Differences in Supratentorial Damage of White Matter in Pediatric Survivors of Posterior Fossa Tumors With and Without Adjuvant Treatment as Detected by Magnetic Resonance Diffusion Tensor Imaging

2010 ◽  
Vol 76 (3) ◽  
pp. 859-866 ◽  
Author(s):  
Stefan Mark Rueckriegel ◽  
Pablo Hernáiz Driever ◽  
Friederike Blankenburg ◽  
Lutz Lüdemann ◽  
Günter Henze ◽  
...  
Author(s):  
Piotr Podwalski ◽  
Krzysztof Szczygieł ◽  
Ernest Tyburski ◽  
Leszek Sagan ◽  
Błażej Misiak ◽  
...  

Abstract Diffusion tensor imaging (DTI) is an imaging technique that uses magnetic resonance. It measures the diffusion of water molecules in tissues, which can occur either without restriction (i.e., in an isotropic manner) or limited by some obstacles, such as cell membranes (i.e., in an anisotropic manner). Diffusion is most often measured in terms of, inter alia, fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD), and axial diffusivity (AD). DTI allows us to reconstruct, visualize, and evaluate certain qualities of white matter. To date, many studies have sought to associate various changes in the distribution of diffusion within the brain with mental diseases and disorders. A better understanding of white matter integrity disorders can help us recognize the causes of diseases, as well as help create objective methods of psychiatric diagnosis, identify biomarkers of mental illness, and improve pharmacotherapy. The aim of this work is to present the characteristics of DTI as well as current research on its use in schizophrenia, affective disorders, and other mental disorders.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jun Li ◽  
Hongtao Li ◽  
Yun Ma ◽  
Xiaowei Cai ◽  
Yinjie Zhong ◽  
...  

This paper aimed to explore the clinical value of combined adoption of magnetic resonance diffusion tensor imaging (DTI) and quantitative electroencephalogram (QEEG) in assessing microstructure changes and mild neurocognitive dysfunction in patients with white matter demyelination. 128 cases of white matter demyelination admitted to the hospital from October 2018 to October 2019 were rolled into the research group, and 100 healthy patients physically examined during the same period were rolled into the control (ctrl) group. QEEG and magnetic resonance DTI examinations were performed for all patients. The wave power of δ, θ, α, and β and the ratio of α/θ and (δ + θ)/(α + β) were recorded. The FA values of white matter fibers in different brain areas were measured, and the Montreal Cognitive Assessment (MoCA) and Addenbrooke Cognitive Evaluation rating (ACE-R) were adopted to assess the neurocognitive function of patients. It was found that the dominant frequency of each brain area in the research group was 8-9 Hz slow α wave. In contrast with the ctrl, the α wave and α/θ values in the research group were lower, while θ wave and δ + θ/α + β values were higher ( P < 0.05 ); the scores of ACE-R and MoCA were lower ( P < 0.01 ); the fractional anisotropy (FA) values of the right frontal lobe white matter (0.335 ± 0.068), the left temporal lobe white matter (0.391 ± 0.032), and the corpus callosum knee white matter (0.658 ± 0.053) were lower ( P < 0.05 ). The FA values of these three areas were positively correlated with attention and calculation, memory, and memory of MoCA scale, respectively ( P < 0.05 ). The FA value of the right frontal white matter was positively correlated with the attention and calculation score of the ACE-R scale ( P < 0.05 ). In conclusion, magnetic resonance DTI combined with QEEG could reflect the microstructural changes of white matter, which may be associated with mild neurocognitive impairment. The primary objective of the study was to explore the clinical value of combined adoption of magnetic resonance DTI and QEEG in assessing microstructure changes and mild neurocognitive dysfunction in patients with white matter demyelination, expected to provide a theoretical basis for the treatment of white matter demyelination.


Neurosurgery ◽  
2010 ◽  
Vol 67 (4) ◽  
pp. 901-905 ◽  
Author(s):  
Florian Roser ◽  
Florian Ebner ◽  
Gottlieb Maier ◽  
Marcos Tatagiba ◽  
Thomas Nägele ◽  
...  

Abstract BACKGROUND: Syringomyelia can result in major functional disability. Conventional imaging techniques frequently fail to detect the underlying cause of syringomyelia. The prediction as to whether syringomyelia might lead to neurological deficits is still challenging. OBJECTIVE: We hypothesized that fractional anisotropy (FA) derived from diffusion tensor imaging (DTI) is a parameter to detect dynamic forms of syringomyelia. METHODS: Six patients with cervical syringomyelia, all comparable in size, shape, and location, were examined, along with 2 volunteers. Patients underwent electrophysiological recordings (somatosensory evoked potentials, motor evoked potentials, silent periods). Magnetic resonance imaging (1.5 T) was performed with a 6-element spine coil. Anatomic images were acquired with a 3-dimensional, constructive interference in steady-state sequence, and DTI with an echo-planar imaging sequence (5-mm thickness, b value 800 s/mm2) using the generalized autocalibrating partially parallel acquisitions technique. The positions were centered on the syrinx in the volunteers between the C2 and Th1. DTI data were interpolated to a spatial resolution of 0.5 mm. After calculation of a diffusion tensor in each pixel, an FA map was calculated and profiles of the FA values across the spinal cord were calculated in all slices. RESULTS: FA values were lower at the level of all examined syrinxes and reached normal values beyond them. Electrophysiological results correlated with the decrease in FA value. There were no presyrinx changes in the white matter tracts in terms of signs of FA changes beneath the syrinx. CONCLUSION: DTI of syringomyelia can demonstrate white matter fiber tracts around and beyond the syrinx consistent with electrophysiological values. DTI of the cervical spine can provide quantitative information about the pathological characteristics beyond the abnormalities visible on magnetic resonance imaging.


2013 ◽  
Vol 15 (4) ◽  
pp. 365-376 ◽  
Author(s):  
Louise Emsell ◽  
Camilla Langan ◽  
Wim Van Hecke ◽  
Gareth J Barker ◽  
Alexander Leemans ◽  
...  

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