Diffusion tensor tract-specific analysis of the uncinate fasciculus in patients with amyotrophic lateral sclerosis

Neuroradiology. 2010 Aug;52(8):729-33. doi: 10.1007/s00234-010-0653-1. Epub 2010 Feb 20.

Abstract

Introduction: The uncinate fasciculus (UF) consists of core fibers connecting the frontal and temporal lobes and is considered to be related to cognitive/behavioral function. Using diffusion tensor tractography, we quantitatively evaluated changes in fractional anisotropy (FA) and the apparent diffusion coefficient (ADC) of the UF by tract-specific analysis to evaluate the damage of the UF in patients with amyotrophic lateral sclerosis (ALS).

Methods: We obtained diffusion tensor images of 15 patients with ALS and 9 age-matched volunteers.

Results: Patients with ALS showed significantly lower mean FA (P = 0.029) compared with controls. No significant difference was seen in mean ADC.

Conclusion: The results suggest that damage of the UF in patients with ALS can be quantitatively evaluated with FA.

MeSH terms

  • Aged
  • Amnesia / diagnosis
  • Amnesia / pathology
  • Amyotrophic Lateral Sclerosis / diagnosis*
  • Amyotrophic Lateral Sclerosis / pathology
  • Anisotropy
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / pathology
  • Diffusion Magnetic Resonance Imaging / methods*
  • Dominance, Cerebral / physiology
  • Female
  • Frontal Lobe / pathology*
  • Humans
  • Image Processing, Computer-Assisted / methods*
  • Imaging, Three-Dimensional / methods*
  • Limbic System / pathology
  • Male
  • Mathematical Computing*
  • Middle Aged
  • Nerve Fibers, Myelinated / ultrastructure*
  • Neural Pathways / anatomy & histology*
  • Reference Values
  • Software*
  • Temporal Lobe / pathology*