title: The effect of obesity on brain diffusion alteration in patients with obstructive sleep apnea.
abstract: OBJECTIVE
  We investigated diffusion alterations in specific regions of the brain in morbid obese, obese, and nonobese OSA patients and searched whether there is a correlation between BMI and ADC values.
  
  
  METHODS
  DWIs of 65 patients with OSA were evaluated. The patients were classified according to BMI as morbid obese (n = 16), obese (n = 27), and nonobese (control, n = 22) groups. ADC measurements were performed from 24 different regions of the brain in each patient. The relationship of BMI with ADC values was searched.
  
  
  RESULTS
  The ADC values in hypothalamus, insular cortex, parietal cortex, caudate nucleus, frontal white matter, and posterior limb of internal capsule were all increased in obese patients (n = 43) compared to control group. The ADC values of midbrain, hypothalamus, orbitofrontal cortex, and parietal cortex were significantly increased in morbid obese compared to obese patients. In obese patients, the degree of BMI was positively correlated with ADC values of orbitofrontal cortex, parietal cortex, and hypothalamus.
  
  
  CONCLUSIONS
  We observed increasing brain vasogenic edema with increasing BMI, suggesting that the main reason of brain diffusion alteration in patients with OSA could be obesity related.
authors.affiliation: Department of Radiology, School of Medicine, Bezmialem Vakif University, Vatan Street, Aksaray, 34400 Istanbul, Turkey.
authors.forename: Rukiye
authors.identifier: 0000-0002-6195-3564
authors.initials: R
authors.lastname: Kilicarslan
authors.affiliation: Department of Radiology, School of Medicine, Bezmialem Vakif University, Vatan Street, Aksaray, 34400 Istanbul, Turkey.
authors.forename: Alpay
authors.initials: A
authors.lastname: Alkan
authors.affiliation: Department of Radiology, School of Medicine, Bezmialem Vakif University, Vatan Street, Aksaray, 34400 Istanbul, Turkey.
authors.forename: Rasul
authors.initials: R
authors.lastname: Sharifov
authors.affiliation: Department of Pulmonology, School of Medicine, Bezmialem Vakif University, Vatan Street, Aksaray, 34400 Istanbul, Turkey.
authors.forename: Muhammed Emin
authors.initials: ME
authors.lastname: Akkoyunlu
authors.affiliation: Department of Radiology, School of Medicine, Bezmialem Vakif University, Vatan Street, Aksaray, 34400 Istanbul, Turkey.
authors.forename: Ayse
authors.initials: A
authors.lastname: Aralasmak
authors.affiliation: Department of Neurology, School of Medicine, Bezmialem Vakif University, Vatan Street, Aksaray, 34400 Istanbul, Turkey.
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Kocer
authors.affiliation: Department of Pulmonology, School of Medicine, Bezmialem Vakif University, Vatan Street, Aksaray, 34400 Istanbul, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Kart
mesh_terms: D000328:Adult; D001921:Brain / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000503:physiopathology*; D020181:Sleep Apnea, Obstructive / Q000503:physiopathology*
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