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Research ArticleFUNCTIONAL
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Hippocampal Atrophy Is Associated with Altered Hippocampus–Posterior Cingulate Cortex Connectivity in Mesial Temporal Lobe Epilepsy with Hippocampal Sclerosis

Y.C. Shih, C.E. Tseng, F.-H. Lin, H.H. Liou and W.Y.I. Tseng
American Journal of Neuroradiology March 2017, 38 (3) 626-632; DOI: https://doi.org/10.3174/ajnr.A5039
Y.C. Shih
aFrom the Institute of Biomedical Engineering (Y.C.S., F.-H.L.)
cInstitute of Medical Device and Imaging (Y.C.S., C.E.T., W.Y.I.T.)
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C.E. Tseng
cInstitute of Medical Device and Imaging (Y.C.S., C.E.T., W.Y.I.T.)
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F.-H. Lin
aFrom the Institute of Biomedical Engineering (Y.C.S., F.-H.L.)
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H.H. Liou
dGraduate Institute of Brain and Mind Sciences (H.H.L., W.Y.I.T.)
eDepartments of Neurology (H.H.L.)
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W.Y.I. Tseng
bMolecular Imaging Center (W.Y.I.T.), National Taiwan University, Taipei, Taiwan
cInstitute of Medical Device and Imaging (Y.C.S., C.E.T., W.Y.I.T.)
dGraduate Institute of Brain and Mind Sciences (H.H.L., W.Y.I.T.)
fMedical Imaging (W.Y.I.T.), College of Medicine, National Taiwan University, Taipei, Taiwan.
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    Fig 1.

    The pipeline of MR imaging and statistical analyses. Multicontrast MR imaging examinations including T1WI, DSI, and resting-state fMRI were performed to measure HV and SC of the iCB and iFC between the hippocampus and the PCC, respectively. A linear regression model was used to evaluate the correlation of HV with SC and iFC indices, where Y is the volume ratio of the hippocampus and X1 and X2 are the SC and iFC of the HP-PCC connection, respectively. HP indicates hippocampus; rsfMR, resting-state fMRI.

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    Fig 2.

    Relationships between HV and hippocampus-PCC SC and iFC indices in patients. We found a significant relationship between the volume ratio of the hippocampus (x-axis) and the mean GFA of the iCB (y-axis) (A) and between the volume ratio of the hippocampus (x-axis) and averaged z-value of the hippocampus (y-axis) (B) in the left hemisphere in patients with left MTLE+HS, whereas there were no correlations in the right hemisphere (C and D).

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  • Demographic data of patients with left MTLE+HS and healthy controls

    Left MTLE+HS (n = 15)Controls (n = 15)
    Age (mean) (yr)36.87 ± 8.7936.33 ± 8.73
    Sex (male/female)9:68:7
    Handedness (left/right)0/150/15
    Epilepsy duration (mean) (yr)23.47 ± 10.58–
    Onset age (mean) (yr)13.4 ± 7.11–
    Seizure type: (No.)–
        SPS1
        CPS13
        CPS with secondary generalization1
    • Note:—CPS indicates complex partial seizure; SPS, simple partial seizure.

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American Journal of Neuroradiology: 38 (3)
American Journal of Neuroradiology
Vol. 38, Issue 3
1 Mar 2017
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Cite this article
Y.C. Shih, C.E. Tseng, F.-H. Lin, H.H. Liou, W.Y.I. Tseng
Hippocampal Atrophy Is Associated with Altered Hippocampus–Posterior Cingulate Cortex Connectivity in Mesial Temporal Lobe Epilepsy with Hippocampal Sclerosis
American Journal of Neuroradiology Mar 2017, 38 (3) 626-632; DOI: 10.3174/ajnr.A5039

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Hippocampal Atrophy Is Associated with Altered Hippocampus–Posterior Cingulate Cortex Connectivity in Mesial Temporal Lobe Epilepsy with Hippocampal Sclerosis
Y.C. Shih, C.E. Tseng, F.-H. Lin, H.H. Liou, W.Y.I. Tseng
American Journal of Neuroradiology Mar 2017, 38 (3) 626-632; DOI: 10.3174/ajnr.A5039
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