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examine this possible effect, we excluded subjects with white matter lesions from our study cohort and performed TBSS. Our results<br />

were consistent with what literature reports.<br />

14:00 4475. Probabilistic Fiber Tracking from the Pre-SMA and SMA Proper: Implications for<br />

Language and Motor White Matter Networks<br />

Kyung K. Peck 1 , Seyedeh Jenabi 2 , Robert Young, Lucas Parra 2 , Andrei Holodny<br />

1 Medical Physics and Radiology, Memorial Sloan-Kettering Cancer Center, New York, United States; 2 City<br />

University of New York<br />

In this study, we seek to expand on this study by using diffusion tensor imaging to compare the pattern of white matter fibers<br />

originating from two different fMRI guided seed regions; the pre-SMA and the SMA-proper defined by fMRI language and motor<br />

paradigm respectively. We hypothesized that pre-SMA seed derived from the language paradigm will connect more readily to the<br />

frontal areas known to be associated with language function including Broca’s Area<br />

14:30 4476. Correlation of Quantitative Sensori-Motor Tractography with Clinical Grade of<br />

Cerebral Palsy<br />

Richa Trivedi 1 , Shruti Agarwal 2 , Vipul Shah 3 , Puneet Goyal 4 , Vimal K. Paliwal 5 , Ram KS<br />

Rathore 6 , Rakesh Kumar Gupta 7<br />

1 NMR Research Centre, Institute of Nuclear Medicine and Allied Sciences, Delhi, India; 2 Mathematics and<br />

Statistics, Indian Institute of Technology, Kanpur, Uttar Pradesh, India; 3 3Pediatric Orthopedic Surgery unit,<br />

Bhargava Nursing Home, Lucknow, Uttar Pradesh, India; 4 Anesthesiology, Sanjay Gandhi Post Graduate<br />

Institute of Medical Sciences, Lucknow, Uttar Pradesh, India; 5 Neurology, Sanjay Gandhi Post Graduate<br />

Institute of Medical Sciences, Lucknow, Uttar Pradesh, India; 6 Mathematics and Statistics, Indian Institute of<br />

Technology, , Kanpur, Uttar Pradesh, India; 7 Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical<br />

Sciences, Lucknow, Uttar Pradesh, India<br />

Diffusion tensor tractography using FACT algorithm was performed on 39 children with different grades of cerebral palsy (CP)<br />

defined using the Gross Motor Function Classification System (GMFCS) to look for probable correlation between tract-specific DTI<br />

metrics in sensorymotor pathways and clinical grades. A significant inverse correlation was observed between fractional anisotropy<br />

(FA) in both sensory and motor pathways and clinical grades. In this study we extend our understanding of the pathophysiology of CP<br />

by showing that DTI measures in both motor and sensory pathways reflects the degree of motor deficits.<br />

15:00 4477. Study of Neuropsychiatric Systemic Lupus Erythematosus with DTI and FAIR<br />

Xiaozhen Li 1 , Zhengguang Chen 2<br />

1 Radiology, Peking Union Medical College Hospital, Beijing, China; 2 Radiology, First Hospital of Tsinghua,<br />

Beijing, China<br />

Conventional neuroimaging cannot help us either to differentiate between chronic and acute brain lesions or to improve in our<br />

understanding of systemic lupus erythematosus (SLE) pathogenesis because of the high probability of a Neuropsychiatric SLE<br />

(NPSLE) event. The fMRI including DTI, which demonstrates the tissue water mobility in brain tissue, and flow-sensitive alternating<br />

inversion recovery (FAIR), which reveals the relative cerebral blood flow, may help to further assess the possible abnormality in<br />

neuronal and neural vascular reactivity in NPSLE. In this study we found in combination of ADC, FA, rCBF have high sensitivity in<br />

detecting earlier pathologic changes in NPSLE.<br />

Wednesday 13:30-15:30 Computer 86<br />

13:30 4478. Diffusion Tensor Imaging Permits Detection of Disjunct MD and FA Changes in the<br />

Basal Ganglia in Patients with Susac’s Syndrome<br />

Michael Deppe 1 , Ilka Kleffner 1 , Siawoosh Mohammadi 1 , Wolfram Schwindt 2 , Katja<br />

Deppe 3 , Simon S. Keller 1 , E. Bernd Ringelstein 1<br />

1 Neurology, University of Münster, Münster, Germany; 2 Radiology, University of Münster, Münster;<br />

3 Neurology, Franz Hospital Dülmen<br />

By employing a highly effective spatial normalization technique for diffusion weighted images we found evidence that DTI is<br />

sensitive in detecting damage to white matter that is of normal appearance in Susac's Syndrome using conventional MRI methods.<br />

Grey matter (GM) alterations in Susac's syndrome are also detectable by DTI as circumscribed FA and MD increases in the basal<br />

ganglia that are also not observed using conventional MRI. The alterations in basal ganglia MD and FA are differentially localized to<br />

the pallidum and putamen, respectably.

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