Abstract
Diffusion Tensor Imaging (DTI) is an image modality that provides information about the nerve fiber tracts in the brain white matter. In this chapter, we describe the use of DTI to quantify the damage in fiber tracts due to brain tumors. A quantification method for this modality is useful to understand the neurological effects of the tumor in a given patient, such as motor and/or sensitive disorders, as well as to help in surgical planning for the resection of the tumor. The quantification of the state of fiber tracts and its comparison with the values obtained before resection and with healthy tracts, is also of paramount importance for the follow-up of the patient after tumor resection. As an example, we show the quantification of the pyramidal tract using two measures: integrity and connectivity. The fiber tract is automatically identified in any subject by means of a specific fiber tracking algorithm, so robust comparison between control subjects and patients can be performed, as well as comparison between the two hemispheres of a same subject. Diffusion tensor based measures are defined to quantify the state of fiber bundles, taking into account both the intrinsic properties of the fibers and the similarity to healthy control fibers. A 2D mapping of the tracts is also provided to perform comparisons among a given population, and to visually analyze the tract damages. Experiments show the results obtained in a set of 10 tumor patients, and 10 control subjects.
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Cárdenes, R., Muñoz-Moreno, E., Sarabia-Herrero, R., Argibay-Quiñones, D., Martín-Fernández, M. (2012). Quantitative Analysis of Pyramidal Tracts in Brain Tumor Patients Using Diffusion Tensor Imaging. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 4. Tumors of the Central Nervous System, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1706-0_15
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