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  • Исследование вклада перекрытия очага инсульта и кортико-спинального тракта в реабилитационный потенциал у пациентов с хроническим инсультом

Book chapter

Исследование вклада перекрытия очага инсульта и кортико-спинального тракта в реабилитационный потенциал у пациентов с хроническим инсультом

С. 404-405.
Салтыкова А. Д., Куликова С. П., Назарова М. А.

Understanding neurological mechanisms of motor recovery after stroke is important for selecting appropriate therapeutic and rehabilitation strategies. One of the most widely-used but yet rather controversial MRI predictors is a co-called lesion load on the cortico-spinal tract (CST). This metric corresponds to the overlap between the volumes of the lesion and the cortico-spinal tract which is responsible for conducting neuronal signals that lead to motion generation. In this study we evaluated the potential of the lesion load to explain the motor outcome in a cohort of patients with chronic ischemic stroke. Lesions were automatically identified on structural T1-weighted images using LINDA package. Once lesions are identified, lesion loads on CST were calculated automatically using PALS software package (Ito et al., 2018). Finally, the obtained results were used to classify patients according to their motor outcome using decision tree classifier J48 implemented in WEKA software. However, the classification accuracy was much lower compared to the classification results based on another widely accepted MRI parameter: asymmetry of the fractional anisotropy in the internal capsule of the CST.