Reproducibility of fMRI in the clinical setting: implications for trial designs.

With expanding potential clinical applications of functional magnetic resonance imaging (fMRI) it is important to test how reliable different measures of fMRI activation are between subjects and sessions and between centres. This study compared variability across 17 patients with multiple sclerosis...

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Main Authors: Bosnell, R, Wegner, C, Kincses, Z, Korteweg, T, Agosta, F, Ciccarelli, O, De Stefano, N, Gass, A, Hirsch, J, Johansen-Berg, H, Kappos, L, Barkhof, F, Mancini, L, Manfredonia, F, Marino, S, Miller, D, Montalban, X, Palace, J, Rocca, M, Enzinger, C, Ropele, S, Rovira, A, Smith, S, Thompson, A, Thornton, J
Format: Journal article
Language:English
Published: 2008
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author Bosnell, R
Wegner, C
Kincses, Z
Korteweg, T
Agosta, F
Ciccarelli, O
De Stefano, N
Gass, A
Hirsch, J
Johansen-Berg, H
Kappos, L
Barkhof, F
Mancini, L
Manfredonia, F
Marino, S
Miller, D
Montalban, X
Palace, J
Rocca, M
Enzinger, C
Ropele, S
Rovira, A
Smith, S
Thompson, A
Thornton, J
author_facet Bosnell, R
Wegner, C
Kincses, Z
Korteweg, T
Agosta, F
Ciccarelli, O
De Stefano, N
Gass, A
Hirsch, J
Johansen-Berg, H
Kappos, L
Barkhof, F
Mancini, L
Manfredonia, F
Marino, S
Miller, D
Montalban, X
Palace, J
Rocca, M
Enzinger, C
Ropele, S
Rovira, A
Smith, S
Thompson, A
Thornton, J
author_sort Bosnell, R
collection OXFORD
description With expanding potential clinical applications of functional magnetic resonance imaging (fMRI) it is important to test how reliable different measures of fMRI activation are between subjects and sessions and between centres. This study compared variability across 17 patients with multiple sclerosis (MS) and 22 age-matched healthy controls (HC) in 5 European centres performing an fMRI block design with hand tapping. We recruited subjects from sites using 1.5 T scanners from different manufacturers. 5 healthy volunteers also were studied at each of 4 of the centres. We found that reproducibility between runs and sessions for single individuals was consistently much greater than between individuals. There was greater run-to-run variability for MS patients than for HC. Measurements of maximum signal change (MSC) appeared to provide higher reproducibility within individuals and greater sensitivity to differences between individuals than region of interest (ROI) suprathreshold voxel counts. The variability in measurements between centres was not as great as that between individuals. Consistent with these observations, we estimated that power should not be reduced substantially with use of multi-, as opposed to single-, centre study designs with similar numbers of subjects. Multi-centre interventional studies in which fMRI is used as an outcome measure thus appear practical even when implemented in conventional clinical environments.
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spelling oxford-uuid:e8dd096a-ebb7-4e87-ac49-b0af8db9adab2022-03-27T10:50:03ZReproducibility of fMRI in the clinical setting: implications for trial designs.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e8dd096a-ebb7-4e87-ac49-b0af8db9adabEnglishSymplectic Elements at Oxford2008Bosnell, RWegner, CKincses, ZKorteweg, TAgosta, FCiccarelli, ODe Stefano, NGass, AHirsch, JJohansen-Berg, HKappos, LBarkhof, FMancini, LManfredonia, FMarino, SMiller, DMontalban, XPalace, JRocca, MEnzinger, CRopele, SRovira, ASmith, SThompson, AThornton, JWith expanding potential clinical applications of functional magnetic resonance imaging (fMRI) it is important to test how reliable different measures of fMRI activation are between subjects and sessions and between centres. This study compared variability across 17 patients with multiple sclerosis (MS) and 22 age-matched healthy controls (HC) in 5 European centres performing an fMRI block design with hand tapping. We recruited subjects from sites using 1.5 T scanners from different manufacturers. 5 healthy volunteers also were studied at each of 4 of the centres. We found that reproducibility between runs and sessions for single individuals was consistently much greater than between individuals. There was greater run-to-run variability for MS patients than for HC. Measurements of maximum signal change (MSC) appeared to provide higher reproducibility within individuals and greater sensitivity to differences between individuals than region of interest (ROI) suprathreshold voxel counts. The variability in measurements between centres was not as great as that between individuals. Consistent with these observations, we estimated that power should not be reduced substantially with use of multi-, as opposed to single-, centre study designs with similar numbers of subjects. Multi-centre interventional studies in which fMRI is used as an outcome measure thus appear practical even when implemented in conventional clinical environments.
spellingShingle Bosnell, R
Wegner, C
Kincses, Z
Korteweg, T
Agosta, F
Ciccarelli, O
De Stefano, N
Gass, A
Hirsch, J
Johansen-Berg, H
Kappos, L
Barkhof, F
Mancini, L
Manfredonia, F
Marino, S
Miller, D
Montalban, X
Palace, J
Rocca, M
Enzinger, C
Ropele, S
Rovira, A
Smith, S
Thompson, A
Thornton, J
Reproducibility of fMRI in the clinical setting: implications for trial designs.
title Reproducibility of fMRI in the clinical setting: implications for trial designs.
title_full Reproducibility of fMRI in the clinical setting: implications for trial designs.
title_fullStr Reproducibility of fMRI in the clinical setting: implications for trial designs.
title_full_unstemmed Reproducibility of fMRI in the clinical setting: implications for trial designs.
title_short Reproducibility of fMRI in the clinical setting: implications for trial designs.
title_sort reproducibility of fmri in the clinical setting implications for trial designs
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