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Abstract #0860

Mapping axonal injury distribution in mild traumatic brain injury with quantitative proton MR spectroscopy

Ivan Kirov1,2, Matthew S. Davitz1,2, Assaf Tal3, James S. Babb1,2, Robert I Grossman1,2, Yvonne W Lui1,4, and Oded Gonen1,2

1Center for Advanced Imaging Innovation and Research (CAI2R), New York University School of Medicine, New York, NY, United States, 2Bernard and Irene Schwartz Center for Biomedical Imaging, New York University School of Medicine, New York, NY, United States, 3Chemical Physics, Weizmann Institute of Science, Rehovot, Israel, 4Bernard and Irene Schwartz Center for Biomedical Imaging, New York, NY, United States

Since axonal injury is a primary outcome of traumatic brain injury, our goal was to characterize its regional distribution from a metabolic perspective. We set out to identify regions prone to disproportionate injury, hence, candidate targets in potential clinical applications of proton MR spectroscopy (1H-MRS). We found that metabolic axonal injury is diffusely distributed among commonly injured tracts, but multivoxel 1H-MRS may lack sensitivity for its detection on a regional basis. These results motivate the use of 1H-MRS approaches with higher sensitivity, such as global averaging, or large "single voxels" in areas of white matter, irrespective of placement location.

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