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Correlation Analysis of Quantitative Diffusion Parameters in Ipsilateral Cerebral Peduncle during Wallerian Degeneration with Motor Function Outcome after Cerebral Ischemic Stroke

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机构: [1]Univ Rochester, Med Ctr, Dept Imaging Sci, Rochester, NY 14642 USA; [2]Univ Rochester, Med Ctr, Dept Biostat & Computat Biol, Rochester, NY 14642 USA; [3]Beijing Tiantan Hosp, Dept Neuroradiol, Beijing, Peoples R China; [4]Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China; [5]Handan Cent Hosp, Dept Neurol, Handan, Hebei, Peoples R China; [6]Univ Rochester, Med Ctr, Dept Imaging Sci, 601 Elmwood Ave,POB 648, Rochester, NY 14642 USA
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关键词: Diffusion tensor imaging infarctions motor outcome

摘要:
BACKGROUND AND PURPOSE To evaluate the time periods of Wallerian degeneration (WD) in which the diffusion parameters of ipsilateral corticalspinal tract (CST) can be used to predict the motor function outcome after brain infarction. METHODS This retrospective study classified 48 diffusion tensor imaging patients with WD along CST into four groups based on the following time points after stroke onset, Group 1: within the first 2 weeks; Group 2: from 3 to 4 weeks; Group 3: from 5 to 14 weeks; Group 4: after 14 weeks. The apparent diffusion coefficient (ADC), fractional anisotropy (FA), and their ratios (=ipsilateral diffusion value/contralateral value) of cerebral peduncle were evaluated. The correlation between imaging parameters in each group and the motor function scores appraised at 8 months after stroke onset were assessed. RESULTS There was no evident correlation of FA ratio (rFA) in Group 1 with motor function score (P= .05). The rFA and FA correlated with motor function score in other groups (P < .001 in each group). The ADC ratio and ipsilateral ADC value only showed significant correlation of with motor function score in Group 4 (P= .016 and .029, respectively). CONCLUSIONS The rFA and ipsilateral FA values after 2 weeks of stroke onset correlate with the motor function outcome.

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出版当年[2011]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经成像 4 区 核医学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经成像 4 区 核医学
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出版当年[2010]版:
Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q3 CLINICAL NEUROLOGY Q3 NEUROIMAGING
最新[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q3 CLINICAL NEUROLOGY Q3 NEUROIMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2010版] 出版当年五年平均 出版前一年[2009版] 出版后一年[2011版]

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第一作者机构: [1]Univ Rochester, Med Ctr, Dept Imaging Sci, Rochester, NY 14642 USA; [3]Beijing Tiantan Hosp, Dept Neuroradiol, Beijing, Peoples R China;
通讯作者:
通讯机构: [1]Univ Rochester, Med Ctr, Dept Imaging Sci, Rochester, NY 14642 USA; [3]Beijing Tiantan Hosp, Dept Neuroradiol, Beijing, Peoples R China; [6]Univ Rochester, Med Ctr, Dept Imaging Sci, 601 Elmwood Ave,POB 648, Rochester, NY 14642 USA
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