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Simard, N.

Publications and source records attributed to Simard, N..

2 recordsLinked to original sources

Age, sex, and vendor contributions to variance in Diffusion Tensor Imaging (DTI) 'Big Data

The aim of this study was to evaluate the contributions of age, sex, and MRI vendor to variance in Diffusion Tensor Imaging (DTI) metrics, with a focus on understanding the impact of these factors in large-scale healthy brain datasets. A dataset of 2,700 DTI scans from healthy controls across multiple sites and MRI vendors was analyzed. The DTI scalar metrics fractional anisotropy (FA) and mean diffusivity (MD) were processed and the influence of age, sex, vendor, and brain atlas selection were determined. A statistical analysis was conducted and revealed significant (p<0.05) age-related differences in DTI metrics, with older participants showing reduced FA and increased MD, in line with known microstructural changes. Sex differences were observed, with females exhibiting slightly higher FA and lower MD in certain brain regions. Vendor variability was also noted, with all three MRI vendors showing significant differences in FA with Siemens machines typically exhibiting higher FA values and GE machines lower FA values (i.e. FASiemens > FAPhilips > FAGE). Atlas selection also highlighted some specific ROI behaviour (e.g. tapetum of the corpus callosum) as one of the most significant regions of interest (ROIs) in the JHU-Tracts atlas that demonstrated a large amount of deterioration with age, particularly in females. These findings emphasize the need to account for biological factors such as age and sex, as well as technical factors like ROI selection and MRI vendor, when interpreting DTI data. The results demonstrate the potential of large-scale, multi-vendor datasets to uncover meaningful biological trends, while also addressing the challenges of scanner-specific variability. Although previous work has shown sex and age differences, this is the first large scale DTI analysis that has included age, sex, and MRI vendor as sources of variance in one model.

neuroscience↗

White Matter Lesion Asymmetry and Carotid Intraplaque Hemorrhage: A Novel Imaging Phenotype for Stroke Risk in Older Men

BackgroundWhile identifying high-risk carotid disease remains a significant clinical challenge, the specific role of carotid intraplaque hemorrhage (IPH) is poorly understood. Although IPH has been linked to white matter lesion (WML) burden, current assessments overlook the directional impact of plaque instability on the brain. This study sought to determine whether IPH is an independent driver of asymmetric WML pathology and evaluate if this phenotype can identify a high-risk demographic for TIA and stroke. MethodsThis multi-center retrospective study analyzed 264 participants (mean age 71.8 years) from the Canadian Atherosclerosis Imaging Network (2010-2015). Participants underwent 3T MRI to assess carotid IPH and WMLs. We quantified WMLs using a deep-learning pipeline to extract three biomarkers: volume (WML-ICV), intensity (WML-Intensity), and intensity ratio (WML-IR). The Asymmetry Index Measure (AIM) defined the inter-hemispheric log-ratio, while the association between IPH and AIM was examined using multivariable linear regression adjusted for age, sex, stenosis, and scanner manufacturer. A secondary composite outcome of TIA/stroke was analyzed via logistic regression to evaluate the interaction between IPH, age, and sex. ResultsWhile whole-brain WML burden did not significantly differ by IPH status (p > 0.60), IPH status was a robust independent predictor of hemispheric asymmetry (WML-ICV: p = 0.01; WML-Intensity, p = 0.01). Post-hoc analysis confirmed WML burden was significantly higher in IPH+ older males ([&ge;] 70 years) compared to younger cohorts (p < 0.04). This older male subgroup also demonstrated 4.57-fold higher adjusted odds of TIA/stroke (p = 0.02) compared to other demographic subgroups (all p > 0.87). ConclusionsCarotid IPH is independently associated with a rightward asymmetric WML phenotype not captured by global metrics. This imaging marker identifies a high-risk demographic of older males with a nearly five-fold increase in clinical events, suggesting that hemispheric-level analysis provides critical prognostic value for stroke risk stratification.

neuroscience↗