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Abstract #4621

REGIONAL HIPPOCAMPAL INVOLVEMENT IN PAEDIATRIC MULTIPLE SCLEROSIS: A RADIAL MAPPING MR STUDY

Maria Elisa Morelli 1 , Maria A. Rocca 1 , Elisabetta Pagani 1 , Lucia Moiola 2 , Angelo Ghezzi 3 , Andrea Falini 4 , Giancarlo Comi 2 , and Massimo Filippi 1

1 Neuroimaging Research Unit, Institute of Experimental Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, MI, Italy, 2 Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, MI, Italy, 3 UO Neurologia 2 - Centro Studi Sclerosi Multipla, Ospedale di Gallarate, Gallarate, VA, Italy, 4 Department of Neuroradiology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, MI, Italy

Manual hippocampal tracing of 3DT1-weighted contiguous coronal slices and radial mapping analysis were applied to assess the patterns of global and regional hippocampal volume changes in paediatric multiple sclerosis (MS) patients. Global hippocampal volume was reduced, bilaterally, in patients versus HC. In patients, radial atrophy affected the cornu Ammonis, subiculum and dentate gyrus (DG) of both hippocampi, mostly on the right side. Compared to cognitively preserved patients, those with cognitive impairment had radial atrophy of the subiculum and DG of the right hippocampus. MR-based radial mapping analysis is feasible for developing reliable markers of disease progression in MS.

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