Publications by authors named "Dinal Jayasekera"

Background: Diffusion basis spectrum imaging (DBSI) is a noninvasive quantitative imaging modality that may improve understanding of cervical spondylotic myelopathy (CSM) pathology through detailed evaluations of spinal cord microstructural compartments.

Objective: To determine the utility of DBSI as a biomarker of CSM disease severity.

Methods: A single-center prospective cohort study enrolled 50 patients with CSM and 20 controls from 2018 to 2020.

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Background Context: A major shortcoming in improving care for cervical spondylotic myelopathy (CSM) patients is the lack of robust quantitative imaging tools to guide surgical decision-making. Diffusion basis spectrum imaging (DBSI), an advanced diffusion-weighted MRI technique, provides objective assessments of white matter tract integrity that may help prognosticate outcomes in patients undergoing surgery for CSM.

Purpose: To examine the ability of DBSI to predict clinically important CSM outcome measures at 2-years follow-up.

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Study Design: Prospective cohort study.

Objective: The aim was to assess the association between diffusion tensor imaging (DTI) and diffusion basis spectrum imaging (DBSI) measures and cervical spondylotic myelopathy (CSM) clinical assessments at baseline and two-year follow-up.

Summary Of Background Data: Despite advancements in diffusion-weighted imaging, few studies have examined associations between diffusion magnetic resonance imaging (MRI) markers and CSM-specific clinical domains at baseline and long-term follow-up.

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Objective: Cervical spondylotic myelopathy (CSM) is the most common cause of chronic spinal cord injury, a significant public health problem. Diffusion tensor imaging (DTI) is a neuroimaging technique widely used to assess CNS tissue pathology and is increasingly used in CSM. However, DTI lacks the needed accuracy, precision, and recall to image pathologies of spinal cord injury as the disease progresses.

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Article Synopsis
  • Chronic low back pain (LBP) is a major global disability, with research highlighting changes in brain structure associated with chronic pain.
  • Brain imaging techniques, particularly resting-state functional connectivity (rsFC), show promise in identifying noninvasive biomarkers for better diagnosing and predicting LBP.
  • This study used graph theory and machine learning to analyze brain scans from LBP patients and healthy controls, achieving an 83.1% classification accuracy, indicating that brain connectivity features can effectively distinguish between the two groups.
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Chronic low back pain (LBP) is a very common health problem worldwide and a major cause of disability. Yet, the lack of quantifiable metrics on which to base clinical decisions leads to imprecise treatments, unnecessary surgery and reduced patient outcomes. Although, the focus of LBP has largely focused on the spine, the literature demonstrates a robust reorganization of the human brain in the setting of LBP.

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