Structural MRI and tract-based spatial statistical analysis of diffusion tensor imaging in children with hemimegalencephaly.

Purpose: To investigate the gross white matter abnormalities in the structural brain MR imaging as well as white matter microstructural alterations using tract-based spatial statistics (TBSS) analysis of diffusion tensor imaging (DTI) in both affected and contralateral cerebral hemispheres of childr...

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Published in:Neuroradiology Vol. 62; no. 11; pp. 1467 - 1475
Main Authors: Jeon, Tae Yeon, Poliakov, Andrew V., Friedman, Seth D., Bozarth, Xiuhua L., Novotny, Edward J., Hauptman, Jason S., Moon, Sung-Hoon, Shaw, Dennis W. W.
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature Nov2020
Online Access:View this record in EBSCOhost
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      dt: Nov2020
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      pub: Springer Nature
      place: New York, New York
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        atl: Structural MRI and tract-based spatial statistical analysis of diffusion tensor imaging in children with hemimegalencephaly.
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          Jeon, Tae Yeon
          Poliakov, Andrew V.
          Friedman, Seth D.
          Bozarth, Xiuhua L.
          Novotny, Edward J.
          Hauptman, Jason S.
          Moon, Sung-Hoon
          Shaw, Dennis W. W.
        affil: Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, Republic of Korea
      sug:
        subj:
          Magnetic Resonance Imaging Methods
          Malformations of Cortical Development
          White Matter Abnormalities
          Human
          Brain Physiopathology
          Retrospective Design
          Male
          Female
          Infant
          Child, Preschool
          Child
          Adolescence
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Purpose: To investigate the gross white matter abnormalities in the structural brain MR imaging as well as white matter microstructural alterations using tract-based spatial statistics (TBSS) analysis of diffusion tensor imaging (DTI) in both affected and contralateral cerebral hemispheres of children with hemimegalencephaly (HMEG). Methods: From 2003 to 2019, we retrospectively reviewed brain MR images in 20 children (11 boys, 2 days–16.5 years) with HMEG, focusing on gross white matter abnormalities. DTI was evaluated in 12 patients (8 boys, 3 months–16.5 years) with HMEG and 12 age-, sex-, and magnetic field strength-matched control subjects. TBSS analysis was performed to analyze main white matter tracts. Regions of significant differences in fractional anisotropy (FA) were determined between HMEG and control subjects and between affected and contralateral hemispheres of HMEG. Results: Gross white matter abnormalities were noted in both affected (n = 20, 100%) and contralateral hemisphere (n = 4, 20%) of HMEG. FA values were significantly decreased in both hemispheres of HMEG, compared with control subjects (P < 0.05). Contralateral hemispheres of HMEG showed regions with significantly decreased FA values compared with affected hemispheres (P < 0.05). Conclusions: In addition to gross white matter abnormalities particularly evident in affected hemispheres, DTI analysis detected widespread microstructural alterations in both affected and contralateral hemispheres in HMEG suggesting HMEG may involve broader abnormalities in neuronal networks.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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