Evidence map›Paper›PMID 34911192›Full record

ArticleNeuroImage. Clinical2021

Diffusion MRI harmonization enables joint-analysis of multicentre data of patients with cerebral small vessel disease.

Bruno M de Brito Robalo, Geert Jan Biessels, Christopher Chen, Anna Dewenter, Marco Duering, Saima Hilal, Huiberdina L Koek, Anna Kopczak, Bonnie Yin Ka Lam, Alexander Leemans and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in NeuroImage. Clinical, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Evaluation of Mean Shift, ComBat, and CycleGAN for Harmonizing Brain Connectivity Matrices Across Sites.Proceedings of SPIE--the International Society for Optical Engineering · 2024
    Article
  3. Article
  4. Review
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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

14 authors at 5 institutions in 5 countries.

Bruno M de Brito RobaloDepartment of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands; Image Sciences Institute, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. Electronic address: B.M.deBritoRobalo-2@umcutrecht.nl.
Geert Jan BiesselsDepartment of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: G.J.Biessels@umcutrecht.nl.
Christopher ChenMemory, Aging and Cognition Center, Department of Pharmacology, National University of Singapore, Singapore. Electronic address: phccclh@nus.edu.sg.
Anna DewenterInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Germany. Electronic address: Anna.Dewenter@med.uni-muenchen.de.
Marco DueringInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Germany; Medical Image Analysis Center (MIAC AG) and qbig, Department of Biomedical Engineering, University of Basel, Basel, Switzerland. Electronic address: marco.duering@miac.ch.
Saima HilalMemory, Aging and Cognition Center, Department of Pharmacology, National University of Singapore, Singapore. Electronic address: saimahilal@nus.edu.sg.
Huiberdina L KoekDepartment of Geriatric Medicine, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: H.L.Koek@umcutrecht.nl.
Anna KopczakInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Germany. Electronic address: Anna.Kopczak@med.uni-muenchen.de.
Bonnie Yin Ka LamDivision of Neurology, Department of Medicine and Therapeutics, Gerald Choa Neuroscience Centre, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region. Electronic address: bonnieyklam@cuhk.edu.hk.
Alexander LeemansImage Sciences Institute, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. Electronic address: A.Leemans@umcutrecht.nl.
Vincent MokDivision of Neurology, Department of Medicine and Therapeutics, Gerald Choa Neuroscience Centre, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region. Electronic address: vctmok@cuhk.edu.hk.
Laurien P OnkenhoutDepartment of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: L.P.Onkenhout@umcutrecht.nl.
Hilde van den BrinkDepartment of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: H.vandenBrink-2@umcutrecht.nl.
Alberto de LucaDepartment of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands; Image Sciences Institute, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. Electronic address: A.deLuca-2@umcutrecht.nl.
University Medical Center Utrecht · NLLMU Klinikum · DENational University of Singapore · SGChinese University of Hong Kong · CNPrince of Wales Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAcquisition-related differences in diffusion magnetic resonance imaging (dMRI) hamper pooling of multicentre data to achieve large sample sizes. A promising solution is to harmonize the raw diffusion signal using rotation invariant spherical harmonic (RISH) features, but this has not been tested in elderly subjects. Here we aimed to establish if RISH harmonization effectively removes acquisition-related differences in multicentre dMRI of elderly subjects with cerebral small vessel disease (SVD), while preserving sensitivity to disease effects.

methodsFive cohorts of patients with SVD (N = 397) and elderly controls (N = 175) with 3 Tesla MRI on different systems were included. First, to establish effectiveness of harmonization, the RISH method was trained with data of 13 to 15 age and sex-matched controls from each site. Fractional anisotropy (FA) and mean diffusivity (MD) were compared in matched controls between sites using tract-based spatial statistics (TBSS) and voxel-wise analysis, before and after harmonization. Second, to assess sensitivity to disease effects, we examined whether the contrast (effect sizes of FA, MD and peak width of skeletonized MD - PSMD) between patients and controls within each site remained unaffected by harmonization. Finally, we evaluated the association between white matter hyperintensity (WMH) burden, FA, MD and PSMD using linear regression analyses both within individual cohorts as well as with pooled scans from multiple sites, before and after harmonization.

resultsBefore harmonization, significant differences in FA and MD were observed between matched controls of different sites (p < 0.05). After harmonization these site-differences were removed. Within each site, RISH harmonization did not alter the effect sizes of FA, MD and PSMD between patients and controls (relative change in Cohen's d = 4 %) nor the strength of association with WMH volume (relative change in R

conclusionsWe showed that RISH harmonization effectively removes acquisition-related differences in dMRI of elderly subjects while preserving sensitivity to SVD-related effects. This study provides proof of concept for future multicentre SVD studies with pooled datasets.

Indexed as

Cerebral Small Vessel DiseasesWhite MatterAgedAnisotropyDiffusion Magnetic Resonance ImagingHumansMagnetic Resonance ImagingRegression AnalysisCerebral small vessel diseaseDiffusion MRIHarmonizationMulticentreWhite matter hyperintensities

Identifiers

PMID34911192
PMCPMC8609094
OpenAlexW3215002245

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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.