Journal of Biomedical Engineering Research (대한의용생체공학회:의공학회지)

The Korean Society of Medical and Biological Engineering (대한의용생체공학회)
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Correlation Analysis Between Gait Pattern and Structural Features of Cerebral Cortex in Patients with Idiopathic Normal Pressure Hydrocephalus

특발정상압수두증 환자의 보행 패턴과 대뇌피질의 구조적인 특징의 상관관계 분석

  • Yun, EunKyeong (Department of Biomedical Engineering, Daegu Catholic University) ;
  • Kang, Kyunghun (Department of Neurology, School of Medicine, Kyungpook National University) ;
  • Yoon, Uicheul (Department of Biomedical Engineering, Daegu Catholic University)
  • 윤은경 (대구가톨릭대학교 의공학과) ;
  • 강경훈 (경북대학교 의과대학 신경과학교실) ;
  • 윤의철 (대구가톨릭대학교 의공학과)
  • Received : 2021.12.02
  • Accepted : 2021.12.29
  • Published : 2021.12.31
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Abstract

Idiopathic normal-pressure hydrocephalus (INPH) is considered a potentially treatable neurological disorder by shunt surgery and characterized by a triad of symptoms including gait disturbance, cognitive impairment and urinary dysfunction. Although disorders of white matter are generally viewed as the principal pathological features of INPH, analysis of cortical features are important since the destruction of neural tracts could be associated with cortical structural changing. The aim of the study was to determine whether there was any relationship between gait parameter and structural features of cerebral cortex in INPH patients. Gait parameters were measured as follows: step width, toe in/out angle, coefficient of variation (CV) value of stride length, CV value of stride time. After obtaining individual brain MRI of patients with INPH and hemispheric cortical surfaces were automatically extracted from each MR volume, which reconstructed the inner and outer cortical surface. Then, cortical thickness, surface area, and volume were calculated from the cortical surface. As a result, step width was positively correlated with bilateral postcentral gyrus and left precentral gyrus, and toe in/out was positively correlated with left posterior parietal cortex and left insula. Also, the CV value of stride length showed positive correlation in the right superior frontal sulcus, left insula, and the CV value of stride time showed positive correlation in the right superior frontal sulcus. Unique parameter of cerebral cortical changes, as measured using MRI, might underline impairments in distinct gait parameters in patients with INPH.

Keywords

Acknowledgement

이 결과물은 2019년도 대구가톨릭대학교 학술연구비 지원에 의한 것임.

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