J 2023

White matter alterations in MR-negative temporal and frontal lobe epilepsy using fixel-based analysis

BARTOŇOVÁ, Michaela, Jacques-Donald TOURNIER, Marek BARTOŇ, Pavel ŘÍHA, Lubomír VOJTÍŠEK et. al.

Basic information

Original name

White matter alterations in MR-negative temporal and frontal lobe epilepsy using fixel-based analysis

Authors

BARTOŇOVÁ, Michaela (703 Slovakia, belonging to the institution), Jacques-Donald TOURNIER (826 United Kingdom of Great Britain and Northern Ireland), Marek BARTOŇ (203 Czech Republic, belonging to the institution), Pavel ŘÍHA (203 Czech Republic, belonging to the institution), Lubomír VOJTÍŠEK (203 Czech Republic, belonging to the institution), Radek MAREČEK (203 Czech Republic, belonging to the institution), Irena DOLEŽALOVÁ (203 Czech Republic, belonging to the institution) and Ivan REKTOR (203 Czech Republic, guarantor, belonging to the institution)

Edition

Scientific Reports, Berlin, NATURE PORTFOLIO, 2023, 2045-2322

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

Germany

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 4.600 in 2022

RIV identification code

RIV/00216224:14740/23:00130158

Organization unit

Central European Institute of Technology

UT WoS

000907164800057

Keywords in English

Focal Epilepsy; Temporal Lobe Epilepsy (TLE); Frontal Lobe Epilepsy (FLE); MR-negative; Fixel-Based Analysis (FBA); Fibre Density; Fibre Cross-section

Tags

International impact, Reviewed
Změněno: 24/10/2024 09:54, Mgr. Adéla Pešková

Abstract

V originále

This study focuses on white matter alterations in pharmacoresistant epilepsy patients with no visible lesions in the temporal and frontal lobes on clinical MRI (i.e. MR-negative) with lesions confirmed by resective surgery. The aim of the study was to extend the knowledge about group-specific neuropathology in MR-negative epilepsy. We used the fixel-based analysis (FBA) that overcomes the limitations of traditional diffusion tensor image analysis, mainly within-voxel averaging of multiple crossing fibres. Group-wise comparisons of fixel parameters between healthy controls (N = 100) and: (1) frontal lobe epilepsy (FLE) patients (N = 9); (2) temporal lobe epilepsy (TLE) patients (N = 13) were performed. A significant decrease of the cross-section area of the fixels in the superior longitudinal fasciculus was observed in the FLE. Results in TLE reflected widespread atrophy of limbic, thalamic, and cortico-striatal connections and tracts directly connected to the temporal lobe (such as the anterior commissure, inferior fronto-occipital fasciculus, uncinate fasciculus, splenium of corpus callosum, and cingulum bundle). Alterations were also observed in extratemporal connections (brainstem connection, commissural fibres, and parts of the superior longitudinal fasciculus). To our knowledge, this is the first study to use an advanced FBA method not only on the datasets of MR-negative TLE patients, but also MR-negative FLE patients, uncovering new common tract-specific alterations on the group level.

Links

LM2018129, research and development project
Name: Národní infrastruktura pro biologické a medicínské zobrazování Czech-BioImaging
Investor: Ministry of Education, Youth and Sports of the CR
MUNI/IGA/1044/2020, interní kód MU
Name: Localization of a seizure-onset zone in patients with epilepsy: A structural connectome study (Acronym: EPICOME)
Investor: Masaryk University
NU21-04-00254, research and development project
Name: Detekce zóny počátku záchvatu u multi-lezionální epilepsie s užitím multimodálního neurozobrazování (Acronym: MultiEPI)
Investor: Ministry of Health of the CR, Detection of seizure onset zone in multi-lesional epilepsies using multimodal imaging methods, Subprogram 1 - standard