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Abstract #3230

Investigating ASL-MRI as a Complementary Modality for 18F-FDG PET in Identifying Mesial Temporal Lobe Epilepsy Laterality in Grey Matter

Mohammad-Reza Nazem-Zadeh1, Hossein Rahimzadeh 2, Hadi Kamkar 3, Narges Hoseini-Tabatabaei 4, Sohrab Hashemi-Fesharaki 5, and Jafar Mehvari Habibabadi 6
1Research Center for Molecular and Cellular Imaging, Tehran University of Medical Sciences, Tehran, Iran (Islamic Republic of), 2Biomedical Engineering and Medical Physics, Shahid Beheshti University of Medical Sciences, Tehran, Iran (Islamic Republic of), 3Bioinformatics and Biophysics, Tarbiat Modares University, Tehran, Iran (Islamic Republic of), 4Medical School, Tehran University of Medical Sciences, Tehran, Iran (Islamic Republic of), 5Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran (Islamic Republic of), 6Isfahan Neuroscience Research Center, Isfahan University of Medical Sciences, Isfahan, Iran (Islamic Republic of)

Synopsis

Keywords: Epilepsy, Perfusion, ASL-MRI, 18F-FDG PET, Lateralization of TLE

Motivation: Using non-invasive ASL-MRI as a substitute of 18F-FDG PET for identification of epileptogenic zone in mTLE patients

Goal(s): This study aims to check if there is a correlation between the CBF of ASL-MRI and metabolic data from 18F-FDG PET.

Approach: Brain division into 12 ROIs, including key areas like the amygdala and hippocampus, used BASIL and FSL tools for CBF and SUVr extraction. Used Pearson's and Spearman's rank correlation of SPSS for correlation analysis.

Results: Significant CBF and SUVr correlations in middle temporal gyrus, hippocampus, and superior temporal found in mTLE patients.

Impact: This study affects mTLE patients' accurate and rapid epileptogenic foci location.

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Keywords