Abnormal Blood Oxygen Level-Dependent Fluctuations in Focal Cortical Dysplasia and the Perilesional Zone: Initial Findings. Gupta, L., Hofman, P. A. M., Besseling, R. M. H., Jansen, J. F. A., & Backes, W. H. AJNR Am J Neuroradiol, 39(7):1310-1315, 2018. Gupta, L Hofman, P A M Besseling, R M H Jansen, J F A Backes, W H eng Research Support, Non-U.S. Gov't 2018/05/26 06:00 AJNR Am J Neuroradiol. 2018 Jul;39(7):1310-1315. doi: 10.3174/ajnr.A5684. Epub 2018 May 24.
Abnormal Blood Oxygen Level-Dependent Fluctuations in Focal Cortical Dysplasia and the Perilesional Zone: Initial Findings [pdf]Paper  doi  abstract   bibtex   
BACKGROUND AND PURPOSE: Focal cortical dysplasia is a common cause of intractable epilepsy for which neurosurgery is an option. Delineations of a focal cortical dysplasia lesion on structural brain images may not necessarily reflect the functional borders of normal tissue. Our objective was to determine whether abnormalities in spontaneous blood oxygen level-dependent fluctuations arise in focal cortical dysplasia lesions and proximal regions. MATERIALS AND METHODS: Fourteen patients with focal cortical dysplasia-related epilepsy and 16 healthy controls underwent structural and resting-state functional MR imaging. Three known blood oxygen level-dependent measures were determined, including the fractional amplitude of low-frequency fluctuations, regional homogeneity, and wavelet entropy. These measures were evaluated in the lesion and perilesional zone and normalized to the contralateral cortex of patients with focal cortical dysplasia and healthy controls. RESULTS: Patients showed significantly decreased fractional amplitude of low-frequency fluctuations and increased wavelet entropy in the focal cortical dysplasia lesion and the perilesional zone (

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