López Molina, Carlos
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López Molina
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Carlos
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Estadística, Informática y Matemáticas
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Publication Open Access Is the phenotype designation by PSP-MDS criteria stable throughout the disease course and consistent with tau distribution?(Frontiers Media, 2022) Sánchez Ruiz de Gordoa, Javier; Zelaya Huerta, María Victoria; Tellechea-Aramburo, Paula; Acha Santamaría, Blanca; Roldán, Miren; López Molina, Carlos; Coca, Valle; Galbete Jiménez, Arkaitz; Mendióroz Iriarte, Maite; Erro Aguirre, María Elena; Estadística, Informática y Matemáticas; Estatistika, Informatika eta MatematikaIntroduction: the MDS-PSP criteria have shown high sensitivity for the PSP diagnosis, but do not discriminate the phenotype diversity. Our purpose was to search for anatomopathological differences among PSP phenotypes resulting from the application of the MDS-PSP criteria comparing with the previous ones. Methods: thirty-four PSP cases from a single brain bank were retrospectively classified according to the criteria used by Respondek et al. in 2014 and the PSP-MDS criteria at 3 years (MDS-3y), 6 years (MDS-6y) and at the last clinical evaluation before death (MDS-last). Semiquantitative measurement of total, cortical and subcortical tau load was compared. For comparative analysis, PSP-Richardson syndrome and PSP postural instability were grouped (PSP-RS/PI) as well as the PSP atypical cortical phenotypes (PSP-Cx). Results: applying the Respondek's criteria, PSP phenotypes were distributed as follow: 55.9% PSP-RS/PI, 26.5% PSP-Cx, 11.8% PSP-Parkinsonism (PSP-P), and 5.9% PSP-Cerebellum. PSP-RS/PI and PSP-Cx had a higher total tau load than PSP-P; PSP-Cx showed a higher cortical tau load than PSP-RS/PI and PSP-P; and PSP-RS/PI had a higher subcortical tau load than PSP-P. Applying the MDS-3y, MDS-6y and MDS-last criteria; the PSP-RS/PI group increased (67.6, 70.6 and 70.6% respectively) whereas the PSP-Cx group decreased (8.8, and 8.8 and 11.8%). Then, only differences in total and subcortical tau burden between PSP-RS/PI and PSP-P were observed. Interpretation: after the retrospective application of the new MDS-PSP criteria, total and subcortical tau load is higher in PSP-RS/PI than in PSP-P whereas no other differences in tau load between phenotypes were found, as a consequence of the loss of phenotypic diversity.Publication Open Access Twofold binary image consensus for medical imaging meta-analysis(Springer, 2018) López Molina, Carlos; Sánchez Ruiz de Gordoa, Javier; Zelaya Huerta, María Victoria; Baets, Bernard de; Estadística, Informática y Matemáticas; Estatistika, Informatika eta MatematikaIn the field of medical imaging, ground truth is often gathered from groups of experts, whose outputs are generally heterogeneous. This procedure raises questions on how to compare the results obtained by automatic algorithms to multiple ground truth items. Secondarily, it raises questions on the meaning of the divergences between experts. In this work, we focus on the case of immunohistochemistry image segmentation and analysis. We propose measures to quantify the divergence in groups of ground truth images, and we observe their behaviour. These measures are based upon fusion techniques for binary images, which is a common example of non-monotone data fusion process. Our measures can be used not only in this specific field of medical imagery, but also in any task related to meta-quality evaluation for image processing, e.g. ground truth validation or expert rating.