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Research ArticlePediatric Neuroimaging

Assessing Disease Severity in Late Infantile Neuronal Ceroid Lipofuscinosis Using Quantitative MR Diffusion-Weighted Imaging

J.P. Dyke, H.U. Voss, D. Sondhi, N.R. Hackett, S. Worgall, L.A. Heier, B.E. Kosofsky, A.M. Uluğ, D.C. Shungu, X. Mao, R.G. Crystal and D. Ballon
American Journal of Neuroradiology August 2007, 28 (7) 1232-1236; DOI: https://doi.org/10.3174/ajnr.A0551
J.P. Dyke
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H.U. Voss
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D. Sondhi
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N.R. Hackett
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S. Worgall
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L.A. Heier
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B.E. Kosofsky
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A.M. Uluğ
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D.C. Shungu
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X. Mao
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R.G. Crystal
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D. Ballon
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    Fig 1.

    A, A diffusion-weighted image (b = 1000 s/mm2) and an image acquired without diffusion weighting (B) show enlarged sulci and dilated ventricles consistent with atrophic changes from a representative patient with LINCL.

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    Fig 2.

    A whole-brain ADC histogram from a representative patient with LINCL shows the dual Gaussian and partial volume functions that were used to fit the whole brain, partial volume, and CSF compartments.

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    Fig 3.

    Voxels associated with specific ranges of ADC values provide visual confirmation that compartments identified as whole brain, partial volume, and CSF correspond with specific regions as shown from a representative section of a patient with LINCL. ADC ranges displayed are described below.

    A, 1.0 ± 0.2 × 10−3 mm2/s.

    B, 1.5 ± 0.2 × 10−3 mm2/s.

    C, 2.0 ± 0.2 × 10−3 mm2/s.

    D, 2.5 ± 0.2 × 10−3 mm2/s.

    E, 3.0 ± 0.2 × 10−3 mm2/s.

    F, 3.5 ± 0.2 × 10−3 mm2/s.

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    Fig 4.

    The whole-brain ADC value is plotted versus age for all of the patients showing an increasing trend over time. Serial studies are connected by lines, and the CNS disability scale is shown in the legend. Previously published whole-brain ADC values from age-matched control subjects are plotted for comparison.

Tables

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  • Whole-brain ADC values for 18 patients with LINCL

    PatientAge at Diagnosis, yScanAge at Scan, yCNS ScoreADC × 103, mm2/s
    BD-015.318.431.12
    28.631.18
    BD-024.839.730.98
    410.031.00
    BD-033.556.630.96
    66.930.92
    BD-044.5713.831.80
    BD-054.886.250.96
    97.120.96
    BD-064.4108.031.10
    118.131.06
    BD-073.3126.631.02
    BD-084.7136.040.94
    147.031.08
    BD-093.3156.740.92
    167.730.98
    BD-103.8175.050.90
    185.450.90
    BD-114.4195.450.94
    BD-122.8204.440.92
    214.540.90
    BD-134.3224.460.84
    234.560.84
    BD-141.9243.450.90
    253.650.82
    BD-154.4264.740.88
    BD-164.8275.250.86
    285.350.90
    BD-174.8295.440.90
    BD-182.8303.450.84
    313.450.82
    323.450.84
    • Note:—ADC indicates apparent diffusion coefficient; LINCL, late infantile neuronal ceroid lipofuscinosis; CNS, central nervous system.

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American Journal of Neuroradiology: 28 (7)
American Journal of Neuroradiology
Vol. 28, Issue 7
August 2007
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J.P. Dyke, H.U. Voss, D. Sondhi, N.R. Hackett, S. Worgall, L.A. Heier, B.E. Kosofsky, A.M. Uluğ, D.C. Shungu, X. Mao, R.G. Crystal, D. Ballon
Assessing Disease Severity in Late Infantile Neuronal Ceroid Lipofuscinosis Using Quantitative MR Diffusion-Weighted Imaging
American Journal of Neuroradiology Aug 2007, 28 (7) 1232-1236; DOI: 10.3174/ajnr.A0551

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Assessing Disease Severity in Late Infantile Neuronal Ceroid Lipofuscinosis Using Quantitative MR Diffusion-Weighted Imaging
J.P. Dyke, H.U. Voss, D. Sondhi, N.R. Hackett, S. Worgall, L.A. Heier, B.E. Kosofsky, A.M. Uluğ, D.C. Shungu, X. Mao, R.G. Crystal, D. Ballon
American Journal of Neuroradiology Aug 2007, 28 (7) 1232-1236; DOI: 10.3174/ajnr.A0551
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