AJNR Am J Neuroradiol. 2012 May 17. [Epub ahead of print]
White Matter Damage in Asymptomatic Patients with Sickle Cell Anemia: Screening with Diffusion Tensor Imaging.
Sun B, Brown RC, Hayes L, Burns TG, Huamani J, Bearden DJ, Jones RA.
Departments of Radiology and Neuropsychology, Children’s Healthcare of Atlanta, Atlanta, Georgia; Departments of Pediatrics and Radiology, Emory University, Atlanta, Georgia; and Department of Psychology, Georgia State University, Atlanta, Georgia.
BACKGROUND AND PURPOSE: Ischemic injury to the brain is a common complication of SCA. To better understand the neurologic impact of SCA, TBSS were applied to DTI
data to investigate white matter injuries in pediatric patients with SCA.
MATERIALS AND METHODS: TBSS comparisons of a range of anisotropy and diffusion measures were carried out between age- and background-matched population groups: patients with SCA with no visible lesions, patients with SCA with mild gliosis, and normal controls.
RESULTS: TBSS analysis revealed that both SCA populations exhibited reduced anisotropy and increased diffusivity compared with normal controls in multiple brain regions, including the corpus callosum and centrum semiovale. Furthermore, the results suggest that the severity of SCA is positively correlated with the white matter changes in the corpus callosum.
CONCLUSIONS: The study demonstrates that TBSS is a viable technique in detecting subtle white matter damage in patients with SCA whose conventional anatomic MR imaging scans show no, or minimal, abnormalities and has the potential to evaluate the neurologic impact of the treatment of SCA.
PMID: 22595904 [PubMed – as supplied by publisher]