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Published on: March 14, 2017
Multivariate surface-based analysis of corpus callosum in patients with sickle cell disease
Yaqiong Chai1,2,3, Yi Lao1,2,3, Yicen Li4
1CIBORG laboratory, Department of Radiology, Children's Hospital Los Angeles, CA, USA.
Insights
Sickle cell disease (SCD) patients show distinct corpus callosum (CC) shape differences. This study reveals new insights into brain structure alterations in SCD, potentially explaining cognitive impairments.
Area of Science:
- Neurology
- Radiology
- Genetics
Background:
- Sickle cell disease (SCD) is a genetic blood disorder causing abnormal hemoglobin.
- SCD increases the risk of cerebrovascular accidents and associated neurocognitive impairment.
- The corpus callosum (CC), a major white matter tract, may reveal chronic cerebrovascular damage in SCD.
Purpose of the Study:
- To investigate corpus callosum (CC) surface morphology in sickle cell disease (SCD) patients.
- To identify regional shape differences in the CC using advanced morphometry techniques.
- To explore the anatomical basis of neuropsychological differences in SCD.
Main Methods:
- Surface morphometry analysis of the corpus callosum (CC).
- Utilized four distinct shape metrics on T1-weighted MRI scans.
- Compared CC morphology between 11 SCD patients and 10 healthy controls.
Main Results:
- Detected significant regional surface morphological differences in the CC of SCD patients.
- Observed alterations in the genu, posterior midbody, and splenium of the CC.
- These findings represent the first surface morphometry analysis of the CC in SCD.
Conclusions:
- Surface morphometry reveals specific CC shape alterations in SCD patients.
- These morphological changes may underlie observed neuropsychological deficits.
- This study provides novel anatomical insights into SCD-related brain changes.
Abstract:
Sickle cell disease (SCD) is a genetic hematological disease in which the hemoglobin molecule in red blood cells is abnormal. It is closely associated with many symptoms, including pain, anemia, chest syndrome and neurocognitive impairment. One of the most debilitating symptoms is elevated risk for cerebro-vascular accidents. The corpus callosum (CC), as the largest and most prominent white matter (WM) structure in the brain, can reflect the chronic cerebrovascular damage resulting from silent strokes or infarctions in asymptomatic SCD patients. While a lot of studies have reported WM alterations in this cohort, little is known about the shape deformation of the CC. Here we perform the first surface morphometry analysis of the CC in SCD patients using four different shape metrics on T1-weighted magnetic resonance images. We detect regional surface morphological differences in the CC between 11 patients and 10 healthy control subjects. Differences are located in the genu, posterior midbody and splenium, potentially casting light on the anatomical substrates underlying neuropsychological test differences between the SCD and control groups.
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