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Abstract #0107

ODF-Fingerprinting reconstruction of corticospinal tracts for preoperative planning of brain tumor resection

Patryk Filipiak1,2, Kamri Clarke1,2, Timothy M. Shepherd1,2, Saad I. Gondal1,2,3, Mary Bruno1,2, Dimitris G. Placantonakis4, and Steven H. Baete1,2,5
1Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States, 2Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States, 3Herricks High School, New Hyde Park, NY, United States, 4Department of Neurosurgery, Perlmutter Cancer Center, Neuroscience Institute, Kimmel Center for Stem Cell Biology, NYU Langone Health, New York, NY, United States, 5Vilcek Institute of Graduate Biomedical Sciences, New York University Grossman School of Medicine, New York, NY, United States

Synopsis

Keywords: Tractography, Tractography & Fibre Modelling, preoperative planning, ODF-fingerprinting, pyramidal tract, corticospinal tract, brain tumor, BOLD activation, task fMRI

Motivation: Tractography enables preoperative visualization of major neural pathways altered or displaced by a brain tumor; however, it often fails to reconstruct the cortical terminations of corticospinal tracts due to the complex bending and branching formations of fibers.

Goal(s): We aim to improve tracking of corticospinal tracts in their most challenging regions of hand and face projections to the motor cortex.

Approach: We refine reconstruction of fibers inside corticospinal tracts by incorporating ODF-Fingerprinting into the tracking pipeline.

Results: With ODF-Fingerprinting, we increased the overlap between the reconstructed corticospinal tracts and the cortical regions activated during task-based functional MRI involving hand and face movement.

Impact: Our improved reconstruction can help decrease the incidence of postoperative deficits by identifying the structural neural connections that need to be spared during tumor resection.

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Keywords