Publications by authors named "Sydney Lim"

Background: The anterior portion of the medial temporal lobe (MTL) is one of the first regions targeted by pathology in sporadic Alzheimer's disease (AD) and Limbic-predominant Age-related TDP-43 Encephalopathy (LATE) indicating a potential for metrics from this region to serve as imaging biomarkers. Leveraging a unique post-mortem dataset of histology and magnetic resonance imaging (MRI) scans we aimed to 1) develop an anatomically valid segmentation protocol for anterior entorhinal cortex (ERC), Brodmann Area (BA) 35, and BA36 for in vivo 3 tesla (T) MRI and 2) incorporate this protocol in an automated approach.

Methods: We included 20 cases (61-97 years old, 50% females) with and without neurodegenerative diseases (11 vs.

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MRI allows brain anatomy to be examined at high resolution and to link pathology measures with morphometric measurements. However, automated segmentation methods for brain mapping in postmortem MRI are not well developed, primarily due to limited availability of labeled datasets, and heterogeneity in scanner hardware and acquisition protocols. In this work, we present a high-resolution dataset of 135 postmortem human brain tissue specimens imaged at 0.

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Article Synopsis
  • The paper reviews the introduction of high-resolution T2-weighted MRI scans to the Alzheimer's Disease Neuroimaging Initiative (ADNI) Phase 3, focusing on the medial temporal lobe (MTL) subregions and hippocampal areas.
  • It discusses the application of new surface-based analysis techniques to assess neurodegeneration patterns related to Alzheimer's disease (AD), highlighting the correlation with amyloid and tau biomarkers.
  • The study concludes with insights into the future of high-resolution MTL imaging efforts in ADNI Phase 4, emphasizing the relationship between tau pathology and cortical thinning.
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  • Current understanding of tau neurofibrillary tangles (NFTs) in Alzheimer's Disease is hindered by other non-AD pathologies and limitations of conventional two-dimensional histological methods.
  • The study combines ex vivo MRI and serial histological imaging from 25 human medial temporal lobe specimens to create a high-resolution 3-D atlas that maps the distribution of NFT burden.
  • Findings reveal a gradient in NFT distribution from anterior to posterior in the medial temporal lobe, with highest concentrations in specific regions, suggesting certain areas may serve as early biomarkers for neurodegeneration in Alzheimer's Disease.
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  • The medial temporal lobe (MTL) cortex, essential for memory and vulnerable to diseases like Alzheimer's, consists of various subregions with distinct functions and structures.
  • This study compares the cytoarchitectonic definitions of specific areas within the MTL cortex provided by four different neuroanatomists to assess overlapping and differing delineations among them.
  • Findings revealed more consensus on the entorhinal cortex and Brodmann area 35, while there was less agreement on Brodmann area 36 and the parahippocampal cortex, particularly in transitional zones where defining features are not as clear.
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Article Synopsis
  • * The study compares cytoarchitectonic definitions of MTL cortex subregions, specifically focusing on the entorhinal, parahippocampal cortices, and Brodmann areas (BA) 35 and 36, as defined by four different neuroanatomists.
  • * Findings indicate that there is a high agreement on the definitions of the entorhinal cortex and BA35, but less consensus on BA36 and the parahippocampal cortex, especially in transitional areas.
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Introduction: Neurodegenerative disorders are associated with different pathologies that often co-occur but cannot be measured specifically with in vivo methods.

Methods: Thirty-three brain hemispheres from donors with an Alzheimer's disease (AD) spectrum diagnosis underwent T2-weighted magnetic resonance imaging (MRI). Gray matter thickness was paired with histopathology from the closest anatomic region in the contralateral hemisphere.

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Deep convolutional neural networks (DCNN) achieve very high accuracy in segmenting various anatomical structures in medical images but often suffer from relatively poor generalizability. Multi-atlas segmentation (MAS), while less accurate than DCNN in many applications, tends to generalize well to unseen datasets with different characteristics from the training dataset. Several groups have attempted to integrate the power of DCNN to learn complex data representations and the robustness of MAS to changes in image characteristics.

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Frontotemporal lobar degeneration (FTLD) is a heterogeneous spectrum of age-associated neurodegenerative diseases that include two main pathologic categories of tau (FTLD-Tau) and TDP-43 (FTLD-TDP) proteinopathies. These distinct proteinopathies are often clinically indistinguishable during life, posing a major obstacle for diagnosis and emerging therapeutic trials tailored to disease-specific mechanisms. Moreover, MRI-derived measures have had limited success to date discriminating between FTLD-Tau or FTLD-TDP.

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Tau neurofibrillary tangle (NFT) pathology in the medial temporal lobe (MTL) is closely linked to neurodegeneration, and is the early pathological change associated with Alzheimer's disease (AD). To elucidate patterns of structural change in the MTL specifically associated with tau pathology, we compared high-resolution ex vivo MRI scans of human postmortem MTL specimens with histology-based pathological assessments of the MTL. MTL specimens were obtained from twenty-nine brain donors, including patients with AD, other dementias, and individuals with no known history of neurological disease.

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Tau protein neurofibrillary tangles are closely linked to neuronal/synaptic loss and cognitive decline in Alzheimer's disease and related dementias. Our knowledge of the pattern of neurofibrillary tangle progression in the human brain, critical to the development of imaging biomarkers and interpretation of in vivo imaging studies in Alzheimer's disease, is based on conventional two-dimensional histology studies that only sample the brain sparsely. To address this limitation, ex vivo MRI and dense serial histological imaging in 18 human medial temporal lobe specimens (age 75.

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Preterm birth is a risk factor for growth failure and development of respiratory disease in children and young adults. Their early exposure to oxygen may contribute to lung disease because adult mice exposed to hyperoxia as neonates display reduced lung function, changes in the host response to respiratory viral infections, and develop pulmonary hypertension and heart failure that shortens their lifespan. Here, we provide new evidence that neonatal hyperoxia also impairs growth by inhibiting fat accumulation.

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T1-magnetic resonance imaging (MRI) studies report early atrophy in the left anterior temporal lobe, especially the perirhinal cortex, in semantic variant primary progressive aphasia (svPPA). Improved segmentation protocols using high-resolution T2-MRI have enabled fine-grained medial temporal lobe (MTL) subregional measurements, which may provide novel information on the atrophy pattern and disease progression in svPPA. We aimed to investigate the MTL subregional atrophy pattern cross-sectionally and longitudinally in patients with svPPA as compared with controls and patients with Alzheimer's disease (AD).

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