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Abstract #3637

Structural Brain Signature of FTLD Driven by Granulin Mutation

Valentina Battistoni1, Barbara Borroni2, Giovanni Giulietti1, Antonella Alberici2, Enrico Premi2, Carlo Cerini2, Silvana Archetti3, Roberto Gasparotti4, Carlo Caltagir

1Neuroimaging Laboratory, Santa Lucia Foundation IRCCS, Rome, Italy; 2Centre for Ageing Brain and Neurodegenerative Disorder, Neurology Unit, University of Brescia, Brescia, Italy; 3III Laboratory of Biotechnology, Brescia Hospital, Brescia, Italy; 4Neuroradiology Unit, University of Brescia, Brescia, Italy; 5Department of Clinical and Behavioural Neurology, Santa Lucia Foundation IRCCS, Rome, Italy; 6Department of Neuroscience, University of Rome 'Tor Vergata', Rome, Italy

Using diffusion MRI, we investigated the contribution of white matter damage in accounting for the clinical features driven by the GRN Thr272fs mutation in fronto-temporal lobar degeneration (FTLD). VBM showed atrophy of left medial frontal grey matter in mutation carriers (VBM analysis) compared to non-mutation carrier patients. Voxel-wise group comparisons showed anterior regions of FA reduction and increased MD in mutation carrier patients in the anterior corpus callosum. Post-hoc analysis showed a correlation between grey and white matter abnormalities in mutation carrier patients. Although this correlation does not imply causality between the two events, this cannot be ruled out.

Keywords

accounting aging altered analyzed anatomical anisotropy anterior applied arch assess assessment atrophy available biotechnology brain broader carrier carriers causality causative cause characterized clinical cluster compute confine confirms contrast contrasts contribution corpus corrected correction correlated correlation cortex damage deficits degeneration density design despite diffusion diffusivity disease disorder driven dual duration elderly error evaluation events every executive exhibit extend family features finally foundation fractional frontal full functions gene genetic gradient green healthy identified impairment imply included investigating investigation known laboratory language largely link lobar lobe loss maps mask mechanisms medial microscopic molecular mutation mutations negatively networks neurology participants particular particularly patients pattern picture played positively post potential prepared presence previous probabilistic process processed protocol proximity rapid recently reconstruct reduced remain represents respect resultant revealed ruled scanning scores severe signature spectrum spin sporadic statistical still structural subject subjects template tensor thresholded together tract transformation trends unclear unit volume warped widespread wise years yellow yield