Validation of Rapid Magnetic Resonance Myelin Imaging in Multiple Sclerosis
| العنوان: | Validation of Rapid Magnetic Resonance Myelin Imaging in Multiple Sclerosis |
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| المؤلفون: | Ouellette, R., Mangeat, G., Polyak, I., Warntjes, M., Forslin, Y., Bergendal, Å., Platten, Michael, Uppman, M., Treaba, C. A., Cohen-Adad, J., Piehl, F., Kristoffersen Wiberg, M., Fredrikson, S., Mainero, C., Granberg, T. |
| المصدر: | Annals of Neurology. 87(5):710-724 |
| مصطلحات موضوعية: | myelin, proteolipid, adult, aged, Article, cognition, cohort analysis, controlled study, demyelination, disability, Expanded Disability Status Scale, female, follow up, human, human tissue, image processing, major clinical study, male, multiple sclerosis, nuclear magnetic resonance imaging, priority journal, prospective study, symbol digit modalities test, validation study, white matter, brain, computer assisted diagnosis, diagnostic imaging, middle aged, myelin sheath, neuroimaging, procedures, reproducibility, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Prospective Studies, Reproducibility of Results |
| الوصف: | Objective: Magnetic resonance imaging (MRI) is essential for multiple sclerosis diagnostics but is conventionally not specific to demyelination. Myelin imaging is often hampered by long scanning times, complex postprocessing, or lack of clinical approval. This study aimed to assess the specificity, robustness, and clinical value of Rapid Estimation of Myelin for Diagnostic Imaging, a new myelin imaging technique based on time-efficient simultaneous T1/T2 relaxometry and proton density mapping in multiple sclerosis. Methods: Rapid myelin imaging was applied using 3T MRI ex vivo in 3 multiple sclerosis brain samples and in vivo in a prospective cohort of 71 multiple sclerosis patients and 21 age/sex-matched healthy controls, with scan–rescan repeatability in a subcohort. Disability in patients was assessed by the Expanded Disability Status Scale and the Symbol Digit Modalities Test at baseline and 2-year follow-up. Results: Rapid myelin imaging correlated with myelin-related stains (proteolipid protein immunostaining and Luxol fast blue) and demonstrated good precision. Multiple sclerosis patients had, relative to controls, lower normalized whole-brain and normal-appearing white matter myelin fractions, which correlated with baseline cognitive and physical disability. Longitudinally, these myelin fractions correlated with follow-up physical disability, even with correction for baseline disability. Interpretation: Rapid Estimation of Myelin for Diagnostic Imaging provides robust myelin quantification that detects diffuse demyelination in normal-appearing tissue in multiple sclerosis, which is associated with both cognitive and clinical disability. Because the technique is fast, with automatic postprocessing and US Food and Drug Administration/CE clinical approval, it can be a clinically feasible biomarker that may be suitable to monitor myelin dynamics and evaluate treatments aiming at remyelination. |
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| الوصول الحر: | https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-313560Test https://doi.org/10.1002/ana.25705Test |
| قاعدة البيانات: | SwePub |
| تدمد: | 03645134 15318249 |
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| DOI: | 10.1002/ana.25705 |