Computer-based magnetic resonance imaging as a tool in clinical diagnosis in neurodegenerative diseases

Expert Review of Neurotherapeutics
Jan Kassubek, Hans-Peter Müller

Abstract

Magnetic resonance imaging (MRI) is one of the core elements within the differential diagnostic work-up of patients with neurodegenerative diseases such as dementia syndromes, Parkinsonian syndromes, and motor neuron diseases. Currently, computerized MRI analyses are not routinely used for individual diagnosis; however, they have improved the anatomical understanding of pathomorphological alterations in various neurodegenerative diseases by quantitative comparisons between patients and controls at the group level. For multiparametric MRI protocols, including T1-weighted MRI, diffusion-weighted imaging, and intrinsic functional connectivity MRI, the potential as a surrogate marker is a subject of investigation. The additional value of MRI with respect to diagnosis at the individual level and for future disease-modifying multicentre trials remains to be defined. Here, we give an overview of recent applications of multiparametric MRI to patients with various neurodegenerative diseases. Starting from applications at the group level, continuous progress of a transfer to individual diagnostic classification is ongoing.

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Citations

Apr 6, 2017·Journal of Neural Transmission·Beatrice HeimKlaus Seppi
Jun 10, 2017·Journal of Neurology, Neurosurgery, and Psychiatry·Martin GorgesLuc Dupuis
Nov 5, 2017·Journal of Neurology, Neurosurgery, and Psychiatry·Jan KassubekAlbert C Ludolph
Sep 15, 2016·Journal of Neurology·Angela RosenbohmJan Kassubek
Mar 16, 2017·Der Nervenarzt·U WalterW Maetzler

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