Impaired white-matter integrity in photosensitive epilepsy: a DTI study using tract-based spatial statistics

J Neuroradiol. 2014 May;41(2):131-5. doi: 10.1016/j.neurad.2013.06.002. Epub 2014 Feb 10.

Abstract

Background and purpose: The present study was designed to map alterations in brain white-matter in photosensitive epilepsy (PSE) by applying tract-based spatial statistics (TBSS) analysis.

Methods: Diffusion tensor-imaging (DTI) data from MRI brain scans were collected from eight PSE patients and 16 gender- and age-matched non-epileptic controls using a SIEMENS Trio 3.0-Tesla scanner. For the white-matter analysis, DTI scans were processed using FSL software (http://www.fmrib.ox.ac.uk/fsl/index.html). Fractional anisotropy (FA) values in the PSE and control groups were compared using TBSS analysis corrected for multiple comparisons using threshold-free cluster enhancement.

Results: Compared with the control subjects, the corpus callosum of PSE patients had significantly lower FA values.

Conclusion: Our DTI study indicates that white-matter in the corpus callosum was abnormal in PSE patients, and that DTI methods can serve as useful non-invasive tools to evaluate white-matter changes in PSE patients.

Keywords: DTI; Photosensitive epilepsy; Tract-based spatial statistics; White-matter.

MeSH terms

  • Adult
  • Algorithms*
  • Corpus Callosum / pathology*
  • Data Interpretation, Statistical
  • Diffusion Tensor Imaging / methods*
  • Epilepsy, Reflex / pathology*
  • Female
  • Humans
  • Image Enhancement / methods
  • Image Interpretation, Computer-Assisted / methods*
  • Male
  • Photic Stimulation*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • White Matter / pathology*
  • Young Adult