AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on April 22, 2009
doi: 10.3174/ajnr.A1476

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Diffusion Tensor Imaging Detects Abnormalities in the Corticospinal Tracts of Neonates with Infantile Krabbe Disease

M.L. Escolara, M.D. Poeb, J.K. Smithc, J.H. Gilmored, J. Kurtzbergf, W. Lind and M. Stynerd,e

a Program for Neurodevelopmental Function in Rare Disorders at the Center for the Study of Development and Learning, University of North Carolina at Chapel Hill, Chapel Hill, NC
b FPG Child Development Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC
c Departments of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC
d Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC
e Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC
f Pediatric Blood and Marrow Transplantation Program, Duke University Medical Center, Durham, NC


Figure 1
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Fig 1. Visualization of DTI fiber tracts through the right hemispheric internal capsule with FA coloring of the fibers from a lateral viewpoint. Top row: 5 representative control subjects. Bottom row: 4 selected Krabbe subjects. Visually, all Krabbe subjects show lower FA values along most of the fiber bundle than any of the controls.


Figure 2
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Fig 2. Raw FA mean values for patients with infantile Krabbe disease and controls. Each point represents a child's mean FA across the central portion of the corticospinal tract. The red triangles represent the 6 patients with Krabbe disease, whereas the blue diamonds show the typical controls. The red and blue lines represent the linear trend related to corrected age at the time of the MR imaging.


Figure 3
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Fig 3. Normalized FA ratios for patients with infantile Krabbe disease and controls. The FA ratio is the observed FA divided by the expected FA. given the child's gestational age at birth, corrected age at scanning, birth weight, and sex. The red triangles represent the 6 patients with Krabbe disease, whereas the blue diamonds show the typical controls. The horizontal black lines represent the SDs based on the controls.