Diffusion tensor imaging in anorectal malformations: a pilot study for the evaluation of lumbosacral plexus
| Autor: | Sibel Tiryaki, Ulgen Celtik, Cenk Eraslan, Emre Divarci, Ali Tekin, Geylani Ozok, Orkan Ergun, Ahmet Celik, Cem Calli, Ali Avanoglu, Ibrahim Ulman |
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| Rok vydání: | 2022 |
| Předmět: |
Incontinence
Neurogenic bladder Lumbosacral Plexus Pilot Projects General Medicine Anorectal malformation Anorectal Malformations Magnetic resonance imaging Diffusion Magnetic Resonance Imaging Diffusion Tensor Imaging Sacral Plexus Continence Pediatrics Perinatology and Child Health Humans Surgery Children |
| Zdroj: | Pediatric surgery international. 38(4) |
| ISSN: | 1437-9813 |
| Popis: | Introduction Neurogenic bladder with anorectal malformations (ARM) is a well-known yet understudied topic. Diffusion tensor imaging (DTI) is a special usage of MRI that can evaluate peripheric nerves. The aim of this study is to evaluate the lumbosacral plexuses of patients with ARM using DTI. Patients and methods Patients with ARM willing to participate were included. Patient files were reviewed, a questionnaire was made, and DTI was performed. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were computed for the right and left lumbosacral plexuses. Results There were 18 patients and 12 controls. Groups were similar in terms of sex (p = 0.232) and age (p = 0.853). There was a significant difference only for ADC of the left plexus. There was visible asymmetry in tractographies and DTI parameters of two patients with severely deformed pelvises (image 1) but also in another patient with a normal sacrum. In addition, despite asymmetry, FA and ADC were similar to controls also in these patients. Conclusion This is the first study presenting quantitative data about the lumbosacral plexus in ARM. We think the most interesting finding of this study was observing the normal values even in the patients with severely malformed sacrum which is yet to be validated with further studies. Aliye Uster Foundation (Izmir, Turkey) research scholarship; research activities in Ege University This work was supported by Aliye Uster Foundation (Izmir, Turkey) research scholarship. This is an independent organization funding educational and research activities in Ege University. The authors have no conflict of interest regarding the study. |
| Databáze: | OpenAIRE |
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