Towards in vivo focal cortical dysplasia phenotyping using quantitative MRI

被引:31
作者
Adler, Sophie [1 ]
Lorio, Sara [1 ]
Jacques, Thomas S. [2 ]
Benova, Barbora [2 ,3 ,4 ,5 ]
Gunny, Roxana [6 ]
Cross, J. Helen [1 ]
Baldeweg, Torsten [1 ]
Carmichael, David W. [1 ]
机构
[1] UCL, UCL Great Ormond St Inst Child Hlth, Dev Neurosci, London, England
[2] UCL, UCL Great Ormond St Inst Child Hlth, Dev Biol & Canc Programme, London, England
[3] Charles Univ Prague, Fac Med 2, Dept Paediat Neurol, Prague, Czech Republic
[4] Motol Univ Hosp, Prague, Czech Republic
[5] Charles Univ Prague, Fac Med 2, Prague, Czech Republic
[6] Great Ormond St Hosp Sick Children, Dept Radiol, London, England
关键词
Focal cortical dysplasia; Biophysical tissue properties; Histology; Radiology; MRI Quantitative mapping; qMRI; Quantitative MRI; Epilepsy surgery; Malformation of cortical development; RESONANCE-IMAGING ABNORMALITIES; NEURITE ORIENTATION DISPERSION; TEMPORAL-LOBE EPILEPSY; DIFFUSION TENSOR MRI; MAGNETIC-RESONANCE; HUMAN BRAIN; WHITE-MATTER; TUBEROUS SCLEROSIS; INTRACTABLE EPILEPSY; DIAGNOSTIC METHODS;
D O I
10.1016/j.nicl.2017.04.017
中图分类号
R445 [影像诊断学];
学科分类号
100207 ;
摘要
Focal cortical dysplasias (FCDs) are a range of malformations of cortical development each with specific histopathological features. Conventional radiological assessment of standard structural MRI is useful for the localization of lesions but is unable to accurately predict the histopathological features. Quantitative MRI offers the possibility to probe tissue biophysical properties in vivo and may bridge the gap between radiological assessment and ex-vivo histology. This review will cover histological, genetic and radiological features of FCD following the ILAE classification and will explain how quantitative voxel-and surface-based techniques can characterise these features. We will provide an overview of the quantitative MRI measures available, their link with biophysical properties and finally the potential application of quantitative MRI to the problem of FCD subtyping. Future research linking quantitative MRI to FCD histological properties should improve clinical protocols, allow better characterisation of lesions in vivo and tailored surgical planning to the individual.
引用
收藏
页码:95 / 105
页数:11
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