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Research ArticlePediatric Neuroimaging
Open Access

Altered White Matter Microstructure in the Corpus Callosum and Its Cerebral Interhemispheric Tracts in Adolescent Idiopathic Scoliosis: Diffusion Tensor Imaging Analysis

C. Xue, L. Shi, S.C.N. Hui, D. Wang, T.P. Lam, C.-B. Ip, B.K.W. Ng, J.C.Y. Cheng and W.C.W. Chu
American Journal of Neuroradiology April 2018, DOI: https://doi.org/10.3174/ajnr.A5634
C. Xue
aFrom the Departments of Imaging and Interventional Radiology (C.X., L.S., S.C.N.H., D.W., C.-B.I., W.C.W.C.)
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  • ORCID record for C. Xue
L. Shi
aFrom the Departments of Imaging and Interventional Radiology (C.X., L.S., S.C.N.H., D.W., C.-B.I., W.C.W.C.)
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S.C.N. Hui
aFrom the Departments of Imaging and Interventional Radiology (C.X., L.S., S.C.N.H., D.W., C.-B.I., W.C.W.C.)
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D. Wang
aFrom the Departments of Imaging and Interventional Radiology (C.X., L.S., S.C.N.H., D.W., C.-B.I., W.C.W.C.)
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T.P. Lam
bOrthopedics and Traumatology (T.P.L., B.K.W.N., J.C.Y.C.), Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
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C.-B. Ip
aFrom the Departments of Imaging and Interventional Radiology (C.X., L.S., S.C.N.H., D.W., C.-B.I., W.C.W.C.)
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B.K.W. Ng
bOrthopedics and Traumatology (T.P.L., B.K.W.N., J.C.Y.C.), Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
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J.C.Y. Cheng
bOrthopedics and Traumatology (T.P.L., B.K.W.N., J.C.Y.C.), Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
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W.C.W. Chu
aFrom the Departments of Imaging and Interventional Radiology (C.X., L.S., S.C.N.H., D.W., C.-B.I., W.C.W.C.)
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  • Fig 1.
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    Fig 1.

    Subdivision of the CC based on the Witelson template19 in the midsagittal view in 2D segmentation (A), 3D segmentation (B), and fiber tractography (C).

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    Fig 2.

    Illustration of the interhemispheric tract with the ROIs (left and right Brodmann 2) selected from the Brodmann atlas.

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    Fig 3.

    Results of voxelwise statistical analysis using the TBSS pipeline. The red lines show the lower FA value in the voxels in the subject with AIS compared with control subjects. S indicates superior; I, inferior; R, right; L, left; P, posterior; A, anterior.

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    Fig 4.

    Summary of FA values of each subdivision of the corpus callosum divided by the Witelson template19 in the 2D segmentation ROI analysis. Blue represents controls, and red represents patients with AIS.

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    Fig 5.

    Summary of the mean FA values on the right and left of 3D segmentation of the CC for each subdivision according to the Witelson template19 in controls and patients with AIS.

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    Fig 6.

    The laterality index of the CC for both patients with AIS (red) and controls (blue). The laterality index was calculated by the following formula: LI = (Mean FALHS − Mean FARHS) / (Mean FALHS + Mean FARHS).

Tables

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    Table 1:

    Demographics of subjects with AIS with different curve severities and healthy controls

    AISControls
    MildModerateSevereOverall
    Cobb angle13°–19°20°–39°40°–79°13°–79°–
    Age (range) (mean) (yr)12.2–16.4 (13.3)11.3–16.7 (14.6)12.7–16.4 (14.9)11.3–16.7 (14.5)12.6–16.4 (14.6)
    No. of subjects9 AIS (9 RT)43 AIS (40 RT, 3 RTL)17 AIS (16 RT, 1 RTL)69 AIS (65 RT, 4 RTL)40
    • Note:—RT indicates right thoracic; RTL, right thoracolumbar.

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    Table 2:

    Descriptive statistics of the FA comparison between controls and patients with AIS in 2D segmentationa

    ControlsAISP Value (Uncorrected)P Value (Corrected)b
    Rostrum0.7528 ± 0.027350.7455 ± 0.04039.31.62
    Genu0.6997 ± 0.025520.6870 ± 0.02955.025.08
    Anterior midbody0.6607 ± 0.043300.6647 ± 0.0366.61.73
    Posterior midbody0.6445 ± 0.051310.6516 ± 0.04586.46.68
    Isthmus0.7630 ± 0.035500.7631 ± 0.03340.99.99
    Splenium0.7845 ± 0.032280.7630 ± 0.03855.004.02
    • ↵a Data are means unless otherwise indicated.

    • ↵b P value after multiple comparison correction.

    • View popup
    Table 3:

    Descriptive statistics of the FA comparison between controls and patients with AIS in 3D segmentationa

    ControlsAISP Value (Uncorrected)P Value (Corrected)b
    LHRHLHRHLHRHLHRH
    Rostrum0.7592 ± 0.021060.7664 ± 0.022600.7548 ± 0.025220.7645 ± 0.02396.33.691.83
    Genu0.7349 ± 0.017350.7180 ± 0.01750.7246 ± 0.018430.7073 ± 0.02316.005c.47.03c.94
    Anterior midbody0.7144 ± 0.027820.6985 ± 0.020270.7150 ± 0.021420.7004 ± 0.02379.91.67.91.90
    Posterior midbody0.6921 ± 0.039980.6764 ± 0.032160.6973 ± 0.031410.6780 ± 0.03358.48.81.82.88
    Isthmus0.7655 ± 0.019780.7574 ± 0.021340.7612 ± 0.025470.7548 ± 0.02395.36.56.87.85
    Splenium0.7842 ± 0.021280.7883 ± 0.019900.7701 ± 0.021540.7841 ± 0.02404.001c.34.012c1
    • Note:—LH indicates left-hand side; RH, right-hand side.

    • ↵a Data are means unless otherwise indicated.

    • ↵b P value after multiple comparison correction.

    • ↵c Statistically significant (P < .05).

    • View popup
    Table 4:

    Descriptive statistics of the laterality index comparison between controls and patients with AISa

    ControlsAISP Value (Uncorrected)P Value (Corrected)b
    Rostrum−0.0047 ± 0.00965−0.0064 ± 0.01120.41.61
    Genu0.0116 ± 0.007500.0068 ± 0.01001.01c.03c
    Anterior midbody0.0111 ± 0.012200.0104 ± 0.01156.76.76
    Posterior midbody0.0112 ± 0.013310.0142 ± 0.01521.31.61
    Isthmus0.00053 ± 0.010010.0042 ± 0.01101.60.72
    Splenium−0.00026 ± 0.00848−0.009 ± 0.01108.002c.012c
    • ↵a Data are means unless otherwise indicated.

    • ↵b P value after multiple comparison correction.

    • ↵c Statistically significant (P < .05).

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C. Xue, L. Shi, S.C.N. Hui, D. Wang, T.P. Lam, C.-B. Ip, B.K.W. Ng, J.C.Y. Cheng, W.C.W. Chu
Altered White Matter Microstructure in the Corpus Callosum and Its Cerebral Interhemispheric Tracts in Adolescent Idiopathic Scoliosis: Diffusion Tensor Imaging Analysis
American Journal of Neuroradiology Apr 2018, DOI: 10.3174/ajnr.A5634

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Altered White Matter Microstructure in the Corpus Callosum and Its Cerebral Interhemispheric Tracts in Adolescent Idiopathic Scoliosis: Diffusion Tensor Imaging Analysis
C. Xue, L. Shi, S.C.N. Hui, D. Wang, T.P. Lam, C.-B. Ip, B.K.W. Ng, J.C.Y. Cheng, W.C.W. Chu
American Journal of Neuroradiology Apr 2018, DOI: 10.3174/ajnr.A5634
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