The diagnostic value of mean apparent propagator (MAP) MRI in temporal lobe epilepsy (TLE) with unilateral amygdala enlargement: A pilot study

For patients with routine MRI-negative epilepsy, noninvasive imaging is important for differential diagnosis. AE might be a subtype of MRI-negative TLE. The aim of this study was to evaluate the diagnostic efficacy of MAP-MRI and traditional DTI between TLE-AE patients and healthy controls. Results showed that MSD, QIV, RTAP, RTOP from MAP-MRI and FA from DTI in amygdala can be used as an imaging indicator to identify TLE-AE(P<0.05). Furthermore, MSD, RTAP, RTOP had a significant correlation with seizure types. MAP-MRI outperformed DTI in the diagnosis of TLE-AE, and MAP-MRI is expected to contribute in probing MRI-negative epileptogenic lesions.