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

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62 Chapter 3 Hippocampal segmentation using multiple atlases<br />

The data used in the experiment of supervised atlas construction are from the<br />

Australian Imaging, Biomarker & Lifestyle Flagship Study of Ageing (AIBL, El-<br />

lis et al., 2010). Launched in November 2006, the AIBL study is a prospective<br />

longitudinal study of ageing comprised of patients with AD, MCI <strong>and</strong> healthy vol-<br />

unteers. The primary goal of AIBL is to <strong>de</strong>velop <strong>and</strong> confirm a set of diagnostic<br />

markers biomarkers <strong>and</strong> psychometrics that can be used to objectively monitor<br />

disease progression <strong>and</strong> to <strong>de</strong>velop hypotheses about diet <strong>and</strong> lifestyle factors that<br />

might <strong>de</strong>lay the onset of this disease. Successful completion of this work will en-<br />

able the <strong>de</strong>sign <strong>and</strong> conduct of extensive cohort studies that may lead to clinically<br />

proven preventative strategies for AD. Recruitment commenced in 2007 <strong>and</strong> has<br />

been on a volunteer basis. A total of 1112 participants from Western Australia<br />

(40%) <strong>and</strong> Victoria (60%) have been enrolled in the AIBL study. Basic inclusion<br />

criteria for the AIBL study required that each participant be aged 60years of age<br />

or ol<strong>de</strong>r at the time of recruitment, English speaking <strong>and</strong>, if applicable, have stable<br />

medications (e.g. controlled hypertension). Additionally, Alzheimer’s participants<br />

were required to have a CDR of 0.5, 1 or 2, to meet the NINDCDS-ADRDA, ICD-<br />

10 & DSM-IV criteria for probable or possible AD <strong>and</strong> to have a reliable informant<br />

with contact of at least ten hours per week. About a quarter of the AIBL cohort<br />

received imaging using MRI <strong>and</strong> PiB-PET.<br />

The MR imaging was performed at 2 sites using a Siemens 3T Trio (∼60%) <strong>and</strong><br />

a Siemens 1.5T Magnetom Avanto (∼40%). The imaging protocol was <strong>de</strong>fined<br />

to follow gui<strong>de</strong>line of Alzheimer’s Disease Neuroimaging Initiative (ADNI), with<br />

the exception that a single T1W MPRage was acquired for each subject at each<br />

timepoint (compared to 2 T1W MPRage scans in the st<strong>and</strong>ard ADNI protocol) <strong>and</strong><br />

no phantoms were acquired. From the population enrolled in the AIBL study, 210<br />

brain MR images of 170 NC <strong>and</strong> 40 AD subjects, were segmented using the multi-<br />

atlas based segmentation method with the IBSR images used as the initial set<br />

of atlases. Among the segmentation results using IBSR atlases, 16 segmentations<br />

were qualified <strong>and</strong> ad<strong>de</strong>d to the database of atlases after the first iteration. Another<br />

24 were ad<strong>de</strong>d after the second iteration. Thus an atlas database of 40 segmented

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