ArticleProceedings. IEEE International Symposium on Biomedical Imaging2024
ENLARGED PERIVASCULAR SPACES IN FRONTAL AND TEMPORAL CORTICAL REGIONS CHARACTERIZE SEIZURE OUTCOME AFTER TRAUMATIC BRAIN INJURY.
Article in Proceedings. IEEE International Symposium on Biomedical Imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Post-traumatic epilepsy (PTE) is characterized by seizures that occur at least one week after traumatic brain injury (TBI). Although PTE remains one of the most life-altering outcomes of TBI, there are no preventative treatments. The Epilepsy Bioinformatics Study for Antiepileptogenic Therapy (EpiBioS4Rx) is an international project designed to identify multimodal biomarkers of PTE; early EpiBioS4Rx research suggests that features of perivascular spaces (PVS) are a potential biomarker. This study evaluates the association between volume fraction (VF), the volume of PVS relative to total brain volume, and seizure activity. Structural magnetic resonance (MR) imaging from a subset of 62 EpiBioS4Rx subjects was used to create Enhanced PVS Contrast (EPC) imaging to segment and quantify PVS metrics. A multiple logistic regression model that controlled for demographic and clinical factors revealed a significant difference between the late seizure-positive and seizure-negative groups in the paracentral lobule, precentral gyrus, and temporal pole of the right hemisphere. These findings are supported by prior literature that identify a relationship between PVS function in these regions and seizure activity after TBI.
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