Publications by authors named "Juan-Eugenio Iglesias"

Background: White matter hyperintensities (WMHs) are frequently observed on magnetic resonance imaging (MRI) in patients with cerebral amyloid angiopathy (CAA). The neuropathological substrates that underlie WMHs in CAA are unclear, and it remains largely unexplored whether the different WMH distribution patterns associated with CAA (posterior confluent and subcortical multispot) reflect alternative pathophysiological mechanisms.

Methods And Results: We performed a combined in vivo MRI-ex vivo MRI-neuropathological study in patients with definite CAA.

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Article Synopsis
  • Significant advancements have been made in understanding cortical networks related to conscious awareness, but research on subcortical arousal networks is still underdeveloped due to challenges in accurately defining brainstem arousal nuclei.
  • Researchers created a probabilistic atlas of brainstem arousal nuclei using high-resolution diffusion MRI scans of five ex vivo human brain samples, with annotations based on specific immunostaining.
  • A Bayesian segmentation algorithm was developed to automatically identify these nuclei across different MRI techniques, showing high accuracy and reliability, with applications in detecting changes related to disorders like Alzheimer's disease and traumatic coma.
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Magnetic resonance imaging (MRI) is the standard tool to image the human brain In this domain, digital brain atlases are essential for subject-specific segmentation of anatomical regions of interest (ROIs) and spatial comparison of neuroanatomy from different subjects in a common coordinate frame. High-resolution, digital atlases derived from histology (e.g.

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Accurate labeling of specific layers in the human cerebral cortex is crucial for advancing our understanding of neurodevelopmental and neurodegenerative disorders. Building on recent advancements in ultra-high-resolution ex vivo MRI, we present a novel semi-supervised segmentation model capable of identifying supragranular and infragranular layers in ex vivo MRI with unprecedented precision. On a dataset consisting of 17 whole-hemisphere ex vivo scans at 120 $\mu $m, we propose a Multi-resolution U-Nets framework that integrates global and local structural information, achieving reliable segmentation maps of the entire hemisphere, with Dice scores over 0.

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Segmentation of brain structures on magnetic resonance imaging (MRI) is a highly relevant neuroimaging topic, as it is a prerequisite for different analyses such as volumetry or shape analysis. Automated segmentation facilitates the study of brain structures in larger cohorts when compared with manual segmentation, which is time-consuming. However, the development of most automated methods relies on large and manually annotated datasets, which limits the generalizability of these methods.

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Objective: For stroke patients with unknown time of onset, mismatch between diffusion-weighted imaging (DWI) and fluid-attenuated inversion recovery (FLAIR) magnetic resonance imaging (MRI) can guide thrombolytic intervention. However, access to MRI for hyperacute stroke is limited. Here, we sought to evaluate whether a portable, low-field (LF)-MRI scanner can identify DWI-FLAIR mismatch in acute ischemic stroke.

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Introduction: Three-dimensional (3D) histology analyses are essential to overcome sampling variability and understand pathological differences beyond the dissection axis. We present Path2MR, the first pipeline allowing 3D reconstruction of sparse human histology without a magnetic resonance imaging (MRI) reference. We implemented Path2MR with post-mortem hippocampal sections to explore pathology gradients in Alzheimer's disease.

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Accurate labeling of specific layers in the human cerebral cortex is crucial for advancing our understanding of neurodevelopmental and neurodegenerative disorders. Leveraging recent advancements in ultra-high resolution MRI, we present a novel semi-supervised segmentation model capable of identifying supragranular and infragranular layers in MRI with unprecedented precision. On a dataset consisting of 17 whole-hemisphere scans at 120 m, we propose a multi-resolution U-Nets framework (MUS) that integrates global and local structural information, achieving reliable segmentation maps of the entire hemisphere, with Dice scores over 0.

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Introduction: Three-dimensional (3D) histology analyses are essential to overcome sampling variability and understand pathological differences beyond the dissection axis. We present Path2MR, the first pipeline allowing 3D reconstruction of sparse human histology without an MRI reference. We implemented Path2MR with post-mortem hippocampal sections to explore pathology gradients in Alzheimer's Disease.

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Study Objectives: To use relatively noisy routinely collected clinical data (brain magnetic resonance imaging (MRI) data, clinical polysomnography (PSG) recordings, and neuropsychological testing), to investigate hypothesis-driven and data-driven relationships between brain physiology, structure, and cognition.

Methods: We analyzed data from patients with clinical PSG, brain MRI, and neuropsychological evaluations. SynthSeg, a neural network-based tool, provided high-quality segmentations despite noise.

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Brain cells are arranged in laminar, nuclear, or columnar structures, spanning a range of scales. Here, we construct a reliable cell census in the frontal lobe of human cerebral cortex at micrometer resolution in a magnetic resonance imaging (MRI)-referenced system using innovative imaging and analysis methodologies. MRI establishes a macroscopic reference coordinate system of laminar and cytoarchitectural boundaries.

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Background: Neuroimaging is essential for detecting spontaneous, nontraumatic intracerebral hemorrhage (ICH). Recent data suggest ICH can be characterized using low-field magnetic resonance imaging (MRI). Our primary objective was to investigate the sensitivity and specificity of ICH on a 0.

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The advent of portable, low-field MRI (LF-MRI) heralds new opportunities in neuroimaging. Low power requirements and transportability have enabled scanning outside the controlled environment of a conventional MRI suite, enhancing access to neuroimaging for indications that are not well suited to existing technologies. Maximizing the information extracted from the reduced signal-to-noise ratio of LF-MRI is crucial to developing clinically useful diagnostic images.

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Investigating interindividual variability is a major field of interest in neuroscience. The entorhinal cortex (EC) is essential for memory and affected early in the progression of Alzheimer's disease (AD). We combined histology ground-truth data with ultrahigh-resolution 7T ex vivo MRI to analyze EC interindividual variability in 3D.

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Meningiomas are the most common primary intracranial tumor in adults and can be associated with significant morbidity and mortality. Radiologists, neurosurgeons, neuro-oncologists, and radiation oncologists rely on multiparametric MRI (mpMRI) for diagnosis, treatment planning, and longitudinal treatment monitoring; yet automated, objective, and quantitative tools for non-invasive assessment of meningiomas on mpMRI are lacking. The BraTS meningioma 2023 challenge will provide a community standard and benchmark for state-of-the-art automated intracranial meningioma segmentation models based on the largest expert annotated multilabel meningioma mpMRI dataset to date.

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Article Synopsis
  • Automated brain tumor segmentation methods have reached a level of performance that is clinically useful, relying on MRI modalities like T1, T2, and FLAIR images.
  • These methods often face challenges due to missing sequences caused by issues like time constraints and patient motion, making it crucial to find ways to substitute missing modalities for better segmentation.
  • The Brain MR Image Synthesis Benchmark (BraSyn) was established to evaluate image synthesis techniques that can generate these missing MRI modalities, aiming to enhance the automation of brain tumor segmentation processes.
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Learning-based image reconstruction models, such as those based on the U-Net, require a large set of labeled images if good generalization is to be guaranteed. In some imaging domains, however, labeled data with pixel- or voxel-level label accuracy are scarce due to the cost of acquiring them. This problem is exacerbated further in domains like medical imaging, where there is no single ground truth label, resulting in large amounts of repeat variability in the labels.

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  • Scientists are really interested in using computer programs, like artificial intelligence (AI), to help doctors find mental and brain disorders by looking at brain images.
  • They have developed models to help detect diseases like Alzheimer's and ADHD, but most of the work has been in labs, not in real hospitals.
  • The review talks about why it's hard to use these AI models in hospitals, including differences in settings, technology limitations, and varying skills among researchers and doctors.
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  • Gliomas are the most common and deadliest primary brain tumors, with a survival rate under 2 years post-diagnosis, and pose significant challenges in diagnosis and treatment, especially in low- and middle-income countries.
  • While research has improved treatment outcomes in wealthier regions, survival rates remain poor in places like Sub-Saharan Africa due to late diagnosis and lower-quality MRI technology.
  • The BraTS-Africa Challenge aims to integrate glioma MRI cases from Sub-Saharan Africa into global efforts to develop advanced computer-aided diagnostic tools that could improve detection and treatment in resource-limited healthcare settings.
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The translation of AI-generated brain metastases (BM) segmentation into clinical practice relies heavily on diverse, high-quality annotated medical imaging datasets. The BraTS-METS 2023 challenge has gained momentum for testing and benchmarking algorithms using rigorously annotated internationally compiled real-world datasets. This study presents the results of the segmentation challenge and characterizes the challenging cases that impacted the performance of the winning algorithms.

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Introduction: Hippocampal sclerosis of aging (HS) is an important component of combined dementia neuropathology. However, the temporal evolution of its histologically-defined features is unknown. We investigated pre-mortem longitudinal hippocampal atrophy associated with HS, as well as with other dementia-associated pathologies.

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  • Open-source tools have been developed for 3D analysis of brain slice photographs, which are often underutilized for quantitative research.
  • These tools can 3D reconstruct brain volumes and segment them into 22 regions, independent of slice thickness, serving as a viable alternative to costly MRI scans.
  • Tests on data from Alzheimer's Disease Research Centers show that the tools provide accurate reconstructions and detect differences related to Alzheimer's, with results comparable to those obtained from MRI.
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Pediatric tumors of the central nervous system are the most common cause of cancer-related death in children. The five-year survival rate for high-grade gliomas in children is less than 20%. Due to their rarity, the diagnosis of these entities is often delayed, their treatment is mainly based on historic treatment concepts, and clinical trials require multi-institutional collaborations.

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Mesh-based reconstruction of the cerebral cortex is a fundamental component in brain image analysis. Classical, iterative pipelines for cortical modeling are robust but often time-consuming, mostly due to expensive procedures that involve topology correction and spherical mapping. Recent attempts to address reconstruction with machine learning methods have accelerated some components in these pipelines, but these methods still require slow processing steps to enforce topological constraints that comply with known anatomical structure.

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The human thalamus is a highly connected subcortical grey-matter structure within the brain. It comprises dozens of nuclei with different function and connectivity, which are affected differently by disease. For this reason, there is growing interest in studying the thalamic nuclei in vivo with MRI.

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