Atrophy of the ipsilateral mammillary body in unilateral hippocampal sclerosis shown by thin-slice-reconstructed volumetric analysis.

Purpose: Conventional volumetric analysis could not detect ipsilateral atrophy of the mammillary body in patients with unilateral hippocampal sclerosis. By using thin-slice-reconstructed volumetric analysis, we investigated whether the mammillary body volume is smaller on the hippocampal sclerosis s...

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Published in:Neuroradiology Vol. 61; no. 5; pp. 515 - 524
Main Authors: Morishita, Yohei, Mugikura, Shunji, Mori, Naoko, Tamura, Hajime, Sato, Shiho, Akashi, Toshiaki, Jin, Kazutaka, Nakasato, Nobukazu, Takase, Kei
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature May2019
Online Access:View this record in EBSCOhost
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      dt: May2019
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      pub: Springer Nature
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        10.1007/s00234-019-02158-4
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        atl: Atrophy of the ipsilateral mammillary body in unilateral hippocampal sclerosis shown by thin-slice-reconstructed volumetric analysis.
      aug:
        au:
          Morishita, Yohei
          Mugikura, Shunji
          Mori, Naoko
          Tamura, Hajime
          Sato, Shiho
          Akashi, Toshiaki
          Jin, Kazutaka
          Nakasato, Nobukazu
          Takase, Kei
        affil: Department of Diagnostic Radiology, Graduate School of Medicine, Tohoku University, 1-1 Seiryo-machi, 980-8574, Aoba-ku, Sendai, Japan
      sug:
        subj:
          Hippocampus
          Hypothalamus Pathology
          Atrophy
          Magnetic Resonance Imaging
          Hippocampal Sclerosis
          Human
          Retrospective Design
          Tomography, X-Ray Computed Methods
      ab: Purpose: Conventional volumetric analysis could not detect ipsilateral atrophy of the mammillary body in patients with unilateral hippocampal sclerosis. By using thin-slice-reconstructed volumetric analysis, we investigated whether the mammillary body volume is smaller on the hippocampal sclerosis side than in healthy subjects or the non-hippocampal sclerosis side. Methods: This retrospective study included 45 patients with unilateral hippocampal sclerosis and 30 healthy subjects. Three-dimensional T1WI of 1 mm thicknesses were oversampled to a thickness of 0.2 mm (thin-slice-reconstructed images), and the mammillary bodies were segmented manually to determine mammillary body volume on each side. Mammillary body volumes on the hippocampal sclerosis side were compared with those in healthy subjects or the non-hippocampal sclerosis side. Results: In patients with right hippocampal sclerosis, right mammillary body volume was both significantly smaller than that in healthy subjects (30.3 ± 10.3 vs. 43.3 ± 8.07 mm3, P < 0.001) and significantly smaller than the left mammillary body volume in each patient (30.3 ± 10.3 vs. 41.4 ± 10.1 mm3, P < 0.001). Similarly, in patients with left hippocampal sclerosis, left mammillary body volume was both significantly smaller than that in healthy subjects (37.7 ± 11.2 vs. 47.0 ± 8.65 mm3, P < 0.001) and significantly smaller than right mammillary body volume in each patient (37.7 ± 11.2 vs. 42.5 ± 7.78 mm3, P = 0.044). Conclusions: In this study, thin-slice-reconstructed volumetric analysis showed that, in patients with unilateral hippocampal sclerosis, mammillary body volume on the hippocampal sclerosis side is smaller than that in healthy subjects and the non-hippocampal sclerosis side.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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