Diffusion-Weighted Imaging of the Normal-Appearing White Matter in Multiple Sclerosis

Author(s):  
M. Rovaris ◽  
M. Filippi
Neurology ◽  
2000 ◽  
Vol 55 (6) ◽  
pp. 882-884 ◽  
Author(s):  
M. A. Rocca ◽  
M. Cercignani ◽  
G. Iannucci ◽  
G. Comi ◽  
M. Filippi

2003 ◽  
Vol 16 (2) ◽  
pp. 207-220 ◽  
Author(s):  
F. Pizzini ◽  
A. Beltramello ◽  
E. Piovan ◽  
F. Alessandrini

Diffusion Weighted Imaging (DWI) is one of the most recent products of Magnetic Resonance (MR) technology evolution. DWI has been proposed as a noninvasive tool for evaluating structural and physiologic states in biologic tissues as hyperacute ischemic changes within brain tissue. Recently, its more complex and detailed evolution, Diffusion Tensor Imaging (DTI), has been introduced and its clinical applications are the evaluation of anatomical structures and pathologic processes in white matter. White matter quantitative maps that indicate the integrity of brain tissue, color map, and tractography that identifies macroscopic three-dimensional architecture of fiber tracts (e.g., projections and association pathways) can be obtained with DTI. Diffusion weighted imaging visualization techniques (ADC and Trace) are applied for the study of stroke, in the differential diagnosis of expansive lesions (e.g. epidermoid vs. arachnoid cyst) and in detecting traumatic and other lesions associated with restricted diffusion (e.g. MS plaques). On the other hand, DTI provides the identification of abnormalities in the otherwise normal appearing white matter with the understanding of the organization of the fibers, both in tumors and in other cortical or white matter diseases (including stroke, dementias, demyelinating-dismyelinating diseases, epilepsy, schizophrenia). Furthermore, in combination with functional MR, DTI might contribute to the comprehension of brain development, aging and connectivity, thus having a significant impact on brain functional studies.


2021 ◽  
Vol 429 ◽  
pp. 118292
Author(s):  
Loredana Storelli ◽  
Elisabetta Pagani ◽  
Paolo Preziosa ◽  
Massimo Filippi ◽  
Maria Rocca

2020 ◽  
pp. 135245852093899
Author(s):  
Loredana Storelli ◽  
Elisabetta Pagani ◽  
Paolo Preziosa ◽  
Massimo Filippi ◽  
Maria A Rocca

Background: When investigating white matter (WM) microstructure, the axonal fiber orientation should be considered. Constrained spherical deconvolution (CSD) is a diffusion-weighted imaging (DWI) method that estimates distribution of fibers within each imaging voxel. Objective: To study fiber-bundle cross-section (FC) as measured by CSD in multiple sclerosis (MS) patients versus healthy controls (HCs). Methods: DWI and three-dimensional (3D) T1-weighted magnetic resonance imaging (MRI) were obtained from 45 MS patients and 45 HCs. We applied fixel-based morphometry analysis to assess differences of FC in MS against HCs and voxel-based analysis of fractional anisotropy (FA). Results: We found a significant widespread reduction of WM FC in MS compared to HCs. The decrease in FA was less extensive, mainly located in regions with high lesion occurrence such as the periventricular WM and the corpus callosum. Progressive MS patients showed a significant FC reduction in the right anterior cingulum, bilateral cerebellum, and in several mesencephalic and diencephalic regions compared to relapsing-remitting MS patients. Conclusion: The CSD method can be applied in MS for a fiber-specific study of WM microstructure and quantification of FC. Fixel-based findings offered greater anatomical specificity and biological interpretability by identifying tract-specific differences and allowed substantial abnormalities to be detected.


2003 ◽  
Vol 16 (2) ◽  
pp. 263-266
Author(s):  
F.G. Garaci ◽  
R. Floris ◽  
G. Manenti ◽  
L.M. Fantozzi ◽  
A. Bozzao

The aim of the present study was to assess the presence of changes in diffusivity in the brains of patients with tuberous sclerosis (TS) in areas free from signal alterations on conventional MR sequences. Ten patients and controls were evaluated. ROI were placed on ADC maps in the white matter (frontal, parietal and centrum semiovale) excluding areas with signal alterations on FLAIR images. ADC values of supratentorial white matter turned out to be higher than controls (P < .0001). Our data indicate that TS is more widely diffused than expected in the brains of affected patients.


NeuroImage ◽  
2021 ◽  
pp. 118381
Author(s):  
Jing Du ◽  
Forrest C. Koch ◽  
Aihua Xia ◽  
Jiyang Jiang ◽  
John D. Crawford ◽  
...  

2021 ◽  
Vol 429 ◽  
pp. 118881
Author(s):  
Monica Margoni ◽  
Umberto Villani ◽  
Silvia Franciotta ◽  
Martina Rubin ◽  
Margherita Nosadini ◽  
...  

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