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Abstract #2858

7T MRS Classification of Clinically Similar Ataxias (SCA1, SCA2, SCA3 and SCA6)

Uzay E. Emir1, Diane Hutter1, Khalaf O. Bushara1, Christopher M. Gomez2, Lynn E. Eberly1, Gulin Oz1

1University of Minnesota, Minneapolis, MN, United States; 2University of Chicago, Chicago, IL, United States

Objective imaging markers that can differentiate genetic forms of spinocerebellar ataxias (SCAs) can help guide genetic testing for these neurodegenerative diseases. A prior MRS study suggested that neurochemical alterations can be utilized to differentiate SCA types. We measured neurochemical profiles in the cerebellum and brainstem of patients with SCA1, SCA2, SCA3, SCA6 and controls by 7T MRS. The patterns of neurochemical alterations differed between SCAs and lead to 88% accurate classification of all subjects (N=56), while the ataxia scores did not differ between patient groups. This study demonstrates the potential for MRS to classify neurodegenerative diseases with overlapping clinical presentation.

Keywords

absence accurate affect alterations amount apparent array assessed assessment ataxia ataxias available bounds brain cerebellar cerebellum challenging channel characterized classification classify clinical clinically clustering coefficients coil common complete concentrations confirmed considered consistent consistently corrected correlation cram cross differed differentiate differs disability discriminate diseases disorders display distinguish distinguished emir expensive extensive family field finally five forms foundation full genetic genetically good guide half healthy help hemisphere hereditary highest history ideal identifying indicated instance investigate investigated involvement known lack lancet laser lead many markers measured metabolites misclassified movement neurology objective overlap overlapping participants pathology patients pattern patterns pons potential predictors presentation prior procedure profile quantified rating reduced reliably representative resolution running scale scanner score scores semi shimming sixteen spectra spectral standardized step studied subjects substantial subtypes suggested supported threshold transceiver tree type types ultra units unsuppressed utilized volunteers water years