David Tanne1,2, Yaniv Assaf3,4, Eyal Lotan5,6,7, Omri Tomer3, Ido Tavor8,1, Ilan Blatt1,9, Hadassah Goldberg-Stern1,10, Chen Hoffmann8,1, Galia Tsarfaty8,1. 1. Sackler Faculty of Medicine, Tel Aviv University, 69978, Tel Aviv, Israel. 2. Stroke Center, Department of Neurology and Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel. 3. Sagol School of Neuroscience, Tel Aviv University, 69978, Tel Aviv, Israel. 4. Department of Neurobiology, The George S. Wise Faculty of Life Sciences, Tel Aviv University, 69978, Tel Aviv, Israel. 5. Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel. elotan@gmail.com. 6. Sackler Faculty of Medicine, Tel Aviv University, 69978, Tel Aviv, Israel. elotan@gmail.com. 7. Department of Radiology, NYU Langone Medical Center, 660 1st Ave, New York, NY, 10016, USA. elotan@gmail.com. 8. Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel. 9. Department of Neurology, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel. 10. Department of Neurology, Schneider Children's Medical Center of Israel, 49202, Petah Tikva, Israel.
Abstract
PURPOSE: Recent research in epilepsy patients confirms our understanding of epilepsy as a network disorder with widespread cortical compromise. Here, we aimed to investigate the neocortical laminar architecture in patients with focal cortical dysplasia (FCD) and periventricular nodular heterotopia (PNH) using clinically feasible 3 T MRI. METHODS: Eighteen epilepsy patients (FCD and PNH groups; n = 9 each) and age-matched healthy controls (n = 9) underwent T1 relaxation 3 T MRI, from which component probability T1 maps were utilized to extract sub-voxel composition of 6 T1 cortical layers. Seventy-eight cortical areas of the automated anatomical labeling atlas were divided into 1000 equal-volume sub-areas for better detection of cortical abnormalities, and logistic regressions were performed to compare FCD/PNH patients with healthy controls with the T1 layers composing each sub-area as regressors. Statistical significance (p < 0.05) was determined by a likelihood-ratio test with correction for false discovery rate using Benjamini-Hochberg method. RESULTS: Widespread cortical abnormalities were observed in the patient groups. Out of 1000 sub-areas, 291 and 256 bilateral hemispheric cortical sub-areas were found to predict FCD and PNH, respectively. For each of these sub-areas, we were able to identify the T1 layer, which contributed the most to the prediction. CONCLUSION: Our results reveal widespread cortical abnormalities in epilepsy patients with FCD and PNH, which may have a role in epileptogenesis, and likely related to recent studies showing widespread structural (e.g., cortical thinning) and diffusion abnormalities in various human epilepsy populations. Our study provides quantitative information of cortical laminar architecture in epilepsy patients that can be further targeted for study in functional and neuropathological studies.
PURPOSE: Recent research in epilepsypatients confirms our understanding of epilepsy as a network disorder with widespread cortical compromise. Here, we aimed to investigate the neocortical laminar architecture in patients with focal cortical dysplasia (FCD) and periventricular nodular heterotopia (PNH) using clinically feasible 3 T MRI. METHODS: Eighteen epilepsypatients (FCD and PNH groups; n = 9 each) and age-matched healthy controls (n = 9) underwent T1 relaxation 3 T MRI, from which component probability T1 maps were utilized to extract sub-voxel composition of 6 T1 cortical layers. Seventy-eight cortical areas of the automated anatomical labeling atlas were divided into 1000 equal-volume sub-areas for better detection of cortical abnormalities, and logistic regressions were performed to compare FCD/PNH patients with healthy controls with the T1 layers composing each sub-area as regressors. Statistical significance (p < 0.05) was determined by a likelihood-ratio test with correction for false discovery rate using Benjamini-Hochberg method. RESULTS: Widespread cortical abnormalities were observed in the patient groups. Out of 1000 sub-areas, 291 and 256 bilateral hemispheric cortical sub-areas were found to predict FCD and PNH, respectively. For each of these sub-areas, we were able to identify the T1 layer, which contributed the most to the prediction. CONCLUSION: Our results reveal widespread cortical abnormalities in epilepsypatients with FCD and PNH, which may have a role in epileptogenesis, and likely related to recent studies showing widespread structural (e.g., cortical thinning) and diffusion abnormalities in various humanepilepsy populations. Our study provides quantitative information of cortical laminar architecture in epilepsypatients that can be further targeted for study in functional and neuropathological studies.
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Authors: Christopher D Whelan; Andre Altmann; Juan A Botía; Neda Jahanshad; Derrek P Hibar; Julie Absil; Saud Alhusaini; Marina K M Alvim; Pia Auvinen; Emanuele Bartolini; Felipe P G Bergo; Tauana Bernardes; Karen Blackmon; Barbara Braga; Maria Eugenia Caligiuri; Anna Calvo; Sarah J Carr; Jian Chen; Shuai Chen; Andrea Cherubini; Philippe David; Martin Domin; Sonya Foley; Wendy França; Gerrit Haaker; Dmitry Isaev; Simon S Keller; Raviteja Kotikalapudi; Magdalena A Kowalczyk; Ruben Kuzniecky; Soenke Langner; Matteo Lenge; Kelly M Leyden; Min Liu; Richard Q Loi; Pascal Martin; Mario Mascalchi; Marcia E Morita; Jose C Pariente; Raul Rodríguez-Cruces; Christian Rummel; Taavi Saavalainen; Mira K Semmelroch; Mariasavina Severino; Rhys H Thomas; Manuela Tondelli; Domenico Tortora; Anna Elisabetta Vaudano; Lucy Vivash; Felix von Podewils; Jan Wagner; Bernd Weber; Yi Yao; Clarissa L Yasuda; Guohao Zhang; Nuria Bargalló; Benjamin Bender; Neda Bernasconi; Andrea Bernasconi; Boris C Bernhardt; Ingmar Blümcke; Chad Carlson; Gianpiero L Cavalleri; Fernando Cendes; Luis Concha; Norman Delanty; Chantal Depondt; Orrin Devinsky; Colin P Doherty; Niels K Focke; Antonio Gambardella; Renzo Guerrini; Khalid Hamandi; Graeme D Jackson; Reetta Kälviäinen; Peter Kochunov; Patrick Kwan; Angelo Labate; Carrie R McDonald; Stefano Meletti; Terence J O'Brien; Sebastien Ourselin; Mark P Richardson; Pasquale Striano; Thomas Thesen; Roland Wiest; Junsong Zhang; Annamaria Vezzani; Mina Ryten; Paul M Thompson; Sanjay M Sisodiya Journal: Brain Date: 2018-02-01 Impact factor: 13.501