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Abstract #2667

Lateralization of Temporal Lobe Epilepsy using Intrinsic Property of Water Diffusion in Fornix Crus

Mohammad-Reza Nazem-Zadeh 1 , Jason Schwalb 2 , Hassan Bagher-Ebadian 3 , Fariborz Mahmoudi 1 , Mohammad-Parsa Hosseini 4 , Hajar Hamidian 1 , Abdelrahman Hassane 1 , Oltion Meci 1 , Harrini Vijay 1 , Mohammad Emari 1 , and Hamid Soltanian-Zadeh 1

1 Radiology and Research Administration Departments, Henry Ford Hospital, Detroit, MI, United States, 2 Neurosurgery Department, Henry Ford Hospital, Detroit, MI, United States, 3 Neurology Department, Henry Ford Hospital, Detroit, MI, United States, 4 Radiology and Research Administration Departments, Henry Ford Hospital, MI, United States

We hypothesizes that the hemispheric asymmetry of FA within the crura of fornix could be used to confirm the laterality of mesial temporal epileptogenicity. The TLE was associated with a reduced FA value in the fornix crus ipsilateral to the seizure onset. Outperforming anatomy-based lateralization methods, the proposed diffusion based method hold promise for improving decision-making for surgical resection and may reduce the need for implantation of intracranial monitoring electrodes.

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