Correlation between Magnetic Resonance (MR) Volumetry and Apparent Diffusion Coefficient (ADC) Value of Hippocampal Formation in Medically Intractable Temporal Lobe Epilepsy

Objective: The purpose of this study is to determine volumetry values of the Hippocampal Formation in refractory Temporal Lobe Epilepsy patients comparing with volumetry values of normal individual, correlating the volumetry values with ADC (Apparent Diffusion Coefficient) values for detecting h...

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Main Author: Amran, Mohd Hanif
Format: Thesis
Language:English
Published: 2018
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Online Access:http://eprints.usm.my/46462/1/Dr.%20Mohd%20Hanif%20Amran-24%20pages.pdf
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spelling my-usm-ep.464622020-03-08T03:50:23Z Correlation between Magnetic Resonance (MR) Volumetry and Apparent Diffusion Coefficient (ADC) Value of Hippocampal Formation in Medically Intractable Temporal Lobe Epilepsy 2018 Amran, Mohd Hanif RC31-1245 Internal medicine Objective: The purpose of this study is to determine volumetry values of the Hippocampal Formation in refractory Temporal Lobe Epilepsy patients comparing with volumetry values of normal individual, correlating the volumetry values with ADC (Apparent Diffusion Coefficient) values for detecting hippocampal formation abnormalities in patients with medically intractable temporal lobe epilepsy (MITLE). Other than that is to correlate MR volumetry values with duration of illness in refractory Temporal Lobe Epilepsy (TLE) patients. Background: In this study, we compared the hippocampal volume of patients with underlying medically intractable temporal lobe epilepsy (MITLE) and normal subjects and to look for correlation between the hippocampal volume, ADC values and duration of illness. Methodology: A total of 28 participants were recruited for the present study; there were 14 participants in control and TLE-positive group, respectively. MR images were evaluated for hippocampal volumetric calculation and was correlated with ADC maps and duration of illness. Mean and SDs were obtained for each measurement, and level of significance was determined. Analysis of mean volumetry, ADC values were performed using PASW version 18. We used an independent t-test to investigate group differences in mean hippocampal volumetric value. Pearson correlation was used to examine relationships between mean hippocampal volumetric value and duration of illness, also as mean hippocampal volumetric value with ADC value. Results: There was no significant difference shown between the left and right hippocampal MR volumetric values in the control group. However, significant differences were shown in hippocampal MR volumetric values, were found between control and TLE-ipsilateral sites. There are also significant differences were shown in hippocampal volumetric values, were found between both sides of hippocampus in right and left TLE patients. The hippocampal MR volumetric values did not show significant correlation with the duration of illness. There was significant correlation between hippocampal volumetric value and ADC. Conclusions: Hippocampal volumetry have the capabilities to detect changes in the hippocampal formation and to lateralize the seizure focus in patients with TLE. There is no significant correlation between hippocampal volumetric values with duration of illness. There was significant correlation between hippocampal volumetric values with ADC. 2018 Thesis http://eprints.usm.my/46462/ http://eprints.usm.my/46462/1/Dr.%20Mohd%20Hanif%20Amran-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution Universiti Sains Malaysia
collection USM Institutional Repository
language English
topic RC31-1245 Internal medicine
spellingShingle RC31-1245 Internal medicine
Amran, Mohd Hanif
Correlation between Magnetic Resonance (MR) Volumetry and Apparent Diffusion Coefficient (ADC) Value of Hippocampal Formation in Medically Intractable Temporal Lobe Epilepsy
description Objective: The purpose of this study is to determine volumetry values of the Hippocampal Formation in refractory Temporal Lobe Epilepsy patients comparing with volumetry values of normal individual, correlating the volumetry values with ADC (Apparent Diffusion Coefficient) values for detecting hippocampal formation abnormalities in patients with medically intractable temporal lobe epilepsy (MITLE). Other than that is to correlate MR volumetry values with duration of illness in refractory Temporal Lobe Epilepsy (TLE) patients. Background: In this study, we compared the hippocampal volume of patients with underlying medically intractable temporal lobe epilepsy (MITLE) and normal subjects and to look for correlation between the hippocampal volume, ADC values and duration of illness. Methodology: A total of 28 participants were recruited for the present study; there were 14 participants in control and TLE-positive group, respectively. MR images were evaluated for hippocampal volumetric calculation and was correlated with ADC maps and duration of illness. Mean and SDs were obtained for each measurement, and level of significance was determined. Analysis of mean volumetry, ADC values were performed using PASW version 18. We used an independent t-test to investigate group differences in mean hippocampal volumetric value. Pearson correlation was used to examine relationships between mean hippocampal volumetric value and duration of illness, also as mean hippocampal volumetric value with ADC value. Results: There was no significant difference shown between the left and right hippocampal MR volumetric values in the control group. However, significant differences were shown in hippocampal MR volumetric values, were found between control and TLE-ipsilateral sites. There are also significant differences were shown in hippocampal volumetric values, were found between both sides of hippocampus in right and left TLE patients. The hippocampal MR volumetric values did not show significant correlation with the duration of illness. There was significant correlation between hippocampal volumetric value and ADC. Conclusions: Hippocampal volumetry have the capabilities to detect changes in the hippocampal formation and to lateralize the seizure focus in patients with TLE. There is no significant correlation between hippocampal volumetric values with duration of illness. There was significant correlation between hippocampal volumetric values with ADC.
format Thesis
qualification_level Master's degree
author Amran, Mohd Hanif
author_facet Amran, Mohd Hanif
author_sort Amran, Mohd Hanif
title Correlation between Magnetic Resonance (MR) Volumetry and Apparent Diffusion Coefficient (ADC) Value of Hippocampal Formation in Medically Intractable Temporal Lobe Epilepsy
title_short Correlation between Magnetic Resonance (MR) Volumetry and Apparent Diffusion Coefficient (ADC) Value of Hippocampal Formation in Medically Intractable Temporal Lobe Epilepsy
title_full Correlation between Magnetic Resonance (MR) Volumetry and Apparent Diffusion Coefficient (ADC) Value of Hippocampal Formation in Medically Intractable Temporal Lobe Epilepsy
title_fullStr Correlation between Magnetic Resonance (MR) Volumetry and Apparent Diffusion Coefficient (ADC) Value of Hippocampal Formation in Medically Intractable Temporal Lobe Epilepsy
title_full_unstemmed Correlation between Magnetic Resonance (MR) Volumetry and Apparent Diffusion Coefficient (ADC) Value of Hippocampal Formation in Medically Intractable Temporal Lobe Epilepsy
title_sort correlation between magnetic resonance (mr) volumetry and apparent diffusion coefficient (adc) value of hippocampal formation in medically intractable temporal lobe epilepsy
granting_institution Universiti Sains Malaysia
granting_department Pusat Pengajian Sains Perubatan
publishDate 2018
url http://eprints.usm.my/46462/1/Dr.%20Mohd%20Hanif%20Amran-24%20pages.pdf
_version_ 1747821676396019712