title: Spatial analysis of diffusion tensor tractography statistics along the inferior fronto-occipital fasciculus with application in progressive supranuclear palsy.
abstract: BACKGROUND
  The purpose of the study was to develop a method for analysis of diffusion parameters along white matter (WM) tracts, using spatial normalization based on anatomical landmarks, and to introduce the apparent area coefficient (AAC). The method's applicability was tested in the inferior fronto-occipital fasciculus (IFO) in patients with progressive supranuclear palsy (PSP) and healthy controls (HCs).
  
  
  METHODS
  A framework for analysis of diffusion parameters was developed. Spatial normalization of the tracts was performed using anatomical landmarks, to avoid deformations caused by cerebral atrophy. Initially, 38 HCs were used to optimize a threshold for the minimal size of regions that differ between groups. The fractional anisotropy, mean diffusivity, AAC, and the hemispheric asymmetry index (AI), were compared between 11 PSP patients and 15 HCs.
  
  
  RESULTS
  The method was feasible for analysis of PSP patients and HCs. The AI showed that the observed hemispheric asymmetry of AAC was significantly larger in PSP patients compared with HCs in small regions of the IFO.
  
  
  CONCLUSIONS
  The method was successfully employed for analysis of diffusion parameters along the IFO in a patient group. This method can be potentially useful in studies of WM diseases, with or without cerebral atrophy.
authors.affiliation: Department of Radiology, Oncology and Radiation Science, Uppsala University, Uppsala, Sweden, johanna.martensson@radiol.uu.se.
authors.forename: Johanna
authors.initials: J
authors.lastname: Mårtensson
authors.forename: Markus
authors.initials: M
authors.lastname: Nilsson
authors.forename: Freddy
authors.initials: F
authors.lastname: Ståhlberg
authors.forename: Pia C
authors.initials: PC
authors.lastname: Sundgren
authors.forename: Christer
authors.initials: C
authors.lastname: Nilsson
authors.forename: Danielle
authors.initials: D
authors.lastname: van Westen
authors.forename: Elna-Marie
authors.initials: EM
authors.lastname: Larsson
authors.forename: Jimmy
authors.initials: J
authors.lastname: Lätt
mesh_terms: D000328:Adult; D000368:Aged; D000465:Algorithms; D016880:Anisotropy; D001921:Brain / Q000473:pathology*; D016022:Case-Control Studies; D056324:Diffusion Tensor Imaging; D017352:Echo-Planar Imaging; D005189:False Positive Reactions; D005625:Frontal Lobe / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D009778:Occipital Lobe / Q000473:pathology*; D013494:Supranuclear Palsy, Progressive / Q000175:diagnosis / Q000503:physiopathology*
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