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Abstract #0123

White matter changes across the migraine cycle evaluated with Diffusion Tensor Imaging and the impact of Free Water

Irene Guadilla1,2, Ana R Fouto2, Álvaro Planchuelo-Gómez3, Antonio Tristán-Vega3, Amparo Ruiz-Tagle2, Inês Esteves2, Gina Caetano2, Nuno A Silva4, Pedro Vilela5, Raquel Gil-Gouveia6,7, Santiago Aja-Fernández3, Patrícia Figueiredo2, and Rita G Nunes2
1Universidad Autónoma de Madrid, Madrid, Spain, 2Institute for Systems and Robotics - Lisboa and Department of Bioengineering, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal, 3Laboratorio de Procesado de Imagen, Universidad de Valladolid, Valladolid, Spain, 4Learning Health, Hospital da Luz, Lisbon, Portugal, 5Imaging Department, Hospital da Luz, Lisbon, Portugal, 6Neurology Department, Hospital da Luz, Lisbon, Portugal, 7Center for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Lisbon, Portugal

Synopsis

Keywords: Diffusion Modeling, Diffusion Tensor Imaging, Migraine

Motivation: About 25% of female migraine patients suffer from menstrual-related migraine, which has been poorly studied.

Goal(s): To identify white matter alterations across the migraine cycle in patients with episodic menstrual-related migraine without aura.

Approach: Diffusion MRI allows to assess alterations in the brain tissue microenvironment. Moreover, including the free-water contribution in the diffusion signal can give information about biological mechanisms, such as inflammation, and more directly expose the tissue alterations by removing free water contamination.

Results: Significant differences were found in the diffusion parameters of the white matter tracts of the menstrual-related migraine patients.

Impact: We found significant alterations in the diffusion parameters of the white matter tracts of episodic menstrual-related migraine patients across migraine cycle using standard diffusion tensor imaging (DTI) and Free-Water corrected DTI.

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