Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/57493
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Type: Journal article
Title: Volume-based morphometry of brain MR images in adolescent idiopathic scoliosis and healthy control subjects
Author: Shi, L.
Wang, D.
Chu, W.
Burwell, R.
Freeman, B.
Heng, P.
Cheng, J.
Citation: American Journal of Neuroradiology, 2009; 30(7):1302-1307
Publisher: Amer Soc Neuroradiology
Issue Date: 2009
ISSN: 0195-6108
1936-959X
Statement of
Responsibility: 
L. Shi, D. Wang, W.C.W. Chu, R.G. Burwell, B.J.C. Freeman, P.A. Heng and J.C.Y. Cheng
Abstract: BACKGROUND AND PURPOSE: Adolescent idiopathic scoliosis (AIS) is a spinal deformity with unknown cause. Previous studies have suggested that subclinical neurologic abnormalities are associated with AIS. The objective of this prospective study was to characterize systematically neuroanatomic changes in patients with left thoracic AIS vs right thoracic AIS and healthy control subjects by using volumebased morphometry. MATERIALS AND METHODS: Our current study involved 9 girls with left thoracic AIS and 20 girls with right thoracic AIS vs 11 and 17 matched female control subjects, respectively. Voxel-based morphometry (VBM), deformation-based morphometry (DBM), and tensor-based morphometry (TBM) were used to analyze the MR images aligned with a specific brain template of local adolescent girls. The statistical t test was used in VBM and TBM, and the Hotelling T2 test was applied in DBM. RESULTS: Using VBM, we found statistically significant differences (P _ .05) in the white matter attenuation of the genu of the corpus callosum and left internal capsule (left thoracic AIS _ control subjects). In contrast, no significant differences were observed between patients with right thoracic AIS and control subjects. CONCLUSIONS: White matter attenuation in the corpus callosum and left internal capsule, responsible for interhemispheric communication and conduit of the corticothalamic projectional fibers, respectively, were found to be significantly lower in left thoracic AIS compared with control subjects; however, this was not the case in right thoracic AIS. Confirmation of the findings is required in future research, which needs to evaluate the relationship of white matter abnormality to curve laterality, pathogenesis, and prognosis in patients with AIS, with biologic significance and possible therapeutic correction.
Keywords: Thoracic Vertebrae; Brain; Humans; Scoliosis; Image Interpretation, Computer-Assisted; Imaging, Three-Dimensional; Magnetic Resonance Imaging; Image Enhancement; Sensitivity and Specificity; Reference Values; Adolescent; Child; Female
RMID: 0020092231
DOI: 10.3174/ajnr.A1577
Appears in Collections:Orthopaedics and Trauma publications

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