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Congress: ECR26
Poster Number: C-16569
Type: Poster: EPOS Radiologist (educational)
Authorblock: A. M. Rodriguez Saldivar, M. Mercado Flores, H. Maya García, B. A. Cortes, A. F. Ríos Victoria; Monterrey/MX
Disclosures:
Arturo Maximiliano Rodriguez Saldivar: Nothing to disclose
Mariana Mercado Flores: Nothing to disclose
Haziel Maya García: Nothing to disclose
Bryann Alejandro Cortes: Nothing to disclose
Andres Felipe Ríos Victoria: Nothing to disclose
Keywords: Anatomy, CNS, Neuroradiology brain, MR-Diffusion/Perfusion, MR-Functional imaging, Physics, Tissue characterisation
Learning objectives

The primary objective of this scientific exhibit is to provide an in-depth radiologic journey through the complex architecture of cerebral white matter. By leveraging advanced Diffusion Tensor Imaging (DTI) and tractography, this work seeks to:

  • Elucidate the physical, mathematical, and technical foundations of DTI, from the concept of Brownian motion to the generation of the diffusion tensor.

  • Detailed the methodology behind tractography reconstruction, including seed placement, tracking algorithms (deterministic vs. probabilistic), and the importance of region-of-interest (ROI) selection.

  • Provide a systematic, step-by-step anatomical mapping of the brain’s "bridges," categorized into association, commissural, and projection fibers, following a strict neuroanatomical and radiologic correlation.

  • Correlate historical neuroanatomical milestones with modern clinical cases, such as "Sacre Bleu" (Baudelaire) and Phineas Gage, to illustrate the impact of white matter disconnection syndromes.

  • Demonstrate the clinical relevance of tractography in preoperative planning, particularly in the preservation of eloquent pathways during neurosurgical interventions.

GALLERY