AJDRAJNR - American Journal of Neuroradiology

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Prospective Evaluation of the Brain in Asymptomatic Children with Neurofibromatosis Type 1: Relationship of Macrocephaly to T1 Relaxation Changes and Structural Brain AbnormalitiesGo

R. Grant Steena, June S. TaylorGo,a, James W. Langstona, John O. Glassa, Vickie R. Brewera, Wilburn E. Reddicka, Roy Magesa and Eniko K. Pivnicka

a From the Department of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN (R.G.S., J.S.T., J.W.L., J.O.G., W.E.R., R.M.); the Departments of Pediatrics (R.G.S., V.R.B., E.K.P.), Radiology (R.G.S., J.S.T. J.W.L.), Biomedical Engineering (R.G.S.), and Ophthalmology (E.K.P.), University of Tennessee School of Medicine, Memphis; the Center for Pediatric Neuropsychology, LeBonheur Children's Medical Center, Memphis (V.R.B.); and the Departments of Psychology (V.R.B.), Biomedical Engineering (W.E.R.), and Electrical Engineering (W.E.R.), University of Memphis, TN.



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FIG 1. A, T1-weighted sagittal midline image (266/6/3) in an 11-year old boy with NF-1 and macrocephaly shows where the measurements of midline structures were made (see Table 2). This boy had thickening of the corpus callosum and enlargement of the anteroposterior diameter of the pons and medulla.

B, T2-weighted transverse image (3500/93/1) in an 8-year old girl shows bilateral lesions in the globus pallidus and tectum



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FIG 2. Scatterplot of quantitative tissue T1 in the nucleus pulvinarus versus FSIQ in children with NF-1 (r = .58; P = .012 by ANOVA)