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Whole-brain histogram analysis and top 20% gray and white matter ratio of amyloid positron emission tomography: A comparison with the centiloid scale.

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Paper

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The authors' code

Python · 1 line · 0 B · Apache-2.0

__init__.py at commit 678e44d, under Apache-2.0 · at the source

Overview

Authors: Ryo Yamakuni1, Shinya Seino2, Anna Yamaki1, Atsushi Shima3,4, Hironobu Ishikawa2, Mitsunari Abe5, Harumasa Takano5, Nobukatsu Sawamoto4, Hirofumi Sekino1, Shiro Ishii1, Kenji Fukushima1, Naoyuki Ukon6, Takashi Kasai7, Jin Narumoto8, Takashi Hanakawa3,9, Hiroshi Ito1, Parkinson’s, Alzheimer’s disease Dimensional Neuroimaging Initiative (PADNI)
  1. Department of Radiology and Nuclear Medicine, School of Medicine, Fukushima Medical University,1 Hikariga-Oka, Fukushima, 960-1295 Japan
  2. Department of Radiology, Fukushima Medical University Hospital,Fukushima, Japan
  3. Human Brain Research Centre, Kyoto University Graduate School of Medicine,Kyoto, Japan
  4. Department of Human Health Sciences, Kyoto University Graduate School of Medicine,Kyoto, Japan
  5. Integrative Brain Imaging Centre, National Centre of Neurology and Psychiatry,Tokyo, Japan
  6. Advanced Clinical Research Centre, Fukushima Medical University,Fukushima, Japan
  7. Department of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine,Kyoto, Japan
  8. Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine,Kyoto, Japan
  9. Department of Integrated Neuroanatomy and Neuroimaging, Kyoto University Graduate School of Medicine,Kyoto, Japan
Journal: Annals of nuclear medicine, volume 40, issue 8, pages 983-998
Dates: received 12 January 2026; accepted 27 April 2026; published online 18 May 2026; in print 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1007/s12149-026-02218-9 · PMID 42149370 · PMCID PMC13388449 · OpenAlex W7161558161
Open access: hybrid, a free copy (OpenAlex)
Status: code verified
Categories: structural MRI / diffusion (modality), PET / SPECT (modality), human (organism), Alzheimer's / dementia (population)
Methods: Machine learning, Statistics, fMRI & imaging, Physiology & signal measures
Keywords: Centiloid scale, Whole‑brain histogram analysis, Positron emission tomography, Alzheimer’s disease, Amyloid PET
MeSH: Amyloid beta-Peptides*, Brain*, Gray Matter*, Image Processing, Computer-Assisted*, Positron-Emission Tomography*, White Matter*, Aged, Aniline Compounds, Female, Humans, Magnetic Resonance Imaging, Male (* major topic)
Topic: Dementia and Cognitive Impairment Research (Psychiatry and Mental health, Medicine), according to OpenAlex
Funding: Japan Agency for Medical Research and Development (AMED, www.amed.go.jp) (18dm0307003, JP23wm0625001)
Citations: not cited yet (Europe PMC); 27 references in the paper

Abstract

Objective: To compare whole-brain histogram analysis (WBHA) of amyloid-β (Aβ) positron emission tomography (PET) using several magnetic resonance imaging (MRI)-based brain extraction (brain extraction tool [BET]) methods, to evaluate a novel quantitative analysis method, namely the Top 20% Gray and White Matter Ratio (GW-ratio), to determine appropriate thresholds, and to evaluate diagnostic performance in comparison with the Centiloid scale (CL).

Methods: We analyzed structural MRI, 18F-flutemetamol amyloid PET images, and dementia severity scores (Global Clinical Dementia Rating [G-CDR] and Mini-Mental State Examination [MMSE]) of 262 participants. For WBHA, BET was performed using structural MRI and three different BET software programs, namely High-Definition-BET (HD-BET), FMRIB Software Library (FSL), and Statistical Parametric Mapping (SPM). Skewness and mode-to-mean ratio (MMR) were measured using brain-extracted PET. The Top 20% Map was generated from SPM BET images, separated into gray and white matter voxels, and their ratio was calculated as the GW-ratio. The CL value was computed using structural MRI. Aβ-negativity or positivity was visually determined.

Results: Skewness from three BET methods was strongly negatively correlated with CL. Skewness (HD-BET) showed the strongest correlation (R = -0.9043). Moreover, the GW-ratio strongly correlated with CL (R = 0.8332), whereas MMR, particularly MMR (FSL) (R = 0.2112), showed poor correlation. All indicators significantly distinguished Aβ-negative from Aβ-positive visuals. CL had the highest area under the curve (AUC, 0.9959), followed by skewness (HD-BET) (0.9927), Top 20% GW-ratio (0.9872), and skewness (SPM) (0.9779), with no statistical difference between CL and skewness (HD-BET) (P = 0.5763). Based on mean and SD values from 118 cognitively unimpaired (G-CDR = 0, MMSE ≥ 28) and visually Aβ-negative participants, 95% cut-off limits for Aβ-negative individuals without dementia symptoms were: CL ≤ 12.9, skewness (HD-BET) ≥ 0.1769, MMR (HD-BET) ≤ 0.9372, skewness (FSL) ≥ 0.1819, MMR (FSL) ≤ 1.9132, skewness (SPM) ≥ -0.0382, MMR (SPM) ≤ 1.1274, and GW-ratio ≤ 0.1079.

Conclusion: WBHA using MRI-based BET and GW-ratio showed strong correlations with CL and demonstrated a diagnostic performance comparable to that of CL.

Supplementary Information: The online version contains supplementary material available at 10.1007/s12149-026-02218-9.

Reproduced under the paper's license (CC BY), from the paper cited above.

Repository

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MIC-DKFZ/HD-BET

License: Apache-2.0
State: the link answers, verified on 28 September 2026
Evidence: files inventoried
Commit: 678e44d546a84de0f2a7fc245f176b82b7d912fd, 18 December 2024
Languages: Python (5)
Size: 9 files, 5 scripts
Software Heritage: not archived
Found in: the text, “HD-BET”
Holds: README, license file, environment (pyproject.toml)
Not found: CITATION.cff, tests, continuous integration, documentation
Tools: PyTorch (2 files), nnU-Net (1 file), SimpleITK (1 file)
Availability: 1 check, the latest on 28 September 2026: the link answers
  • 28 September 2026: the link answers
7 files

Tracing map

Proposed by the machine: these links were found in the paper and verified at the source, without human review. The map will receive a Zenodo DOI once one of the paper's authors has validated it with their ORCID.

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  • 5 scripts, each with its path and the digest of its content;
  • no match between paragraphs and code yet;
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Data

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Versions

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Version 2, 28 September 2026

  • Publisher: n/a → Springer Nature

Version 1, 28 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 17 authors, 5 keywords, 12 MeSH terms, 1 funder, 27 references.

Cite

This paper

Yamakuni, R., Seino, S., Yamaki, A., Shima, A., Ishikawa, H., Abe, M., Takano, H., Sawamoto, N., Sekino, H., Ishii, S., Fukushima, K., Ukon, N., Kasai, T., Narumoto, J., Hanakawa, T., Ito, H., & Parkinson’s, Alzheimer’s disease Dimensional Neuroimaging Initiative (PADNI). (2026). Whole-brain histogram analysis and top 20% gray and white matter ratio of amyloid positron emission tomography: A comparison with the centiloid scale. Annals of nuclear medicine, 40(8), 983-998. https://doi.org/10.1007/s12149-026-02218-9

BibTeX

@article{yamakuni2026whole,
author = {Yamakuni, Ryo and Seino, Shinya and Yamaki, Anna and Shima, Atsushi and Ishikawa, Hironobu and Abe, Mitsunari and Takano, Harumasa and Sawamoto, Nobukatsu and Sekino, Hirofumi and Ishii, Shiro and Fukushima, Kenji and Ukon, Naoyuki and Kasai, Takashi and Narumoto, Jin and Hanakawa, Takashi and Ito, Hiroshi and {Parkinson’s, Alzheimer’s disease Dimensional Neuroimaging Initiative (PADNI)}},
title = {{Whole-brain histogram analysis and top 20\% gray and white matter ratio of amyloid positron emission tomography: A comparison with the centiloid scale}},
journal = {Annals of nuclear medicine},
year = {2026},
month = may,
volume = {40},
number = {8},
pages = {983--998},
publisher = {Springer Nature},
issn = {0914-7187},
doi = {10.1007/s12149-026-02218-9},
url = {https://doi.org/10.1007/s12149-026-02218-9},
pmid = {42149370},
pmcid = {PMC13388449}
}

RIS

TY - JOUR
AU - Yamakuni, Ryo
AU - Seino, Shinya
AU - Yamaki, Anna
AU - Shima, Atsushi
AU - Ishikawa, Hironobu
AU - Abe, Mitsunari
AU - Takano, Harumasa
AU - Sawamoto, Nobukatsu
AU - Sekino, Hirofumi
AU - Ishii, Shiro
AU - Fukushima, Kenji
AU - Ukon, Naoyuki
AU - Kasai, Takashi
AU - Narumoto, Jin
AU - Hanakawa, Takashi
AU - Ito, Hiroshi
AU - Parkinson’s, Alzheimer’s disease Dimensional Neuroimaging Initiative (PADNI)
TI - Whole-brain histogram analysis and top 20% gray and white matter ratio of amyloid positron emission tomography: A comparison with the centiloid scale
T2 - Annals of nuclear medicine
J2 - Ann Nucl Med
PY - 2026
DA - 2026/05/18
VL - 40
IS - 8
SP - 983
EP - 998
SN - 0914-7187
PB - Springer Nature
DO - 10.1007/s12149-026-02218-9
UR - https://doi.org/10.1007/s12149-026-02218-9
LA - en
ER -

CSL-JSON

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