PMID- 27614005 OWN - NLM STAT- MEDLINE DCOM- 20180212 LR - 20231019 IS - 1097-0193 (Electronic) IS - 1065-9471 (Print) IS - 1065-9471 (Linking) VI - 38 IP - 1 DP - 2017 Jan TI - Assessing neuronal density in peri-infarct cortex with PET: Effects of cortical topology and partial volume correction. PG - 326-338 LID - 10.1002/hbm.23363 [doi] AB - The peri-infarct cortex (PIC) is the site of long-term physiologic changes after ischemic stroke. Traditional methods for delineating the peri-infarct gray matter (GM) have used a volumetric Euclidean distance metric to define its extent around the infarct. This metric has limitations in the case of cortical stroke, i.e., those where ischemia leads to infarction in the cortical GM, because the vascularization of the cerebral cortex follows the complex, folded topology of the cortical surface. Instead, we used a geodesic distance metric along the cortical surface to subdivide the PIC into equidistant rings emanating from the infarct border and compared this new approach to a Euclidean distance metric definition. This was done in 11 patients with [F-18]-Flumazenil ([18-F]-FMZ) positron emission tomography (PET) scans at 2 weeks post-stroke and at 6 month follow-up. FMZ is a PET radiotracer with specific binding to the alpha subunits of the type A gamma-aminobutyric acid (GABAA) receptor. Additionally, we used partial-volume correction (PVC) of the PET images to compensate for potential cortical thinning and long-term neuronal loss in follow-up images. The difference in non-displaceable binding potential (BP(ND) ) between the stroke unaffected and affected hemispheres was 35% larger in the geodesic versus the Euclidean peri-infarct models in initial PET images and 48% larger in follow-up PET images. The inter-hemispheric BP(ND) difference was approximately 17-20% larger after PVC when compared to uncorrected PET images. PET studies of peri-infarct GM in cortical strokes should use a geodesic model and include PVC as a preprocessing step. Hum Brain Mapp 38:326-338, 2017. (c) 2016 Wiley Periodicals, Inc. CI - (c) 2016 Wiley Periodicals, Inc. FAU - Funck, Thomas AU - Funck T AD - Montreal Neurological Institute, McGill University, Montreal, Canada. AD - Jewish General Hospital, Lady Davis Institute, Montreal, Canada. FAU - Al-Kuwaiti, Mohammed AU - Al-Kuwaiti M AD - Montreal Neurological Institute, McGill University, Montreal, Canada. AD - Jewish General Hospital, Lady Davis Institute, Montreal, Canada. FAU - Lepage, Claude AU - Lepage C AD - Montreal Neurological Institute, McGill University, Montreal, Canada. FAU - Zepper, Peter AU - Zepper P AD - Department of Neurology, Technische Universitat Munchen, Munich, Germany. FAU - Minuk, Jeffrey AU - Minuk J AD - Jewish General Hospital, Lady Davis Institute, Montreal, Canada. FAU - Schipper, Hyman M AU - Schipper HM AD - Jewish General Hospital, Lady Davis Institute, Montreal, Canada. FAU - Evans, Alan C AU - Evans AC AD - Montreal Neurological Institute, McGill University, Montreal, Canada. FAU - Thiel, Alexander AU - Thiel A AD - Montreal Neurological Institute, McGill University, Montreal, Canada. AD - Jewish General Hospital, Lady Davis Institute, Montreal, Canada. LA - eng GR - MOP-115107/CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160910 PL - United States TA - Hum Brain Mapp JT - Human brain mapping JID - 9419065 SB - IM CIN - Hum Brain Mapp. 2017 Nov;38(11):5822-5824. PMID: 28731596 MH - Aged MH - Aged, 80 and over MH - Analysis of Variance MH - Brain Infarction/diagnostic imaging/*etiology/*pathology MH - Cerebral Cortex/*diagnostic imaging MH - Female MH - Humans MH - Image Processing, Computer-Assisted MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Nervous System Diseases/etiology/*pathology MH - Neurons/*pathology MH - *Positron-Emission Tomography MH - Retrospective Studies MH - Stroke/complications PMC - PMC6866936 OTO - NOTNLM OT - PET OT - ischemic stroke OT - neuronal density OT - partial-volume effects OT - receptor mapping EDAT- 2016/09/11 06:00 MHDA- 2018/02/13 06:00 PMCR- 2016/09/10 CRDT- 2016/09/11 06:00 PHST- 2015/12/10 00:00 [received] PHST- 2016/08/05 00:00 [revised] PHST- 2016/08/18 00:00 [accepted] PHST- 2016/09/11 06:00 [pubmed] PHST- 2018/02/13 06:00 [medline] PHST- 2016/09/11 06:00 [entrez] PHST- 2016/09/10 00:00 [pmc-release] AID - HBM23363 [pii] AID - 10.1002/hbm.23363 [doi] PST - ppublish SO - Hum Brain Mapp. 2017 Jan;38(1):326-338. doi: 10.1002/hbm.23363. Epub 2016 Sep 10.