Publications by authors named "Niessen W"

Article Synopsis
  • Cerebral hypoperfusion, or reduced blood flow to the brain, may lead to brain injury and degeneration, but its long-term effects, especially in healthier older adults, are not well understood.
  • This study tracked 3,623 healthy older adults over 11 years using brain scans to measure cerebral blood flow (CBF) and cerebrovascular resistance, aiming to examine changes in subclinical brain disease markers like white matter hyperintensities.
  • Results showed that significant changes in CBF and increased cerebrovascular resistance were linked to a higher risk of progression in white matter hyperintensities, suggesting that monitoring blood flow can help identify potential brain health issues in older adults.
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Background: Segmentations are crucial in medical imaging for morphological, volumetric, and radiomics biomarkers. Manual segmentation is accurate but not feasible in clinical workflow, while automatic segmentation generally performs sub-par.

Purpose: To develop a minimally interactive deep learning-based segmentation method for soft-tissue tumors (STTs) on CT and MRI.

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  • Subcortical brain structures play a crucial role in various developmental and psychiatric disorders, and a study analyzed brain volumes in 74,898 individuals, identifying 254 genetic loci linked to these volumes, which accounted for up to 35% of variation.
  • The research included exploring gene expression in specific neural cell types, focusing on genes involved in intracellular signaling and processes related to brain aging.
  • The findings suggest that certain genetic variants not only influence brain volume but also have potential causal links to conditions like Parkinson’s disease and ADHD, highlighting the genetic basis for risks associated with neuropsychiatric disorders.
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  • Subcortical brain structures play a crucial role in various disorders, and a study analyzed the genetic basis of brain volumes in nearly 75,000 individuals of European ancestry, revealing 254 loci linked to these volumes.
  • The research identified significant gene expression in neural cells, relating to brain aging and signaling, and found that polygenic scores could predict brain volumes across different ancestries.
  • The study highlights genetic connections between brain volumes and conditions like Parkinson's disease and ADHD, suggesting specific gene expression patterns could be involved in neuropsychiatric disorders.
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  • A study validated a radiomics model that uses MRI imaging to differentiate between lipomas and atypical lipomatous tumors (ALTs), addressing challenges associated with traditional biopsy methods.
  • Three cohorts were analyzed: two for external validation from the US and UK and one for prospective validation from the Netherlands, utilizing automatic and interactive segmentation methods for tumor imaging.
  • The model demonstrated strong performance with area under the curve (AUC) scores ranging from 0.74 to 0.89, matching or exceeding the diagnostic abilities of expert radiologists.
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Deep learning applications have had a profound impact on many scientific fields, including functional genomics. Deep learning models can learn complex interactions between and within omics data; however, interpreting and explaining these models can be challenging. Interpretability is essential not only to help progress our understanding of the biological mechanisms underlying traits and diseases but also for establishing trust in these model's efficacy for healthcare applications.

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Integrating multi-omics data into predictive models has the potential to enhance accuracy, which is essential for precision medicine. In this study, we developed interpretable predictive models for multi-omics data by employing neural networks informed by prior biological knowledge, referred to as visible networks. These neural networks offer insights into the decision-making process and can unveil novel perspectives on the underlying biological mechanisms associated with traits and complex diseases.

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Background: Craniosynostosis, a congenital condition characterized by the premature fusion of cranial sutures, necessitates objective methods for evaluating cranial morphology to enhance patient treatment. Current subjective assessments often lead to inconsistent outcomes. This study introduces a novel, quantitative approach to classify craniosynostosis and measure its severity.

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Cerebral X-ray digital subtraction angiography (DSA) is a widely used imaging technique in patients with neurovascular disease, allowing for vessel and flow visualization with high spatio-temporal resolution. Automatic artery-vein segmentation in DSA plays a fundamental role in vascular analysis with quantitative biomarker extraction, facilitating a wide range of clinical applications. The widely adopted U-Net applied on static DSA frames often struggles with disentangling vessels from subtraction artifacts.

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Rationale And Objectives: Distinguishing malignant from benign liver lesions based on magnetic resonance imaging (MRI) is an important but often challenging task, especially in noncirrhotic livers. We developed and externally validated a radiomics model to quantitatively assess T2-weighted MRI to distinguish the most common malignant and benign primary solid liver lesions in noncirrhotic livers.

Materials And Methods: Data sets were retrospectively collected from three tertiary referral centers (A, B, and C) between 2002 and 2018.

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This study aimed to assess the reliability and agreement of automated head measurements using 3-dimensional (3D) photogrammetry in young children. Specifically, the study evaluated the agreement between manual and automated occipitofrontal circumference (OFC) measurements (n = 264) obtained from 3D images of 188 patients diagnosed with sagittal synostosis using a novel automated method proposed in this study. In addition, the study aimed to determine the interrater and intrarater reliability of the automatically extracted OFC, cephalic index, and volume.

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Background: X-ray digital subtraction angiography (DSA) is the imaging modality for peri-procedural guidance and treatment evaluation in (neuro-) vascular interventions. Perfusion image construction from DSA, as a means of quantitatively depicting cerebral hemodynamics, has been shown feasible. However, the quantitative property of perfusion DSA has not been well studied.

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Article Synopsis
  • The study aimed to explore the link between N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels and changes in cognitive abilities and brain structure over time.
  • Conducted as part of the Rotterdam Study, it involved 9,566 participants, with cognitive tests and MRI scans done over several years.
  • Results indicated that higher NT-proBNP levels correlated with faster cognitive decline, specifically in overall function and word fluency, but did not show significant impacts on overall brain structure.
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Augmented reality (AR) has shown potential in computer-aided surgery. It allows for the visualization of hidden anatomical structures as well as assists in navigating and locating surgical instruments at the surgical site. Various modalities (devices and/or visualizations) have been used in the literature, but few studies investigated the adequacy/superiority of one modality over the other.

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Article Synopsis
  • - This study compared three surgical methods for correcting sagittal synostosis: frontobiparietal remodeling (FBR), extended strip craniotomy (ESC), and spring-assisted correction (SAC) using 3D imaging techniques.
  • - Researchers analyzed the outcomes of 322 3D images from 218 nonsyndromic patients under six years old, finding no significant differences in cranial growth or shape among the surgical methods post-operation.
  • - The results indicate that all three methods are similarly effective in correcting the condition, highlighting the importance of early diagnosis to facilitate minimally invasive surgery options.
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Background & Aims: Impaired liver function affects brain health and therefore understanding potential mechanisms for subclinical liver disease is essential. We assessed the liver-brain associations using liver measures with brain imaging markers, and cognitive measures in the general population.

Methods: Within the population-based Rotterdam Study, liver serum and imaging measures (ultrasound and transient elastography), metabolic dysfunction-associated fatty liver disease (MAFLD), non-alcoholic fatty liver disease (NAFLD) and fibrosis phenotypes, and brain structure were determined in 3493 non-demented and stroke-free participants in 2009-2014.

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Background: Early screening of the brain is becoming routine clinical practice. Currently, this screening is performed by manual measurements and visual analysis, which is time-consuming and prone to errors. Computational methods may support this screening.

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Study Question: Is there an association between low-to-moderate levels of prenatal alcohol exposure (PAE) and children's facial shape?

Summary Answer: PAE before and during pregnancy, even at low level (<12 g of alcohol per week), was found associated with the facial shape of children, and these associations were found attenuated as children grow older.

What Is Known Already: High levels of PAE during pregnancy can have significant adverse associations with a child's health development resulting in recognizably abnormal facial development.

Study Design, Size, Duration: This study was based on the Generation R Study, a prospective cohort from fetal life onwards with maternal and offspring data.

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Extracting the cerebral anterior vessel tree of patients with an intracranial large vessel occlusion (LVO) is relevant to investigate potential biomarkers that can contribute to treatment decision making. The purpose of our work is to develop a method that can achieve this from routinely acquired computed tomography angiography (CTA) and computed tomography perfusion (CTP) images. To this end, we regard the anterior vessel tree as a set of bifurcations and connected centerlines.

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Article Synopsis
  • The study explores the relationship between physical activity and brain structure in middle-aged and older adults over two time periods, aiming to establish if higher physical activity leads to better brain health or vice versa.
  • Analysis involved 4,365 participants from the Rotterdam Study using MRI scans to measure brain volumes and microstructure, alongside a physical activity questionnaire over a median interval of 5 years.
  • Findings revealed that larger total brain, gray, and white matter volumes at baseline predicted higher levels of physical activity at follow-up, indicating that individuals with poorer brain health may be at greater risk of becoming less active over time.
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  • - The study aims to determine the best times for assessing collateral status using CT Perfusion (CTP) imaging and compare these results to scores obtained from multiphase CT angiography (mCTA).
  • - It involved 58 patients with acute intracranial occlusions, whose collateral status was evaluated using an automatically computed Collateral Ratio (CR) from both mCTA and CTP at specified time points.
  • - Findings show that the strongest correlations in collateral scores occurred between the baseline mCTA and specific time points in CTP, highlighting the importance of timing in collateral status assessment.
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  • Poor social health, like loneliness and perceived social support, has been linked to changes in white matter integrity in the brain, which may increase the risk of neuropsychiatric disorders.
  • A study with 3,352 participants examined the relationship between social health markers and the microstructural integrity of 15 specific white matter tracts using advanced imaging techniques.
  • Findings revealed that higher loneliness correlated with lower integrity in certain brain tracts, while better social support was linked to greater integrity in others, suggesting that different aspects of social health engage distinct brain neural pathways.
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Background: Accurate characterization of glioma is crucial for clinical decision making. A delineation of the tumor is also desirable in the initial decision stages but is time-consuming. Previously, deep learning methods have been developed that can either non-invasively predict the genetic or histological features of glioma, or that can automatically delineate the tumor, but not both tasks at the same time.

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