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Research ArticleBrain
Open Access

High-b-Value Diffusion MR Imaging and Basal Nuclei Apparent Diffusion Coefficient Measurements in Variant and Sporadic Creutzfeldt-Jakob Disease

H. Hyare, J. Thornton, J. Stevens, S. Mead, P. Rudge, J. Collinge, T.A. Yousry and H.R. Jäger
American Journal of Neuroradiology March 2010, 31 (3) 521-526; DOI: https://doi.org/10.3174/ajnr.A1860
H. Hyare
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J. Thornton
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J. Stevens
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S. Mead
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P. Rudge
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J. Collinge
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T.A. Yousry
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H.R. Jäger
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    Fig 1.

    The position of the key ROIs on (A) b = 0, (B) b = 1000, and (C) b = 3000 ADC map.

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    Fig 2.

    Differences in SIs in the basal ganglia in sCJD at (A) b = 1000 and (B) b = 3000 and in vCJD at (C) b = 1000 and (D) b = 3000.

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    Fig 3.

    Bar charts showing ROI ADC values in sCJD (hashed bars) and controls (solid bars) at (A) b = 1000 s/mm2 and (B) b = 3000 s/mm2.

Tables

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    Table 1:

    Visual assessment of SI findings in vCJD and sCJD on FLAIR and DWI (b = 1000 s/mm2)

    CPDMCortexSPFWM
    vCJD
        1+++−−−
        2+++−−−
        3−−+−−−
        4+−+−−−
        5−−+−−−
        6+++−−−
        7+−+−−−
        8+++−−−
    sCJD
        1++++−−
        2++−+−−
        3++++−−
        4++++−−
        5++++−−
        6++−+−−
        7+−−+−−
        8++++−−
        9++++−−
    • Note:—+ signifies hyperintense to gray matter; −, isointense to gray matter.

    • View popup
    Table 2:

    Summary of mean diffusivity values (in mm2/s) measured in vCJD patients, sCJD patients, and controls for each ROI at b = 1000 s/mm2 with P values from post hoc comparisons

    GroupSPCPDMPuFWM
    (A) vCJD741.6 (104.0)687.9 (70.6)670.9 (56.2)834.1 (51.3)837.6 (33.0)820.7 (44.6)
    (B) sCJD753.8 (44.3)587.3 (84.6)603.3 (98.7)691.8 (85.7)—830.9 (89.1)
    (C) Control754.8 (64.9)722.7 (16.6)727.8 (24.4)763.7 (17.1)748.0 (17.4)773.7 (43.7)
    A versus CP = .949P = .655P = .382P = .159P < .001P = .450
    A versus BP = .941P = .021P = .167P = .001—P = .947
    B versus CP = 1.000P = .007P = .018P = .137—P = .299
    • Note:—b = 1000 s/mm2 (group averages for 8 vCJD and 9 sCJD patients). All data are expressed as mean values with SD in parentheses. Significant P values are in bold.

    • View popup
    Table 3:

    Summary of mean diffusivity values (in mm2/s) measured in vCJD patients, sCJD patients, and controls for each ROI at b = 3000 s/mm2 with P values from post hoc comparisons

    GroupSPCPDMPuFWM
    (A) vCJD524.5 (87.7)554.8 (69.4)530.3 (49.7)584.7 (48.1)603.2 (59.0)556.6 (23.7)
    (B) sCJD493.9 (87.9)478.4 (27.5)477.1 (77.8)485.8 (87.4)—539.5 (39.9)
    (C) Control484.1 (19.9)628.3 (15.4)594.8 (8.8)627.3 (13.1)625.4 (10.6)528.3 (41.4)
    A versus CP = .652P = .063P = .156P = .460P = .432P = .444
    A versus BP = .800P = .068P = .302P = .050—P = .759
    B versus CP = .977P = .001P = .014P = .007—P = .885
    • Note:—b = 3000 s/mm2 (group averages for 4 vCJD and 5 sCJD patients). All data are expressed as mean values with SD in parentheses. Significant P values are in bold.

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American Journal of Neuroradiology: 31 (3)
American Journal of Neuroradiology
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High-b-Value Diffusion MR Imaging and Basal Nuclei Apparent Diffusion Coefficient Measurements in Variant and Sporadic Creutzfeldt-Jakob Disease
H. Hyare, J. Thornton, J. Stevens, S. Mead, P. Rudge, J. Collinge, T.A. Yousry, H.R. Jäger
American Journal of Neuroradiology Mar 2010, 31 (3) 521-526; DOI: 10.3174/ajnr.A1860
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H. Hyare, J. Thornton, J. Stevens, S. Mead, P. Rudge, J. Collinge, T.A. Yousry, H.R. Jäger
High-b-Value Diffusion MR Imaging and Basal Nuclei Apparent Diffusion Coefficient Measurements in Variant and Sporadic Creutzfeldt-Jakob Disease
American Journal of Neuroradiology Mar 2010, 31 (3) 521-526; DOI: 10.3174/ajnr.A1860

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