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Tract‐by‐Tract Morphometric and Diffusivity Analyses In Vivo of Spinocerebellar Degeneration

Identifieur interne : 000A41 ( Main/Corpus ); précédent : 000A40; suivant : 000A42

Tract‐by‐Tract Morphometric and Diffusivity Analyses In Vivo of Spinocerebellar Degeneration

Auteurs : Kenshi Terajima ; Hitoshi Matsuzawa ; Takayoshi Shimohata ; Kouhei Akazawa ; Masatoyo Nishizawa ; Tsutomu Nakada

Source :

RBID : ISTEX:3AF244EC517DEEA669FB39835C17844978C799F7

English descriptors

Abstract

ABSTRACT: BACKGROUND AND PURPOSE: Three‐dimensional anisotropy contrast (3DAC) based on a periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) sequence on a 3.0T system is a new magnetic resonance imaging technique capable of providing images with significantly high anatomical resolution. The purpose of this study was to confirm whether this technique can characterize the degenerative processes in the brainstem of patients with spinocerebellar degeneration (SCD). METHODS: 3DAC images of 13 patients with multiple system atrophy with predominant cerebellar symptoms (MSA‐C) and seven International Cooperative Ataxia Rating Scale (ICARS) score‐matched patients with Machado‐Joseph disease (MJD) were created using a diffusion‐weighted PROPELLER sequence on a 3.0T system. The section of the middle pons was chosen for morphometric and diffusivity analyses. RESULTS: The above analyses showed that atrophy and increased diffusivity of the ventral portion of the pons indicated MSA‐C, whereas atrophy and increased diffusivity of the pontine tegmentum indicated MJD. Furthermore, ICARS scores significantly correlated with both the severities of the pontine atrophy and the mean diffusivity values of the ventral pontocerebellar tracts. CONCLUSIONS: This study demonstrated that 3DAC PROPELLER on a 3.0T system enables in vivo “tract by tract” quantitative analysis of pontine degeneration in SCD.

Url:
DOI: 10.1111/j.1552-6569.2008.00273.x

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ISTEX:3AF244EC517DEEA669FB39835C17844978C799F7

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<p>ABSTRACT: BACKGROUND AND PURPOSE: Three‐dimensional anisotropy contrast (3DAC) based on a periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) sequence on a 3.0T system is a new magnetic resonance imaging technique capable of providing images with significantly high anatomical resolution. The purpose of this study was to confirm whether this technique can characterize the degenerative processes in the brainstem of patients with spinocerebellar degeneration (SCD). METHODS: 3DAC images of 13 patients with multiple system atrophy with predominant cerebellar symptoms (MSA‐C) and seven International Cooperative Ataxia Rating Scale (ICARS) score‐matched patients with Machado‐Joseph disease (MJD) were created using a diffusion‐weighted PROPELLER sequence on a 3.0T system. The section of the middle pons was chosen for morphometric and diffusivity analyses. RESULTS: The above analyses showed that atrophy and increased diffusivity of the ventral portion of the pons indicated MSA‐C, whereas atrophy and increased diffusivity of the pontine tegmentum indicated MJD. Furthermore, ICARS scores significantly correlated with both the severities of the pontine atrophy and the mean diffusivity values of the ventral pontocerebellar tracts. CONCLUSIONS: This study demonstrated that 3DAC PROPELLER on a 3.0T system enables in vivo “tract by tract” quantitative analysis of pontine degeneration in SCD.</p>
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