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Research ArticleBrain

Assessment of Lateral Geniculate Nucleus Atrophy with 3T MR Imaging and Correlation with Clinical Stage of Glaucoma

H. Dai, K.T. Mu, J.P. Qi, C.Y. Wang, W.Z. Zhu, L.M. Xia, Z.Q. Chen, H. Zhang, F. Ai and J.N. Morelli
American Journal of Neuroradiology August 2011, 32 (7) 1347-1353; DOI: https://doi.org/10.3174/ajnr.A2486
H. Dai
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K.T. Mu
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J.P. Qi
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C.Y. Wang
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W.Z. Zhu
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L.M. Xia
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Z.Q. Chen
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H. Zhang
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F. Ai
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J.N. Morelli
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  • Fig 1.
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    Fig 1.

    The pie chart shows the distribution of 52 eyes in 26 patients into different clinical stages.

  • Fig 2.
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    Fig 2.

    Oblique coronal localizer sequence demonstrates the orientation of acquired images for both the PD and GM sequences, perpendicular to the long axis of the temporal lobe or medial hippocampus.

  • Fig 3.
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    Fig 3.

    PD (left) and GM (right) images obtained in the identical oblique coronal plane demonstrate LGN height measurements in a 43-year-old healthy male volunteer. Specifically, LGN height is determined by drawing a line from the apex of the convexity perpendicular to the base of the LGN. The left image is from the PD sequence, and the right one, from GM sequence.

  • Fig 4.
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    Fig 4.

    A 36-year-old man with bilateral stage 4 open-angle glaucoma demonstrates bilateral LGN atrophy as shown on both PD (left) and GM (right) sequences.

  • Fig 5.
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    Fig 5.

    GM images demonstrate visualization of the LGN on 2 different oblique coronal sections in a healthy volunteer and show outlining of the LGN as performed for volume analysis.

  • Fig 6.
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    Fig 6.

    Temporal horns are measured on the GM sequence as a control brain region used to correct all the measurements of LGN size obtained from the PD and GM sequences.

  • Fig 7.
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    Fig 7.

    Clearer demarcation of gray and white matter is demonstrated in the GM sequence image (right), compared with the PD sequence image (left). Higher signal intensity of the Virchow-Robin space (small white arrows) and the CSF (large white arrows) adjacent to the LGN is notable on the GM sequences.

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    Table 1:

    Comparison of LGN size in patients with glaucoma and volunteers as assessed by various parametersa,b

    PDhRPDhLPDvRPDvLGMhRGMhLGMvRGMvL
    Patients4.36 ± 0.614.31 ± 0.6198.0 ± 27.293.7 ± 25.84.20 ± 0.714.00 ± 0.8585.2 ± 27.180.5 ± 23.6
    Controls5.05 ± 0.414.99 ± 0.41143.5 ± 22.3143.1 ± 19.74.88 ± 0.514.77 ± 0.47131.7 ± 18.5129.6 ± 21.0
    • a Covariates appearing in the model are evaluated at the following value: temporal horn width (cumulative) = 4.3885.

    • b All P values < 10−3.

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    Table 2:

    Correlation between LGN size and glaucoma stage

    StagePDhRPDhLSumPDvRPDvLSumGMhRGMhLSumGMvRGMvLSum
    L−.353a,b−.428−.405−.468−.525−.523−.400−.512−.473−.499−.478−.512
    .077b,c.029.040.016.006.006.043.008.015.010.014.008
    R−.374b−.514−.461−.460−.401−.455−.330b−.395−.375b−.350b−.386b−.379b
    .060c.007.018.018.042.020.099c.046.059c.080c.093c.057c
    A−.455−.589−.541−.581−.582−.613−.458−.570−.533−.547−.520−.560
    .019.002.004.002.002.001.019.002.005.004.006.003
    • a r value.

    • b Parameters without significant difference (P> .05).

    • c P value.

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American Journal of Neuroradiology: 32 (7)
American Journal of Neuroradiology
Vol. 32, Issue 7
1 Aug 2011
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Cite this article
H. Dai, K.T. Mu, J.P. Qi, C.Y. Wang, W.Z. Zhu, L.M. Xia, Z.Q. Chen, H. Zhang, F. Ai, J.N. Morelli
Assessment of Lateral Geniculate Nucleus Atrophy with 3T MR Imaging and Correlation with Clinical Stage of Glaucoma
American Journal of Neuroradiology Aug 2011, 32 (7) 1347-1353; DOI: 10.3174/ajnr.A2486

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Assessment of Lateral Geniculate Nucleus Atrophy with 3T MR Imaging and Correlation with Clinical Stage of Glaucoma
H. Dai, K.T. Mu, J.P. Qi, C.Y. Wang, W.Z. Zhu, L.M. Xia, Z.Q. Chen, H. Zhang, F. Ai, J.N. Morelli
American Journal of Neuroradiology Aug 2011, 32 (7) 1347-1353; DOI: 10.3174/ajnr.A2486
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  • Whole-brain voxel-based analysis of diffusion tensor MRI parameters in patients with primary open angle glaucoma and correlation with clinical glaucoma stage
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  • In vivo Probabilistic Structural Atlas of the Inferior and Superior Colliculi, Medial and Lateral Geniculate Nuclei and Superior Olivary Complex in Humans Based on 7 Tesla MRI
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