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Docteur de l'université Automatic Segmentation and Shape Analysis ...

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Chapter 2 Literature Review 39<br />

Apart from the direct measurement of volume based on the <strong>de</strong>fined ROI, mor-<br />

phometric methods such as tensor-based morphometry (TBM) <strong>and</strong> voxel-based<br />

morphometry (VBM, Ashburner <strong>and</strong> Friston, 2000, for review, see Ashburner <strong>and</strong><br />

Friston, 2003) evaluate the local changes in brain structures without explicitly cal-<br />

culate the absolute volume. While the structural changes are i<strong>de</strong>ntified in TBM<br />

from the Jacobian of the <strong>de</strong>formation between two images, VBM compares the<br />

concentration of gray matter (or white matter) in the local tissues voxel by voxel,<br />

which has been used in AD studies to <strong>de</strong>tect the medial temporal lobe atrophy<br />

(e.g. Baron et al., 2001; Frisoni et al., 2002), <strong>and</strong> to measure the hippocampal<br />

atrophy (Testa et al., 2004). Findings from morphometric MRI studies in AD <strong>and</strong><br />

MCI using VBM have been reviewed by Busatto et al. (2008).<br />

Boundary shift integral (BSI, Barnes et al., 2004, 2007) is another method that<br />

compares the baseline <strong>and</strong> the follow-up images <strong>and</strong> measures the shift in the<br />

hippocampal boundary.<br />

2.3.2 <strong>Shape</strong> analysis<br />

Volume alone provi<strong>de</strong>s significant discrimination ability, but is ina<strong>de</strong>quate to fully<br />

<strong>de</strong>scribe the effect of the disease on the morphology of hippocampus. In addition<br />

to volumetry, hippocampal shape analysis also contributed to the un<strong>de</strong>rst<strong>and</strong>ing<br />

of the <strong>de</strong>velopment of the disease. Regional differences between hippocampal<br />

subfields have been found in the neuro<strong>de</strong>generative process of AD, with more<br />

pronounced neuron loss reported in CA1 <strong>and</strong> subiculum subfields (West et al.,<br />

1994; Bobinski et al., 1998; Rössler et al., 2002; Mueller <strong>and</strong> Weiner, 2009; for<br />

review see Scher et al., 2007). With the <strong>de</strong>velopment of brain mapping techniques<br />

such as radial atrophy mapping (Thompson et al., 2004; Frisoni et al., 2008), <strong>and</strong><br />

high-dimensional brain mapping (Csernansky et al., 2000; Wang et al., 2003, 2006),<br />

findings from neuroimaging studies into AD <strong>and</strong> MCI have also corroborated the<br />

locality of shape changes in CA1 <strong>and</strong> subiculum subfields along with global tissue<br />

reduction (Csernansky et al., 2005; Apostolova et al., 2006; Scher et al., 2007;<br />

Chételat et al., 2008; Qiu et al., 2009). Both shape <strong>and</strong> volume of hippocampus

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