Cortical morphological changes in multiple sclerosis patients: a study of cortical thickness, sulcal depth, and local gyrification index.

Purpose: Multiple sclerosis (MS) is a disease that progresses not only with demyelination but also with neurodegeneration. One of the goals of drug treatment in MS is to prevent neurodegeneration. Cortical thickness (CT), sulcal depth (SD), and local gyrification index (LGI) are indicators related t...

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Publicado en:Neuroradiology Vol. 65; no. 9; pp. 1405 - 1414
Autores principales: Genç, Barış, Aslan, Kerim, Şen, Sedat, İncesu, Lütfi
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Sep2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-023-03185-y
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        atl: Cortical morphological changes in multiple sclerosis patients: a study of cortical thickness, sulcal depth, and local gyrification index.
      aug:
        au:
          Genç, Barış
          Aslan, Kerim
          Şen, Sedat
          İncesu, Lütfi
        affil: Department of Radiology, Samsun Education and Research Hospital, İlkadım, 55060, Samsun, Turkey
      sug:
        subj:
          Multiple Sclerosis Physiopathology
          Brain Cortical Thickness Evaluation
          Cerebral Cortex Pathology
          Prefrontal Cortex Pathology
          Disease Remission
          Brain Anatomy and Histology
          Human
          Male
          Female
          Adolescence
          Young Adult
          Middle Age
          Aged
          Data Analysis Software
          Descriptive Statistics
          Tomography, X-Ray Computed
          Adolescent: 13-18 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: Multiple sclerosis (MS) is a disease that progresses not only with demyelination but also with neurodegeneration. One of the goals of drug treatment in MS is to prevent neurodegeneration. Cortical thickness (CT), sulcal depth (SD), and local gyrification index (LGI) are indicators related to neurodegeneration. The aim of this study is to investigate changes in CT, SD, and LGI in patients with relapsing-remitting MS (RRMS). Methods: T1 images of 74 RRMS patients and 65 healthy controls were used. T1 hypointense areas in RRMS patients were corrected using fully automated methods. CT, SD, and LGI were calculated for each patient. Results: RRMS patients showed widespread cortical thinning, especially in bilateral temporoparietal areas, decreased SD in bilateral supramarginal gyrus, superior temporal gyrus, postcentral gyrus, and transverse temporal gyrus, and decreased LGI, especially in the left posterior cingulate gyrus and insula. The decrease in cortical thickness was associated with the number of attacks and lesion volume. EDSS was related to CT in the right lingual, inferior temporal, and fusiform gyrus. The LGI was correlated with T2 lesion volume in bilateral insula, with EDSS in the right insula and transverse and superior temporal gyri, and with the number of attacks in the right paracentral gyrus and pre-cuneus. However, SD did not show any correlation with EDSS, T2 lesion volume, or the number of attacks. Conclusion: Our results demonstrate widespread cortical thinning, decreased sulcal depth in local areas, and decreased gyrification in folds in RRMS patients, which are related to clinical parameters.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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