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Poster Sessions<br />

2044. Young Adults Born with Very Low Birth Weight Demonstrate Widespread White Matter<br />

Abnormalities on Brain DTI<br />

Live Eikenes 1 , Jon Skranes 2 , Ann-Mari Brubakk 2 , Asta Håberg 3<br />

1 Department of circulation and medical imaging, Norwegian University of Science and Technology, Trondheim, Norway;<br />

2 Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim,<br />

Norway; 3 Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway<br />

Preterm birth with very low birth weight (VLBW, ≤ 1500 g) is associated with reduced white matter integrity and connectivity in childhood and adolescence.<br />

These changes in white matter are correlated to motor, sensory and neuropsychological impairments. This study demonstrates that preterm birth with VLBW<br />

results in significant and long-term irreversible changes in white matter microstructure that may interfere with neuropsychological functioning. Lower birth<br />

weight and perinatal problems requiring prolonged treatment on mechanical ventilator and/or intensive care have permanent negative effects on white matter<br />

integrity.<br />

2045. Fractional Anisotropy Correlates with Total IQ and Visual Perception in Young Adults Born with<br />

Very Low Birth Weight<br />

Live Eikenes 1 , Gro Løhaugen 2 , Kjerstin Bjørlykke 2 , Ann-Mari Brubakk 2 , Jon Skranes 2 , Asta Håberg 3<br />

1 Department of circulation and medical imaging, Norwegian University of Science and Technology, Trondheim, Norway;<br />

2 Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim,<br />

Norway; 3 Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway<br />

Perinatal brain injury caused by very preterm birth with very low birth weight (VLBW, ≤ 1500 g) is associated with changes in white matter integrity and<br />

connectivity, and to a variety of neurodevelopmental problems including cognitive impairments and visual perceptual deficits in childhood and adolescence.<br />

Widespread correlations between fractional anisotropy and total IQ and visual perception scores was detected in a young adult VLBW group, demonstrating<br />

the pervasive nature of the reduction in cognition and perception in this group. The results demonstrate that the neuroimpairments persist into adulthood.<br />

2046. The Rate of Reduction in Cerebral Cortical Diffusion Anisotropy Reflects the Rate of Brain<br />

Development<br />

Lindsey A. Leigland 1 , Christopher D. Kroenke 1<br />

1 Oregon Health & Science University, Portland, OR, United States<br />

Throughout the human gestational period, morphological differentiation of cortical neurons and glial cells cause water diffusion anisotropy within the<br />

developing cerebral cortex to decrease with age. Herein, the loss of cortical fractional anisotropy (FA) reported by several research groups in five different<br />

species is referenced against a systematic comparative study of the timing of several milestones in brain development. It is found that, when the loss of<br />

cortical FA is approximated as an exponential decay with age, the time constant reflecting the rate of FA change is in agreement with independent estimates<br />

of the rate in which developmental events occur.<br />

2047. MRI Characterization of Cleft Lip and Palate Resulting from Hedgehog Signaling Antagonism in Mice<br />

Rob Lipinski 1 , Chihwa Song 2 , Jerry Gipp 3 , Wade Bushman 3 , Ian Rowland 4<br />

1 Bowles Center for Alcohol Research, University of North Carolina, Chapel Hill, NC, United States; 2 Medical Physics, University of<br />

Wisconsin, Madison, WI, United States; 3 Urology Department, University of Wisconsin, Madison, WI, United States; 4 Department of<br />

Radiology, University of Wisconsin, Madison, WI, United States<br />

In utero Hedgehog (Hh) signaling antagonist exposure causes a spectrum of birth defects including holoprosencephaly (HPE) and cleft lip and palate (CLP).<br />

High resolution MRI and standard histological methodologies were used to characterize the CNS phenotype of GD16.5 mouse fetuses exposed to Hh<br />

antagonists. HPE fetuses exhibited incompletely separated cerebral hemispheres and complete pituitary and olfactory bulb agenesis. Those with CLP<br />

exhibited olfactory bulb hypoplasia and anterior pituitary aplasia. These results demonstrate phenotypic fidelity of the mouse model to known clinical<br />

phenotypes and highlight subtle CNS abnormalities as are expected to occur in a subset of clinical CLP populations.<br />

2048. Impaired Neurodevelopmental Outcome Associated with Increased White Matter Chol/Cr in Preterm<br />

Infants<br />

David Price 1 , Giles Simon Kendall 2 , Alan Bainbridge 1 , Samantha Johnson 2 , Cornelia Hagmann 2 , Roxanna<br />

Gunny 3 , Xavier Golay 4 , Ernest B. Cady 1 , Nicola Jane Robertson 2 , Enrico De Vita 5<br />

1 Medical Physics & Bio-Engineering, UCL Hospitals NHS Foundation Trust, London, United Kingdom; 2 Academic Neonatology,<br />

EGA UCL Institute for Women's Health, London, United Kingdom; 3 Neuroradiology, Great Ormond Street Hospital for Children;<br />

4 Institute of Neurology, University College London; 5 Lysholm Department of Neuroradiology, UCL Hospitals NHS Foundation Trust,<br />

London, United Kingdom<br />

Infants born prematurely have a higher incidence of neurodevelopmental disorders. Diffuse white matter injury is the commonest MR finding in preterm<br />

infants, and has been described qualitatively and quantitatively; the clinical correlate of diffuse white matter injury is currently unknown. In the current<br />

study raised Cho/Cr and Lac/Cr, and reduced Naa/Cho were significantly associated with composite motor outcome at 12 months corrected age, and<br />

accounted for by significant associations with gross motor development. The raised choline could be attributed to delayed myelination, astrogliosis; the<br />

raised Lac/Cr suggests impaired oxidative phosphorylation, and the reduced Naa is in keeping with neuronal loss.

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