Hippocampal shape is predictive for the development of dementia in a normal, elderly population
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Hippocampal shape is predictive for the development of dementia in a normal, elderly population. / Achterberg, Hakim C.; van der Lijn, Fedde; den Heijer, Tom; Vernooij, Meike W.; Ikram, M. Arfan; Niessen, Wiro J.; de Bruijne, Marleen.
In: Human Brain Mapping, Vol. 35, No. 5, 2014, p. 2359-2371.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Hippocampal shape is predictive for the development of dementia in a normal, elderly population
AU - Achterberg, Hakim C.
AU - van der Lijn, Fedde
AU - den Heijer, Tom
AU - Vernooij, Meike W.
AU - Ikram, M. Arfan
AU - Niessen, Wiro J.
AU - de Bruijne, Marleen
N1 - Copyright © 2013 Wiley Periodicals, Inc.
PY - 2014
Y1 - 2014
N2 - Previous studies have shown that hippocampal volume is an early marker for dementia. We investigated whether hippocampal shape characteristics extracted from MRI scans are predictive for the development of dementia during follow up in subjects who were nondemented at baseline. Furthermore, we assessed whether hippocampal shape provides additional predictive value independent of hippocampal volume. Five hundred eleven brain MRI scans from elderly nondemented participants of a prospective population-based imaging study were used. During the 10-year follow-up period, 52 of these subjects developed dementia. For training and evaluation independent of age and gender, a subset of 50 cases and 150 matched controls was selected. The hippocampus was segmented using an automated method. From the segmentation, the volume was determined and a statistical shape model was constructed. We trained a classifier to distinguish between subjects who developed dementia and subjects who stayed cognitively healthy. For all subjects the a posteriori probability to develop dementia was estimated using the classifier in a cross-validation experiment. The area under the ROC curve for volume, shape, and the combination of both were, respectively, 0.724, 0.743, and 0.766. A logistic regression model showed that adding shape to a model using volume corrected for age and gender increased the global model-fit significantly (P = 0.0063). We conclude that hippocampal shape derived from MRI scans is predictive for dementia before clinical symptoms arise, independent of age and gender. Furthermore, the results suggest that hippocampal shape provides additional predictive value over hippocampal volume and that combining shape and volume leads to better prediction. Hum Brain Mapp, 2013. © 2013 Wiley Periodicals, Inc.
AB - Previous studies have shown that hippocampal volume is an early marker for dementia. We investigated whether hippocampal shape characteristics extracted from MRI scans are predictive for the development of dementia during follow up in subjects who were nondemented at baseline. Furthermore, we assessed whether hippocampal shape provides additional predictive value independent of hippocampal volume. Five hundred eleven brain MRI scans from elderly nondemented participants of a prospective population-based imaging study were used. During the 10-year follow-up period, 52 of these subjects developed dementia. For training and evaluation independent of age and gender, a subset of 50 cases and 150 matched controls was selected. The hippocampus was segmented using an automated method. From the segmentation, the volume was determined and a statistical shape model was constructed. We trained a classifier to distinguish between subjects who developed dementia and subjects who stayed cognitively healthy. For all subjects the a posteriori probability to develop dementia was estimated using the classifier in a cross-validation experiment. The area under the ROC curve for volume, shape, and the combination of both were, respectively, 0.724, 0.743, and 0.766. A logistic regression model showed that adding shape to a model using volume corrected for age and gender increased the global model-fit significantly (P = 0.0063). We conclude that hippocampal shape derived from MRI scans is predictive for dementia before clinical symptoms arise, independent of age and gender. Furthermore, the results suggest that hippocampal shape provides additional predictive value over hippocampal volume and that combining shape and volume leads to better prediction. Hum Brain Mapp, 2013. © 2013 Wiley Periodicals, Inc.
U2 - 10.1002/hbm.22333
DO - 10.1002/hbm.22333
M3 - Journal article
C2 - 24039001
VL - 35
SP - 2359
EP - 2371
JO - Human Brain Mapping
JF - Human Brain Mapping
SN - 1065-9471
IS - 5
ER -
ID: 51262001