Evidence map›Paper›PMID 34334402›Full record

ArticleJournal of Alzheimer's disease : JAD2021

Diagnostic Performance of Automated MRI Volumetry by icobrain dm for Alzheimer's Disease in a Clinical Setting: A REMEMBER Study.

Mandy Melissa Jane Wittens, Diana Maria Sima, Ruben Houbrechts, Annemie Ribbens, Ellis Niemantsverdriet, Erik Fransen, Christine Bastin, Florence Benoit, Bruno Bergmans, Jean-Christophe Bier and 20 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Real-world brain imaging in a population-based cohort enables accurate markers for dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Mandy Melissa Jane WittensReference Center for Biological Markers of Dementia (BIODEM), Laboratory of Neurochemistry and Behavior, University of Antwerp, Antwerp, Belgium.
Diana Maria Simaicometrix, Leuven, Belgium.
Ruben Houbrechtsicometrix, Leuven, Belgium.
Annemie Ribbensicometrix, Leuven, Belgium.
Ellis NiemantsverdrietReference Center for Biological Markers of Dementia (BIODEM), Laboratory of Neurochemistry and Behavior, University of Antwerp, Antwerp, Belgium.
Erik FransenStatUa Center for Statistics, University of Antwerp, Belgium.
Christine BastinGIGA Cyclotron Research Centre in vivo Imaging, University of Liège, Liège, Belgium.
Florence BenoitDepartment of Geriatrics, Centre Hospitalier Universitaire (CHU) Brugmann, Brussels, Belgium.
Bruno BergmansDepartment of Neurology and Center for Cognitive Disorders, Brugge, Belgium.
Jean-Christophe BierDepartment of Neurology, Erasme Hospital - ULB, Brussels, Belgium.
Peter Paul De DeynReference Center for Biological Markers of Dementia (BIODEM), Laboratory of Neurochemistry and Behavior, University of Antwerp, Antwerp, Belgium.
Olivier DeryckDepartment of Neurology and Center for Cognitive Disorders, Brugge, Belgium.
Bernard HanseeuwDepartment of Neurology, Cliniques Universitaires St Luc and Institute of Neuroscience, Université catholique de Louvain, Woluwe-Saint-Lambert (Brussels), Belgium.
Adrian IvanoiuDepartment of Neurology, Cliniques Universitaires St Luc and Institute of Neuroscience, Université catholique de Louvain, Woluwe-Saint-Lambert (Brussels), Belgium.
Jean-Claude LemperDepartment of Geriatrics, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel, Brussels, Belgium.
Eric MormontUCLouvain, CHU UCL Namur, service de Neurologie, Yvoir, Belgium.
Gaëtane PicardDepartment of Neurology, Clinique Saint-Pierre, Ottignies, Belgium.
Ezequiel de la Rosaicometrix, Leuven, Belgium.
Eric SalmonGIGA Cyclotron Research Centre in vivo Imaging, University of Liège, Liège, Belgium.
Kurt SegersDepartment of Neurology, Centre Hospitalier Universitaire (CHU) Brugmann, Brussels, Belgium.
Anne SiebenDepartment of Neurology, University Hospital Ghent, Ghent University, Ghent, Belgium.
Dirk Smeetsicometrix, Leuven, Belgium.
Hanne StruyfsReference Center for Biological Markers of Dementia (BIODEM), Laboratory of Neurochemistry and Behavior, University of Antwerp, Antwerp, Belgium.
Evert ThieryDepartment of Neurology, University Hospital Ghent, Ghent University, Ghent, Belgium.
Jos TournoyGeriatric Medicine and Memory Clinic, University Hospitals Leuven & Department of Chronic Diseases, Metabolism and Ageing, KU Leuven, Leuven, Belgium.
Eric TriauNeurologie Consult, Leuven, Belgium.
Anne-Marie VanbinstDepartment of Radiology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Jan VersijptDepartment of Neurology, Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Maria BjerkeReference Center for Biological Markers of Dementia (BIODEM), Laboratory of Neurochemistry and Behavior, University of Antwerp, Antwerp, Belgium.
Sebastiaan EngelborghsReference Center for Biological Markers of Dementia (BIODEM), Laboratory of Neurochemistry and Behavior, University of Antwerp, Antwerp, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMagnetic resonance imaging (MRI) has become important in the diagnostic work-up of neurodegenerative diseases. icobrain dm, a CE-labeled and FDA-cleared automated brain volumetry software, has shown potential in differentiating cognitively healthy controls (HC) from Alzheimer's disease (AD) dementia (ADD) patients in selected research cohorts.

objectiveThis study examines the diagnostic value of icobrain dm for AD in routine clinical practice, including a comparison to the widely used FreeSurfer software, and investigates if combined brain volumes contribute to establish an AD diagnosis.

methodsThe study population included HC (n = 90), subjective cognitive decline (SCD, n = 93), mild cognitive impairment (MCI, n = 357), and ADD (n = 280) patients. Through automated volumetric analyses of global, cortical, and subcortical brain structures on clinical brain MRI T1w (n = 820) images from a retrospective, multi-center study (REMEMBER), icobrain dm's (v.4.4.0) ability to differentiate disease stages via ROC analysis was compared to FreeSurfer (v.6.0). Stepwise backward regression models were constructed to investigate if combined brain volumes can differentiate between AD stages.

resultsicobrain dm outperformed FreeSurfer in processing time (15-30 min versus 9-32 h), robustness (0 versus 67 failures), and diagnostic performance for whole brain, hippocampal volumes, and lateral ventricles between HC and ADD patients. Stepwise backward regression showed improved diagnostic accuracy for pairwise group differentiations, with highest performance obtained for distinguishing HC from ADD (AUC = 0.914; Specificity 83.0%; Sensitivity 86.3%).

conclusionAutomated volumetry has a diagnostic value for ADD diagnosis in routine clinical practice. Our findings indicate that combined brain volumes improve diagnostic accuracy, using real-world imaging data from a clinical setting.

Indexed as

Magnetic Resonance ImagingSoftwareAgedAlzheimer DiseaseBrainCognitive DysfunctionFemaleHippocampusHumansImage Processing, Computer-AssistedMaleRetrospective StudiesAlzheimer’s diseaseautomated volumetrybiomarkersmagnetic resonance imagingmild cognitive impairment

Identifiers

PMID34334402
PMCPMC8543261

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.