ArticleFrontiers in neuroscience2025
Utilizing multiple diffusion metrics in evaluation of corticospinal tract injury in patients with glioblastoma.
Article in Frontiers in neuroscience, 2025. 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
Objectives: This study aimed to evaluate the efficacy of diffusion tensor imaging (DTI), diffusion kurtosis imaging (DKI), neurite orientation dispersion and density imaging (NODDI), and mean apparent propagator-magnetic resonance imaging (MAP-MRI) in detecting CST injury caused by GBM and to compare their performances. Materials and methods: We enrolled 76 patients diagnosed with GBM with motor weakness (MW, Results: Significant alterations in most diffusion parameters of DTI, DKI, NODDI, and MAP-MRI were observed in the affected CST group compared to the healthy CST group ( Conclusion: Diffusion parameters from DTI, DKI, NODDI, and MAP-MRI are useful for evaluating CST injury. While DKI-derived MK and NODDI-derived ICVF achieved identical high AUC values, MK exhibited a more balanced sensitivity-specificity profile for assessing microstructural alterations in CST injury, this advantage of DKI may better address clinical demands, potentially aiding in surgical planning and preserving motor function in patients with GBM.
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