The DOI matches its Crossref record.
Stereotactic co‐registration of magnetic resonance imaging and histopathology in post‐mortem multiple sclerosis brain
Abstract
A number of groups have examined the pathological substrate of signal changes on magnetic resonance imaging (MRI) in post-mortem (PM) brain of patients with multiple sclerosis (MS). Such studies will benefit from using a standardized method to reliably co-register regions of interest on MRI and tissue specimens. We investigated the usefulness of a stereotactic navigation system for this purpose. We also addressed the sensitivity of different standard MRI sequences with regard to lesion conspicuity in PM MS brain. Post-mortem brains of eight patients with MS were studied. Formalin-fixed coronal slices were placed in the head frame of a stereotactic system. Proton density-, T2-weighted and fast fluid-attenuated inversion recovery (FLAIR) scans were obtained and visually matched with scans that had been previously obtained on the same, but fresh, specimens. Guided by the stereotactic target points, the dissection of the fixed specimens was performed. After processing the blocks for embedding in paraffin, sections were stained with haematoxylin-eosin and Luxol fast blue. T2-weighted MRI of fixed brain revealed 24 areas suspected to be MS lesions, all of which were confirmed histologically. Three of these lesions were not visible on macroscopic inspection. There were 14 additional hyperintensities on T2-weighted or FLAIR MRI of the fresh specimens, five of which did not correlate to MS lesions histologically. Stereotactic navigation is a useful approach to co-register MRI and hist…
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A stereotactic procedure was employed to optimize correspondence between ROIs defined on MRI and their pathological substrate in the specimens.
“In order to optimize correspondence between ROIs defined on MRI with their pathological substrate in the specimens a stereotactic procedure (StP) was employed (Schmierer et al., 2003).”
From Diffusion tensor imaging of post mortem multiple sclerosis brain (2007) · cites this paper as Schmierer et al., 2003
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Diffusion tensor imaging of post mortem multiple sclerosis brain
Schmierer, K., Wheeler-Kingshott, C. A. M., Boulby, P. A., Scaravilli, F., Altmann, D. R., Barker, G. J., Tofts, P. S., & Miller, D. H. (2007) · NeuroImage · doi:10.1016/j.neuroimage.2006.12.010 · Cited by 395
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Metadata
- Authors
- Schmierer, K., Scaravilli, F., Barker, G. J., Gordon, R., MacManus, D. G., & Miller, D. H.
- Affiliations
- UCL Queen Square Institute of Neurology (GB)
- Corresponding author
- Miller, D. H.
- Venue
- Neuropathology and Applied Neurobiology
- Publisher
- Wiley
- Published
- 2003-11-03
- Volume
- 29
- Issue
- 6
- Pages
- 596-601
- ISSN
- 0305-1846 (ISSN-L)
- 1365-2990
- OpenAlex
- W1999360135
- Cited by
- 35
- References
- 0
- Citations by year
- 2026: 1 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 1 · 2018: 2 · 2017: 1 · 2015: 1 · 2014: 1 · 2013: 3 · 2012: 2
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropathology and Applied Neurobiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Multiple Sclerosis Society
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Keywords
- multiple sclerosis, stereotactic navigation, postmortem brain, T2-weighted MRI, FLAIR, lesion detection, hyperintensity, white matter lesions
- MeSH terms
- Brain, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Multiple Sclerosis, Postmortem Changes, Radiography, Sensitivity and Specificity, Stereotaxic Techniques, Tissue Fixation
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