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15:00 4401. Quantitative Analysis of the Brain Anatomy in Cerebral Palsy<br />

Andreia Vasconcellos Faria 1,2 , Alexander Hoon 3 , Elaine Stashinko 3 , Ameneh<br />

Mashayekh 1 , Xin Li 4 , Hangyi Jiang 1,4 , Kazi Akhter 1 , Kenichi Oishi 1 , Jiangyang Zhang 1 ,<br />

Peter van Zijl 1,4 , Michael Miller 5 , Susumu Mori 1<br />

1 Radiology, Johns Hopkins University, Baltimore, MD, United States; 2 Radiology, State University of<br />

Campinas, Campinas, SP, Brazil; 3 Division of Neurology and Developmental Medicine, Kennedy Krieger<br />

Institute, Baltimore, MD, United States; 4 F.M. Kirby Research Center for Functional Brain Imaging, Kennedy<br />

Krieger Institute, Baltimore, MD, United States; 5 Biomedical Engineering, Johns Hopkins University,<br />

Baltimore, MD, United States<br />

We developed a new method to provide a comprehensive quantitative analysis of brain anatomy in cerebral palsy patients, based on<br />

two technical points: diffusion tensor imaging and an automated 3D whole brain segmentation based on our brain atlas and a nonlinear<br />

normalization technique (large-deformation diffeomorphic metric mapping). This method was applied to thirteen patients and the<br />

reliability of the automated segmentation measured by Kappa revealed "almost perfect" agreement with the manual segmentation. We<br />

illustrate some potential applications on individual characterization and group comparison. This technique also provides a framework<br />

to determine the impact of various neuroanatomic features on brain functions.<br />

Thursday 13:30-15:30 Computer 81<br />

13:30 4402. Metabolic Abnormalities in Perituberous Tissue: Initial Results of a Proton MR<br />

Spectroscopy Study of Pediatric Tuberous Sclerosis Complex<br />

Ivan Kirov 1 , Joseph Oved 2 , Sarah Milla 1 , Orrin Devinsky 3 , Howard Weiner 3 , Oded<br />

Gonen 1<br />

1 Radiology, New York University, New York, NY, United States; 2 School of Medicine, New York University,<br />

New York, NY, United States; 3 Neurosurgery, New York University, New York, NY, United States<br />

While traditionally the MRI-defined tuber has been the primary surgery target for abolishing seizures in Tuberous Sclerosis Complex<br />

(TSC), there is evidence that non-tuberous tissue, specifically surrounding the active tuber, may also be epileptogenic. We use 3D<br />

proton MR spectroscopy (1H-MRS) to characterize tubers and normal-appearing tissue. Initial results reveal metabolic abnormalities<br />

in tubers and its adjacent tissue (peritubers). In one case electro-encephalography identified a seizure locus and 1H-MRS showed high<br />

lipid signal in its perituberous tissue. In all, these findings have implications for improved identification and definition of the<br />

epileptogenic zone in TSC.<br />

14:00 4403. White Matter Microstructure Correlates with Reading Ability in Healthy Subjects<br />

and Those with Fetal Alcohol Spectrum Disorder<br />

Catherine Lebel 1 , Carmen Rasmussen 2 , Katy Wyper 1 , Gail Andrew 3 , Christian Beaulieu 1<br />

1 Biomedical Engineering, University of Alberta, Edmonton, Alberta, Canada; 2 Pediatrics, University of Alberta,<br />

Edmonton, Alberta, Canada; 3 Glenrose Rehabilitation Hospital, Edmonton, Alberta, Canada<br />

Diffusion tensor imaging (DTI) studies of reading consistently highlight left temporal-parietal white matter. We used DTI to correlate<br />

fractional anisotropy (FA) with reading ability in 40 subjects with fetal alcohol spectrum disorder (FASD) aged 5-19 years and 40<br />

healthy controls. The control group had three significantly correlated clusters in the left temporal-parietal area and one in the genu (all<br />

positive), in good agreement with previous findings. The FASD group had 9 clusters with significant correlations (3 negative, 6<br />

positive). These included 3 left temporal-parietal clusters, showing consistent involvement in this area, but also demonstrating more<br />

widespread correlations than controls.<br />

14:30 4404. Pituitary Volumes and Functions in Children with Growth Hormone Deficiency:<br />

Volumetric Magnetic Resonance Data<br />

Miyuki Takasu 1 , Chihiro Tani 1 , Masaki Ishikawa 1 , Keizo Tanitame 1 , Hiroshi Fukuda 1 ,<br />

Jun Horiguchi 1 , Akihisa Tamura 2 , Yoshikazu Nishi 3<br />

1 Radiology, Hiroshima University Hospital, Hiroshima, Japan; 2 Radiology, Hiroshima Red Cross Hospital,<br />

Hiroshima, Japan; 3 Pediatrics, Hiroshima Red Cross Hospital, Hiroshima, Japan<br />

We investigated correlations between pituitary volumes measured from 3D volumetric MR imaging and the severity of the clinical and<br />

biochemical features in 69 patients with growth hormone deficiency. Pituitary volumes of all patient groups were smaller than the agematched<br />

published norms. Pituitary volumes of both female groups were significantly smaller than that of controls. Pituitary volumes<br />

of male pubertal or postpubertal group were significantly larger than that of prepubertal one, but this difference was not significant<br />

between female groups. IGF-1 levels were significantly correlated with pituitary volumes. LH levels were significantly correlated with<br />

pituitary volumes in male patients.<br />

15:00 4405. MRI Assessment of Iron-Mediated Pathology Following Juvenile Traumatic Brain<br />

Injury<br />

Lei Huang 1 , Arash Adami 2 , Andre Obenaus 1,3<br />

1 Radiation Medicine, Loma Linda University, Loma Linda, CA, United States; 2 Neuroscience, University of<br />

California, Riverside, Riverside, CA, United States; 3 Radiology, Loma Linda University, Loma Linda, CA,<br />

United States<br />

In a rat model of graded juvenile traumatic brain injury (jTBI), we characterized iron mediated neuropathology using multi-modal<br />

MRI that correlated with histology and tissue iron measures. Our results showed that SWI was sensitive to monitor pathological iron

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