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Research ArticlePediatric Neuroimaging
Open Access

Cerebral Diffusion Tensor MR Tractography in Tuberous Sclerosis Complex: Correlation with Neurologic Severity and Tract-Based Spatial Statistical Analysis

A.M. Wong, H.-S. Wang, E.S. Schwartz, C.-H. Toh, R.A. Zimmerman, P.-L. Liu, Y.-M. Wu, S.-H. Ng and J.-J. Wang
American Journal of Neuroradiology September 2013, 34 (9) 1829-1835; DOI: https://doi.org/10.3174/ajnr.A3507
A.M. Wong
aFrom the Department of Medical Imaging and Intervention (A.M.W., C.-H.T., Y.-M.W., S.-H.N., J.-J.W.) Chang Gung Memorial Hospital and Chang Gung University, Keelung, Linkou, Taiwan, Republic of China
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H.-S. Wang
bDivision of Pediatric Neurology (H.-S.W.), Department of Pediatrics, Chang Gung Children's Hospital and Chang Gung University, Kwei-Shan, Tao Yuan, Taiwan, Republic of China
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E.S. Schwartz
cDepartment of Radiology (E.S.S., R.A.Z.), The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
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C.-H. Toh
aFrom the Department of Medical Imaging and Intervention (A.M.W., C.-H.T., Y.-M.W., S.-H.N., J.-J.W.) Chang Gung Memorial Hospital and Chang Gung University, Keelung, Linkou, Taiwan, Republic of China
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R.A. Zimmerman
cDepartment of Radiology (E.S.S., R.A.Z.), The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
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P.-L. Liu
dInstitute of Information Science (P.-L.L.), Academia Sinica, Taiwan, Republic of China.
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Y.-M. Wu
aFrom the Department of Medical Imaging and Intervention (A.M.W., C.-H.T., Y.-M.W., S.-H.N., J.-J.W.) Chang Gung Memorial Hospital and Chang Gung University, Keelung, Linkou, Taiwan, Republic of China
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S.-H. Ng
aFrom the Department of Medical Imaging and Intervention (A.M.W., C.-H.T., Y.-M.W., S.-H.N., J.-J.W.) Chang Gung Memorial Hospital and Chang Gung University, Keelung, Linkou, Taiwan, Republic of China
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J.-J. Wang
aFrom the Department of Medical Imaging and Intervention (A.M.W., C.-H.T., Y.-M.W., S.-H.N., J.-J.W.) Chang Gung Memorial Hospital and Chang Gung University, Keelung, Linkou, Taiwan, Republic of China
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    Fig 1.

    Regions of interest (green shaded areas) were manually drawn on axial B0 image (A) to include the ipsilateral caudate head, internal capsule, lentiform nucleus, external capsule, and thalamus for reconstructing the PF on one side, and on sagittal B0 image (B) to include the corpus callosum for reconstructing the CF.

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    Fig 2.

    Scatterplots show moderate negative correlation between the neurologic severity score and NOF (A) and NOP (B) in the patients with tuberous sclerosis complex and control subjects.

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    Fig 3.

    Results of tract-based spatial statistics analysis revealed significant differences between the tuberous sclerosis complex and control groups in FA (A) and axial diffusivity (B) maps, with overlaid mean value skeleton. Regions of the skeleton in green represent areas of no significant differences in values between the tuberous sclerosis complex group and the control subjects. Regions in blue are areas in which the value was significantly lower in the tuberous sclerosis complex group.

Tables

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    Table 1:

    Composition of neurologic severity score of patients with TSC

    Patient No.SeizureDevelopmental DisabilityAutismNeuropsychiatric DisordersNeurologic Severity Score
    113015
    200000
    313206
    423218
    513015
    613015
    710001
    810012
    913217
    1010001
    1110012
    1223016
    1310001
    1413217
    1513004
    1610012
    • Note:—TSC indicates tuberous sclerosis complex.

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    Table 2:

    Mean (± SD) NOF, NOP, and FA of the commissural fiber, projection fibers, and major white matter tracts of patients with TSC and control subjects

    NOFNOPFA
    TSCControlPTSCControlPTSCControlP
    CF77.1 ± 27.4100 ± 13.7.012440 ± 11903280 ± 494.02.504 ± .026.522 ± .016.05
    Left PF169 ± 32.2247 ± 61.3.014200 ± 12706360 ± 1430.01.458 ± .011.460 ± .022.05
    Right PF146 ± 25.7198 ± 32.7.013290 ± 9764510 ± 961.01.458 ± .016.453 ± .019.05
    Bilateral PF315 ± 53.3445 ± 73.0.017490 ± 213010870 ± 1870.01.459 ± .012.458 ± .020.05
    MWT391 ± 76.7545 ± .770.019900 ± 311014150 ± 2210.01.470 ± .014.473 ± .017.05
    • Note:—TSC indicates tuberous sclerosis complex.

    • View popup
    Table 3:

    Pearson correlation coefficients between the neurologic severity score versus NOF and NOP in the commissural fiber, projection fibers, and major white matter tracts

    NOFNOP
    CFr = −.70; P < .001r = −.75; P < .001
    Left PFr = −.55; P < .001r = −.60; P < .001
    Right PFr = −.66; P < .001r = −.67; P < .001
    Bilateral PFr = −.66; P < .001r = −.68; P < .001
    MWTr = −.71; P < .001r = −.74; P < .001
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American Journal of Neuroradiology: 34 (9)
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Cite this article
A.M. Wong, H.-S. Wang, E.S. Schwartz, C.-H. Toh, R.A. Zimmerman, P.-L. Liu, Y.-M. Wu, S.-H. Ng, J.-J. Wang
Cerebral Diffusion Tensor MR Tractography in Tuberous Sclerosis Complex: Correlation with Neurologic Severity and Tract-Based Spatial Statistical Analysis
American Journal of Neuroradiology Sep 2013, 34 (9) 1829-1835; DOI: 10.3174/ajnr.A3507

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Cerebral Diffusion Tensor MR Tractography in Tuberous Sclerosis Complex: Correlation with Neurologic Severity and Tract-Based Spatial Statistical Analysis
A.M. Wong, H.-S. Wang, E.S. Schwartz, C.-H. Toh, R.A. Zimmerman, P.-L. Liu, Y.-M. Wu, S.-H. Ng, J.-J. Wang
American Journal of Neuroradiology Sep 2013, 34 (9) 1829-1835; DOI: 10.3174/ajnr.A3507
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