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  4. The efficiency of retrospective artifact correction methods in improving the statistical power of between-group differences in spinal cord DTI

The efficiency of retrospective artifact correction methods in improving the statistical power of between-group differences in spinal cord DTI

NeuroImage, 2017 · DOI: http://dx.doi.org/10.1016/j.neuroimage.2017.06.051 · Published: June 29, 2017

Spinal Cord InjuryNeuroimagingMedical Imaging

Simple Explanation

Diffusion tensor imaging (DTI) is a technique used to examine the white matter microstructure of the spinal cord, but it's prone to various artifacts. Retrospective correction techniques are used to reduce these artifacts without increasing scan time. This paper introduces a novel outlier rejection method called 'reliability masking' to improve existing correction approaches. It excludes unreliable data points from DTI index maps. The study investigates how different combinations of retrospective correction techniques, including registration, robust fitting, and reliability masking, affect the statistical power of findings related to cervical spondylotic myelopathy (CSM) patients.

Study Duration
Not specified
Participants
21 healthy volunteers and 20 patients with cervical spondylotic myelopathy (CSM)
Evidence Level
Not specified

Key Findings

  • 1
    Adding reliability masking to established post-processing steps increased the statistical power of clinical findings by 4.7%.
  • 2
    Reliability masking primarily improved statistical power by reducing variability within the study groups.
  • 3
    Registration, while used for correction, slightly increased variability, contrasting with reliability masking's effect.

Research Summary

The study introduces reliability masking, a novel outlier rejection technique for spinal cord DTI, to supplement existing artifact correction methods. Reliability masking, when added to registration and robust fitting, significantly improved the statistical power of a clinical finding related to cervical spondylotic myelopathy (CSM). The improvement in statistical power was mainly due to a reduction in group variability, making reliability masking a cost-effective alternative to increasing group size.

Practical Implications

Improved Statistical Power

Reliability masking can enhance the ability to detect significant group differences in spinal cord DTI studies.

Cost-Effective Research

By reducing group variability, reliability masking offers a cost-efficient way to increase statistical power without increasing participant numbers.

Enhanced Data Quality

The technique assists in cleaning up irreversibly biased voxels, leading to more reliable DTI index maps.

Study Limitations

  • 1
    The study focuses on a specific clinical finding (reduced FA in CSM patients), limiting generalizability.
  • 2
    The optimal threshold for reliability masking requires careful determination and may vary across different acquisition protocols and subject groups.
  • 3
    Reliability masking removes voxels, which can lead to varying degrees of freedom in voxel-wise analyses and requires consideration in experimental design.

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