Characterization of multifocal T2*-weighted MRI hypointensities in the basal ganglia of elderly, community-dwelling subjects

AbstractMultifocal T2*-weighted (T2*w) hypointensities in the basal ganglia, which are believed to arise predominantly from mineralized small vessels and perivascular spaces, have been proposed as a biomarker for cerebral small vessel disease. This study provides baseline data on their appearance on conventional structural MRI for improving and automating current manual segmentation methods. Using a published thresholding method, multifocal T2*w hypointensities were manually segmented from whole brain T2*w volumes acquired from 98 community-dwelling subjects in their early 70s. Connected component analysis was used to derive the average T2*w hypointensity count and load per basal ganglia nucleus, as well as the morphology of their connected components, while nonlinear spatial probability mapping yielded their spatial distribution. T1-weighted (T1w), T2-weighted (T2w) and T2*w intensity distributions of basal ganglia T2*w hypointensities and their appearance on T1w and T2w MRI were investigated to gain further insights into the underlying tissue composition. In 75/98 subjects, on average, 3 T2*w hypointensities with a median total volume per intracranial volume of 50.3ppm were located in and around the globus pallidus. Individual hypointensities appeared smooth and spherical with a median volume of 12mm3 and median in-plane area of 4mm2. Spatial probability maps suggested an association between T2*w hypointensities and the point of entry of lenticulostriate arterioles into the brain parenchyma. T1w and T2w and especially the T2*w intensity distributions of these hypointensities, which were negatively skewed, were generally not normally distributed indicating an underlying inhomogeneous tissue structure. Globus pallidus T2*w hypointensities tended to appear hypo- and isointense on T1w and T2w MRI, whereas those from other structures appeared iso- and hypointense. This pattern could be explained by an increased mineralization of the globus pallidus. In conclusion, the characteristic spatial distribution and appearance of multifocal basal ganglia T2*w hypointensities in our elderly cohort on structural MRI appear to support the suggested association with mineralized proximal lenticulostriate arterioles and perivascular spaces

Why theory matters:Analytical strategies of critical psychology

Based on Critical Psychology from the Standpoint of the Subject the article describes analytical concerns and strategies of critical psychology. In a first step, the development of critical psychologies is located in current discussions on the production of knowledge, and three different typical approaches and major steps toward situated critique as a practice of mutual recognition are delineated. This shift, it is argued, has led to a historically new relevance of critique, and two basic analytical elements of critical research are introduced: Everyday conflictuality as the initiating moment of critique as well as the importance of theory for critical inquiry. On this basis a variety of analytic strategies and concepts are presented which inform Critical Psychology from the Standpoint of the Subject and suggest a constituent move from partial perspectives toward situated generalization

Automated segmentation of multifocal basal ganglia T2*-weighted MRI hypointensities

AbstractMultifocal basal ganglia T2*-weighted (T2*w) hypointensities, which are believed to arise mainly from vascular mineralization, were recently proposed as a novel MRI biomarker for small vessel disease and ageing. These T2*w hypointensities are typically segmented semi-automatically, which is time consuming, associated with a high intra-rater variability and low inter-rater agreement. To address these limitations, we developed a fully automated, unsupervised segmentation method for basal ganglia T2*w hypointensities. This method requires conventional, co-registered T2*w and T1-weighted (T1w) volumes, as well as region-of-interest (ROI) masks for the basal ganglia and adjacent internal capsule generated automatically from T1w MRI. The basal ganglia T2*w hypointensities were then segmented with thresholds derived with an adaptive outlier detection method from respective bivariate T2*w/T1w intensity distributions in each ROI. Artefacts were reduced by filtering connected components in the initial masks based on their standardised T2*w intensity variance. The segmentation method was validated using a custom-built phantom containing mineral deposit models, i.e. gel beads doped with 3 different contrast agents in 7 different concentrations, as well as with MRI data from 98 community-dwelling older subjects in their seventies with a wide range of basal ganglia T2*w hypointensities. The method produced basal ganglia T2*w hypointensity masks that were in substantial volumetric and spatial agreement with those generated by an experienced rater (Jaccard index=0.62±0.40). These promising results suggest that this method may have use in automatic segmentation of basal ganglia T2*w hypointensities in studies of small vessel disease and ageing

Middle Campanian-lowermost Maastrichtian nannofossils and foraminifers of the northwestern Australian margin

The middle-late Campanian was marked by an increase in the bioprovinciality of calcareous microfossil assemblages into distinct Tethyan, Transitional, and Austral Provinces that persisted to the end of the Maastrichtian. The northwestern Australian margin belonged to the Transitional Province and the absence of key Tethyan marker species such as Radotruncana calcarata and Gansserina gansseri has led petroleum companies operating in the area to use the locally developed KCCM integrated calcareous microfossil zonation scheme. The KCCM zonation is a composite scheme comprising calcareous nannofossil (KCN), planktonic foraminiferal (KPF) and benthonic foraminiferal (KBF) zones. This paper presents the definitions and revisions of Zones KCCM8-19, from the highest occurrence (HO) of Aspidolithus parcus constrictus to the lowest occurrence (LO) of Ceratolithoides aculeus, and builds on our previous early-late Maastrichtian study. The presence of a middle-upper Campanian disconformity is confirmed by microfossil evidence from the Vulcan Sub-basin, Exmouth and Wombat plateaus, and the Southern Carnarvon Platform. In the Vulcan Sub-basin and on the Exmouth Plateau (ODP Hole 762C) the hiatus extends from slightly above the LO of common Rugoglobigerina rugosa to above the LO of Quadrum gothicum. On the Wombat Plateau (ODP Hole 761B) it spans from above the LO of Heterohelix semicostata to above the LO of Quadrum gothicum; and in the Southern Carnarvon Platform the disconformity has its longest duration from above the HO of Heterohelix semicostata to above the LO of Quadrum sissinghii. A significant revision of the events which define Zones KCCM18 and 19 was necessary owing to the observation that the LO of Ceratolithoides aculeus occurs below the HOs of Archaeoglobigerina cretacea and Stensioeina granulata incondita and the LO of common Rugoglobigerina rugosa. In the original zonation these events were considered to be coincident