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Scahill, R. I.

Publications and source records attributed to Scahill, R. I..

3 recordsLinked to original sources

Superpixel-ComBat multi-site harmonization of unpaired T1W MRI data in Huntingtons disease

BackgroundPooling multi-site MRI data is essential for well-powered neuroimaging analyses, particularly in Huntingtons disease (HD), where large cohorts are needed to study disease-stage heterogeneity and subtle progressive neuroanatomical change. However, scanner-related variability hinders direct data pooling, confounding image-level methods such as voxel-based morphometry (VBM). Superpixel-ComBat (SP-ComBat), a voxel-level image-harmonization framework, effectively removes scanner effects but depends on traveling-subject data that are rarely available retrospectively. We extend SP-ComBat to unpaired multi-site T1-weighted MRI by introducing a pseudo-pairing framework that leverages demographically matched controls across scanners as surrogate traveling subjects. MethodsTwo pipelines were developed to estimate scanner effects under retrospective constraints: pipeline 1 used a small set of well-matched pseudo-pairs (n = 4) with bootstrap resampling to address scanners with limited sample sizes, while pipeline 2 used the recommended number of pseudo-pairs (n = 16) without resampling. Pseudo-pair images were parcellated into 3D-superpixels, and ComBat was applied within clusters to estimate scanner-specific adjustments for native-space harmonization. Pipeline performance was assessed in a representative multi-study dataset comprising six scanners from three HD cohorts (HD-YAS, HD-CSF, TRACK-HD; N = 144) and replicated in the full multi-study dataset (FMD; N = 548). ResultsBoth pipelines improved image quality, aligned scanner-specific intensities, and preserved disease-related structural patterns. Pipeline 2 showed superior parameter re-estimation stability and was selected for the FMD. Harmonization eliminated systematic segmentation errors, enabled a single unified VBM pipeline across scanners, and increased sensitivity to HD-related voxel-wise atrophy. ConclusionsSP-ComBat was effectively adapted for harmonization of unpaired multi-site structural MRI, reducing scanner bias while preserving biological variability and supporting unified VBM analyses across scanners.

neuroscience↗

Timing of selective basal ganglia white matter loss in Huntington's disease

ObjectivesTo investigate the timeframe prior to symptom onset when cortico-basal ganglia white matter (WM) loss begins in premanifest Huntingtons disease (preHD), and which striatal and thalamic sub-region WM tracts are most vulnerable. MethodsWe performed fixel-based analysis, which allows resolution of crossing WM fibres at the voxel level, on diffusion tractography derived WM tracts of striatal and thalamic sub-regions in two independent cohorts; TrackON-HD, which included 72 preHD (approx. 11 years before disease onset) and 85 controls imaged at three time points over two years; and the HD young adult study (HD-YAS), which included 54 preHD (approx. 25 years before disease onset) and 53 controls, imaged at one time point. Group differences in fibre density and cross section (FDC) were investigated. ResultsWe found no significant group differences in cortico-basal ganglia sub-region FDC in preHD gene carriers 25 years before onset. In gene carriers 11 years before onset, there were reductions in striatal (limbic and caudal motor) and thalamic (premotor, motor and sensory) FDC at baseline, with no significant change over 2 years. Caudal motor-striatal, pre-motor-thalamic, and primary motor-thalamic FDC at baseline, showed significant correlations with the Unified Huntingtons disease rating scale (UHDRS) total motor score (TMS). Limbic cortico-striatal FDC and apathy were also significantly correlated. ConclusionsOur findings suggest that the initiation of disease modifying therapies 25 years before onset could protect these important brain networks from undergoing neurodegeneration and highlight selectively vulnerable sub-regions of the striatum and thalamus that may be important targets for future therapies.

neuroscience↗

Dynamics of cortical degeneration over a decade in Huntington's Disease

The neurodegenerative process is typically slowly progressive and complex. While simple models of neurodegeneration suggest that brain changes progress at a near constant rate, previous research shows regional variation within the temporal progression of atrophy, indicating that over the course of neurodegeneration, different regions may undergo changing rates of atrophy. Characterization of long-term dynamic brain changes in neurodegeneration requires both extensive longitudinal MRI datasets and an advanced modeling framework. Until recently, both of these elements were not available. Here, we implement a novel dynamic systems approach to infer patterns of regional progression spatially and temporally in a unique longitudinal dataset with up to seven annual individual brain scans per participant from 49 Huntingtons Disease (HD) gene-carriers. We map participant-and group-level trajectories of cortical atrophy in HD using a decade of data that encompasses motor symptom onset and, for the first time, show that neurodegenerative brain changes exhibit complex temporal dynamics of atrophy with substantial regional variation in progressive cortical atrophy. Some fronto-occipital cortical areas show an almost constant rate of atrophy, while medial-inferior temporal areas undergo only minor change. Interestingly, cortical sensory-motor areas were found to show a noticeable acceleration of atrophy following HD diagnosis. Furthermore, we establish links between individual atrophy and genetic markers of HD (CAG repeat length), as well as showing that cortical motor network changes predict subsequent decline in task-based motor performance, demonstrating face-validity of the model. Our findings highlight the complex pattern of dynamic cortical change occurring in HD that can help to resolve the biological underpinnings of HD progression.

neuroscience↗