Publications by authors named "Christine P Molnar"

Objectives: This study compared machine learning models using unimodal imaging measures and combined multi-modal imaging measures for deep brain stimulation (DBS) outcome prediction in treatment resistant depression (TRD).

Methods: Regional brain glucose metabolism (CMRGlu), cerebral blood flow (CBF), and grey matter volume (GMV) were measured at baseline using 18F-fluorodeoxy glucose (18F-FDG) positron emission tomography (PET), arterial spin labelling (ASL) magnetic resonance imaging (MRI), and T1-weighted MRI, respectively, in 19 patients with TRD receiving subcallosal cingulate (SCC)-DBS. Responders ( = 9) were defined by a 50% reduction in HAMD-17 at 6 months from the baseline.

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Background And Objective: Pathogenic variants in KCNT1 have been associated with severe forms of epilepsy, typically sleep-related hypermotor epilepsy or epilepsy of infancy with migrating focal seizures. To show that pathogenic variants in KCNT1 can be associated with mild extra-frontal epilepsy, we report a KCNT1 family with a wide spectrum of phenotypes ranging from developmental and epileptic encephalopathy to mild focal epilepsy without cognitive regression and not consistent with sleep-related hypermotor epilepsy.

Methods: A large Canadian family of Caucasian descent including 9 affected family members was recruited.

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Article Synopsis
  • The study examined how ISSPECT and PET imaging contribute to decision-making in epilepsy surgery for patients with resistant focal epilepsy.
  • About 106 patients were analyzed, revealing that concordance with clinical consensus was higher for ISSPECT (76%) than for PET (79%), but both were important in evaluating surgical options.
  • The findings suggest that concordance with PET imaging increases the likelihood of proceeding to further monitoring, while concordance with ISSPECT and MRI correlates with better surgical outcomes.
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Subcallosal cingulate (SCC) deep brain stimulation (DBS) is a promising therapy for treatment-resistant depression (TRD), but response rates in open-label studies were not replicated in a large multicenter trial. Identifying biomarkers of response could improve patient selection and outcomes. We examined SCC metabolic activity as both a predictor and marker of SCC DBS treatment response.

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Background: Metastatic head and neck squamous cell carcinoma with an unknown primary is an uncommon but important problem. PET/CT, as an adjunct to diagnosis, is potentially useful but has never been studied in a prospective, single-blinded clinical trial.

Methods: In all, 20 subjects with cervical metastases from an unknown head and neck primary were enrolled in a prospective clinical trial.

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