Corticospinal tract involvement in spinocerebellar ataxia type 3: a diffusion tensor imaging study.

Purpose: The aim of this study was to evaluate the integrity of the corticospinal tracts (CST) in patients with SCA3 and age- and gender-matched healthy control subjects using diffusion tensor imaging (DTI). We also looked at the clinical correlates of such diffusivity abnormalities. Methods: We ass...

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Publicado en:Neuroradiology Vol. 63; no. 2; pp. 217 - 225
Autores principales: Inada, Bruno Shigueo Yonekura, Rezende, Thiago Junqueira Ribeiro, Pereira, Fernando Vieira, Garcia, Lucas Ávila Lessa, da Rocha, Antônio José, Neto, Pedro Braga, Barsottini, Orlando Graziani Povoas, França Jr, Marcondes Cavalcante, Pedroso, José Luiz
Formato: research tables/charts Journal Article
Publicado: Springer Nature 2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-020-02528-3
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        atl: Corticospinal tract involvement in spinocerebellar ataxia type 3: a diffusion tensor imaging study.
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        au:
          Inada, Bruno Shigueo Yonekura
          Rezende, Thiago Junqueira Ribeiro
          Pereira, Fernando Vieira
          Garcia, Lucas Ávila Lessa
          da Rocha, Antônio José
          Neto, Pedro Braga
          Barsottini, Orlando Graziani Povoas
          França Jr, Marcondes Cavalcante
          Pedroso, José Luiz
        affil: Division of General Neurology and Ataxia Unit, Department of Neurology, Federal University of São Paulo (UNIFESP), São Paulo, Brazil
      sug:
        subj:
          Cerebellar Diseases Diagnosis
          Spinocerebellar Ataxias Diagnosis
          Spinocerebellar Ataxias Radiography
          Magnetic Resonance Imaging Methods
          Human
          Pearson's Correlation Coefficient
          Retrospective Design
          Descriptive Statistics
          T-Tests
          Neurodegenerative Diseases Radiography
          Neurodegenerative Diseases Physiopathology
      ab: Purpose: The aim of this study was to evaluate the integrity of the corticospinal tracts (CST) in patients with SCA3 and age- and gender-matched healthy control subjects using diffusion tensor imaging (DTI). We also looked at the clinical correlates of such diffusivity abnormalities. Methods: We assessed 2 cohorts from different Brazilian centers: cohort 1 (n = 29) scanned in a 1.5 T magnet and cohort 2 (n = 91) scanned in a 3.0 T magnet. We used Pearson's coefficients to assess the correlation of CST DTI parameters and ataxia severity (expressed by SARA scores). Results: Two different results were obtained. Cohort 1 showed no significant between-group differences in DTI parameters. Cohort 2 showed significant between-group differences in the FA values in the bilateral precentral gyri (p < 0.001), bilateral superior corona radiata (p < 0.001), bilateral posterior limb of the internal capsule (p < 0.001), bilateral cerebral peduncle (p < 0.001), and bilateral basis pontis (p < 0.001). There was moderate correlation between CST diffusivity parameters and SARA scores in cohort 2 (Pearson correlation coefficient: 0.40–0.59). Conclusion: DTI particularly at 3 T is able to uncover and quantify CST damage in SCA3. Moreover, CST microstructural damage may contribute with ataxia severity in the disease.
      pubtype: Academic Journal
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        Journal Article
      ougenre: Article
    language: English
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