Diffusion Tensor Imaging and Fiber Tractography in Children with Craniosynostosis Syndromes.

نویسندگان

  • B F M Rijken
  • A Leemans
  • Y Lucas
  • K van Montfort
  • I M J Mathijssen
  • M H Lequin
چکیده

BACKGROUND AND PURPOSE Patients with craniosynostosis syndromes caused by mutations in FGFR-2, FGFR-3, and TWIST1 genes are characterized by having prematurely fused skull sutures and skull base synchondroses, which result in a skull deformity and are accompanied by brain anomalies, including altered white matter microarchitecture. In this study, the reliability and reproducibility of DTI fiber tractography was investigated in these patients. The outcomes were compared with those of controls. MATERIALS AND METHODS DTI datasets were acquired with a 1.5T MR imaging system with 25 diffusion gradient orientations (voxel size = 1.8 × 1.8 × 3.0 mm(3), b-value = 1000 s/mm(2)). White matter tracts studied included the following: corpus callosum, cingulate gyrus, fornix, corticospinal tracts, and medial cerebellar peduncle. Tract pathways were reconstructed with ExploreDTI in 58 surgically treated patients with craniosynostosis syndromes and 7 controls (age range, 6-18 years). RESULTS Because of the brain deformity and abnormal ventricular shape and size, DTI fiber tractography was challenging to perform in patients with craniosynostosis syndromes. To provide reliable tracts, we adapted standard tracking protocols. Fractional anisotropy was equal to that in controls (0.44 versus 0.45 ± 0.02, P = .536), whereas mean, axial, and radial diffusivity parameters of the mean white matter were increased in patients with craniosynostosis syndromes (P < .001). No craniosynostosis syndrome-specific difference in DTI properties was seen for any of the fiber tracts studied in this work. CONCLUSIONS Performing DTI fiber tractography in patients with craniosynostosis syndromes was difficult due to partial volume effects caused by an anisotropic voxel size and deformed brain structures. Although these patients have a normal fiber organization, increased diffusivity parameters suggest abnormal microstructural tissue properties of the investigated white matter tracts.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Fiber Tractography and Diffusion Tensor Imaging in Children with Agenesis and Dysgenesis of Corpus Callosum: A Clinico-Radiological Correlation

Background Corpus callosum is the largest commissure in human brain. It consists of tightly packed white matter tracts connecting the two cerebral hemispheres.  In this study we aimed to evaluate role of fiber tractography (FT), and diffusion tensor imaging (DTI) in ped...

متن کامل

The Benefits and implementations of Diffusion tensor imaging and Neural Fiber Tractography in Brain Surgery

Background and Aim: The methods for detecting brain activation with fMRI, MRI provides a way to measure the anatomical connections which enable lightning-fast communication among neurons that specialize in different kinds of brain functions. Diffusion tensor imaging is able to measure the direction of bundles of the axonal fibers which are all aligned. Besides mapping white matter fiber tracts,...

متن کامل

Methods to Improve Fiber Reconstruction at DTI-Based Tractography in the Area of Brain Tumor: Case Illustration and Literature Review

Background and Aim: DTI-based tractography could help us to visualize the spatial relation of fiber tracts to brain lesions. Several factors may interfere with the procedure of diffusion-based tractography, especially in brain tumors. The aim of the current study is to discuss several solutions to improve the procedure of fiber reconstruction adjacent or inside brain lesions. Illustrative cases...

متن کامل

Diffusion Tensor Imaging and Fiber Tractography in Syntelencephaly

Syntelencephaly or the middle interhemispheric variant of holoprosencephaly is a rare subtype of holoprosencephaly and consists of a nonseparation of the posterior frontal and parietal regions of both cerebral hemispheres. We report conventional MR imaging, diffusion tensor imaging, and fiber tractography findings of a girl with syntelencephaly and discuss the information that diffusion tensor ...

متن کامل

Fiber Tractography in Diffusion Tensor Magnetic Resonance Imaging: A Survey and Beyond

Diffusion tensor magnetic resonance imaging (DT-MRI) is the first noninvasive in vivo imaging modality with the potential to generate fiber tract trajectories in soft fibrous tissues, such as the brain white matter. Several newly developed fiber reconstruction and tractography techniques based on DT-MRI are reviewed in this article, including streamline fiber tracking techniques, diffusion tens...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • AJNR. American journal of neuroradiology

دوره 36 8  شماره 

صفحات  -

تاریخ انتشار 2015