid using MRI and PET scans.
  • The standard Centiloid process has a high failure rate in Down syndrome (DS) subjects.
  • Improving Centiloid processing success in DS is crucial for neurodegenerative disease research.

Purpose of the Study:

  • To evaluate different imaging preprocessing methods (PMs) to enhance the success rate of Centiloid processing in DS subjects.
  • To identify optimal preprocessing pipelines for DS populations.
  • To ensure Centiloid results adhere to established standards.

Main Methods:

  • Preprocessing methods were developed by combining image origin reset, filtering, MRI bias correction, and skull stripping.
  • The performance of these PMs was evaluated using The Global Alzheimer's Association Interactive Network dataset for standard adherence.
  • PMs were specifically assessed for their suitability in the DS population using the NiAD dataset.

Main Results:

  • Five preprocessing pipelines were identified as effective in improving Centiloid processing success.
  • The success rate for Centiloid processing in the DS cohort increased from 61.3% to 95.6% with the optimized PMs.
  • The developed preprocessing strategies demonstrated substantial improvements in the yield of usable imaging data.

Conclusions:

  • The study proposes a robust image preprocessing pipeline for Centiloid analysis in DS.
  • These optimized preprocessing steps significantly enhance the success rate of Centiloid processing in DS.
  • The findings facilitate more reliable amyloid quantification in DS individuals, aiding research and clinical applications.