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Abstract #4126

Quantitative characterization of brain microstructure in Temporal Lobe Epilepsy: comparison with normative T1 atlas

Maria Celeste Bonacci1,2, Veronica Ravano3,4,5, Ilaria Sammarra1,6, Gian Franco Piredda3, Anais Burrus3, Domenico Zacà7, Bénédicte Marechal3,4,5, Tom Hilbert3,4,5, Tobias Kober3,4,5, Antonio Gambardella1,6, and Maria Eugenia Caligiuri1,2
1Department of Medical and Surgical Sciences, University Magna Graecia, Catanzaro, Italy, Catanzaro, Italy, 2Neuroscience Research Center, Catanzaro, Italy, 3Advanced Clinical Imaging Technology, Siemens Healthineers International AG, Lausanne, Switzerland, 4Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 5LTS5, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 6Institute of Neurology, Catanzaro, Italy, 7Siemens Healthcare srl, Milano, Italy

Synopsis

Keywords: Epilepsy, Quantitative Imaging, Relaxometry, White matter, Quantitative Imaging

Motivation: Quantification of microstructural T1 relaxometry alterations in mesial temporal lobe epilepsy (MTLE).

Goal(s): To compare spatial patterns of deviation from normative ranges, accounting for age and sex, in patients with different clinical characteristics, potentially identifying quantitative correlates of drug-resistance in MTLE.

Approach: Z-score maps of T1 relaxometry values were estimated using normative atlases accounting for age and sex. Distributions were compared after stratification of patients by response to treatment and presence of hippocampal sclerosis.

Results: Large clusters of deviated z-scores were identified in drug-resistant patients, as well as in the hippocampus affected by hippocampal sclerosis.

Impact: This study provides first evidence in support of using qMRI alterations as markers of drug-resistance in MTLE. Analysis using normative atlases accounting for age and sex allowed the identification of specific changes both at population and individual level.

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Keywords