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Abstract #2056

Corticospinal Tract Degeneration Correlates with Clinical Disability in Multiple Sclerosis

Sanjeev Chawla 1 , Ilya Kister 2 , Robert I Grossman 1 , and Yulin Ge 1

1 Radiology, New York University Langone Medical Center, New York, NY, United States, 2 Neurology, New York University Langone Medical Center, New York, NY, United States

The purpose of present study was to determine fiber degeneration along the course of corticospinal tract (CST) in a cohort of 33 patients with multiple sclerosis (MS) who alongwith 17 controls underwent diffusion tensor imaging. Significant reduction in fractional anisotropy (FA) and elevation in mean diffusivity (MD) alongwith trends towards increase in axial and radial diffusivities were observed in patients compared to controls. Combination of MD and FA provided sensitivity of 88.2% and specificity of 63.6% to distinguish two groups. A significant inverse correlation between FA and EDSS was observed. Our study demonstrates quantitative structural degeneration of CST in MS.

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