Normalization of magnetic resonance images with a given reference is a
common preprocessing task which is rarely discussed. We review and address this
question for a specific neuro-imaging problem of practical huge interest. We
investigate the influence of the location of region of interest used for normalization of
perfusion maps obtained with perfusion magnetic resonance imaging in the framework
of the study of acute stroke. We demonstrate that a slice by slice normalization based
on the whole hemisphere strategy optimally reduces the variability of the predictive
value of the different perfusion maps. Interestingly, this is obtained for all the tested
perfusion maps both from numerical simulation of perfusion MRI and from perfusion
maps of real patients through a Neyman-Pearson detection strategy. These are
important results to ease the quantitative assessment of stroke lesion from perfusion
MRI on cohorts of patients. The proposed methodology could easily be transposed to
other medical imaging problems where normalization of images is necessary.
Keywords: Acute stroke, Image processing, Ischemic penumbra, Ischemic stroke,
Medical Imaging, MRI, Neuroimaging, Normalization, Perfusion maps, Perfusion
MRI.
