Capabilities of voxel based morphometry and diffusion tensor imaging in diagnostics of bilateral spastic forms of cerebral palsy

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Abstract

The aim of the study was to determine the capabilities of magnetic resonance morphometry and diffusion tensor imaging in the diagnosis of bilateral spastic forms of cerebral palsy in children. The main groups were 33 children aged from 1 year to 4 years 5 months. with bilateral spastic forms of cerebral palsy, the comparison group – 11 children who did not have movement disorders. The patients underwent magnetic resonance morphometry, diffusion tensor imaging. A comparison was made between the volumes of brain structures and diffusion values between groups. Significant differences (p < 0,05) were found in the volumes of the right lateral, 3rd ventricles, white matter, thalamuses, globus pallidus, putamen, hippocampus. Significant differences (p < 0,05) in diffusion values in the thalamuses and in the posterior limb of internal capsules were also identified. The correlation of the identified changes with the clinic of the disease was demonstrated. The obtained data demonstrate wide possibilities and high diagnostic value in the detection of bilateral spastic forms of cerebral palsy in children.

About the authors

Viktor S. Lvov

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: viktorlvov@list.ru

Postgraduate Student of the Department of Medical Biophysics

Russian Federation, Saint Petersburg

Aleksandr V. Pozdnyakov

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: Radiology@mail.ru

MD, PhD, Dr Med Sci, Professor, Head of Department of Radiology, Head of the Department of Medical Biophysics

Russian Federation, Saint Petersburg

Dmitry O. Ivanov

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: Radiology@mail.ru

MD, PhD, Dr Med Sci, Professor, Rector

Russian Federation, Saint Petersburg

Alexey I. Tashilkin

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: Radiology@mail.ru

Assistant of the Department of Medical Biophysics, Radiologist of the Department of Radiology

Russian Federation, Saint Petersburg

Leonid M. Makarov

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: viktorlvov@list.ru

Associate Professor, Department of Medical Biophysics

Russian Federation, Saint Petersburg

Ol’ga F. Pozdnyakova

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: Radiology@mail.ru

MD, PhD, Dr Med Sci, Radiologist of Department of Radiology, Associate Professor of the Department of Medical Biophysics

Russian Federation, Saint Petersburg

Tat'yana V. Melashenko

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: Radiology@mail.ru

MD, PhD, Neurologist of Neonatal Intensive Care Unit

Russian Federation, Saint Petersburg

Lyubov’ B. Bessonova

Saint Olga City Children’s Hospital

Email: Radiology@mail.ru

Head, Neurological Department

Russian Federation, Saint Petersburg

Pavel A. Popov

Saint Olga City Children’s Hospital

Email: Radiology@mail.ru

MD, PhD, Head, MRI Unit

Russian Federation, Saint Petersburg

Viktoriya Yu. Aleksandrovich

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: Radiology@mail.ru

5th year Student of Pediatric faculty

Russian Federation, Saint Petersburg

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Copyright (c) 2019 Lvov V.S., Pozdnyakov A.V., Ivanov D.O., Tashilkin A.I., Makarov L.M., Pozdnyakova O.F., Melashenko T.V., Bessonova L.B., Popov P.A., Aleksandrovich V.Y.

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