Pretreatment ischemic location may be an important determinant for functional outcome prediction in acute ischemic stroke. In total, 143 anterior circulation ischemic stroke patients in the THRACE study were included. Ischemic lesions were semi-automatically segmented on pretreatment diffusion-weighted imaging and registered on brain atlases. The percentage of ischemic tissue in each atlas-segmented region was calculated. Statistical models with logistic regression and support vector machine were built to analyze the predictors of functional outcome. The investigated parameters included: age, baseline National Institutes of Health Stroke Scale score, and lesional volume (three-parameter model), together with the ischemic percentage in each atlas-segmented region (four-parameter model). The support vector machine with radial basis functions outperformed logistic regression in prediction accuracy. The support vector machine three-parameter model demonstrated an area under the curve of 0.77, while the four-parameter model achieved a higher area under the curve (0.82). Regions with marked impacts on outcome prediction were the uncinate fasciculus, postcentral gyrus, putamen, middle occipital gyrus, supramarginal gyrus, and posterior corona radiata in the left hemisphere; and the uncinate fasciculus, paracentral lobule, temporal pole, hippocampus, inferior occipital gyrus, middle temporal gyrus, pallidum, and anterior limb of the internal capsule in the right hemisphere. In conclusion, pretreatment ischemic location provided significant prognostic information for functional outcome in ischemic stroke.
We evaluate velocity of the tongue tip with magnetic resonance imaging (MRI) using two independent approaches. The first one consists in acquisition with a real-time technique in the mid-sagittal plane. Tracking of the tongue tip manually and with a computer vision method allows its trajectory to be found and the velocity to be calculated as the derivative of the coordinate. We also propose to use another approach—phase contrast MRI—which enables velocities of the moving tissues to be measured directly. We recorded the sound simultaneously with the MR acquisition which enabled us to make conclusions regarding the relation between the movements and the sound. We acquired the data from two French-speaking subjects articulating /tata/. The results of both methods are in qualitative agreement and are consistent with other reviewer techniques used for evaluation of the tongue tip velocity.