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Research ArticleBRAIN

Combined Magnetization Transfer and Proton Spectroscopic Imaging in the Assessment of Pathologic Brain Lesions in Multiple Sclerosis

G. Bruce Pike, Nicola de Stefano, Sridar Narayanan, Gordon S. Francis, Jack P. Antel and Douglas L. Arnold
American Journal of Neuroradiology May 1999, 20 (5) 829-837;
G. Bruce Pike
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Nicola de Stefano
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Sridar Narayanan
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Gordon S. Francis
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Jack P. Antel
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Douglas L. Arnold
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    fig 1.

    A–F, T1-weighted (A), T2-weighted (B), proton density–weighted (C), MTR (D), and NAA/Cr (E) spectroscopic images of a patient with MS acquired using the protocol presented in the Table; also shown is the classified lesion map for this section (F).

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    fig 2.

    A and B, Mean (per patient) lesional MTR versus NAA/Cr for the entire cohort of patients with MS (A) and the relapsing-remitting subgroup (B) (circles indicate relapsing-remitting group; plus signs, primary progressive; diamonds, secondary progressive). Linear regression lines are plotted for both data sets, but the correlation was significant only for the relapsing-remitting subgroup (solid line in B; rS = .70; P = .016)

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    fig 3.

    A and B, Mean (per patient) MTR versus NAA/Cr in new lesions (<6 months old) for the entire cohort of patients with MS (A) and the relapsing-remitting subgroup (B) (circles indicate relapsing-remitting group; plus signs, primary progressive; diamonds, secondary progressive). The solid lines represent the linear regressions, and the corresponding rank correlations were rS = .44, P = .015 (A) and rS = .81, P = .002 (B)

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    fig 4.

    A and B, Mean (per MRSI voxel) MTR versus NAA/Cr in all MRSI voxels containing more than 25% lesion and less than 10% ventricle for the entire cohort of patients with MS (A) and the relapsing-remitting subgroup (B) (circles indicate relapsing-remitting group; plus signs, primary progressive; diamonds, secondary progressive). The solid lines represent the linear regressions corresponding to linear correlations of rP = .27, P < .0001 (A) and rP = .45, P < .0001 (B)

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    Acquisition parameters for the imaging protocol

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American Journal of Neuroradiology
Vol. 20, Issue 5
1 May 1999
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Cite this article
G. Bruce Pike, Nicola de Stefano, Sridar Narayanan, Gordon S. Francis, Jack P. Antel, Douglas L. Arnold
Combined Magnetization Transfer and Proton Spectroscopic Imaging in the Assessment of Pathologic Brain Lesions in Multiple Sclerosis
American Journal of Neuroradiology May 1999, 20 (5) 829-837;

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Combined Magnetization Transfer and Proton Spectroscopic Imaging in the Assessment of Pathologic Brain Lesions in Multiple Sclerosis
G. Bruce Pike, Nicola de Stefano, Sridar Narayanan, Gordon S. Francis, Jack P. Antel, Douglas L. Arnold
American Journal of Neuroradiology May 1999, 20 (5) 829-837;
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Cited By...

  • Evidence for neuroprotection and remyelination using imaging techniques
  • Magnetisation transfer ratio and mean diffusivity of normal appearing white and grey matter from patients with multiple sclerosis
  • Diffusion-weighted MR Imaging of Multiple Sclerosis: Added Clinical Value or "Just Another Pretty Face?"
  • Demyelinating Plaques in Relapsing-remitting and Secondary-progressive Multiple Sclerosis: Assessment with Diffusion MR Imaging
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  • Usefulness of Quantitative Susceptibility Mapping for the Diagnosis of Parkinson Disease
  • Evaluating the Effects of White Matter Multiple Sclerosis Lesions on the Volume Estimation of 6 Brain Tissue Segmentation Methods
  • White Matter Alterations in the Brains of Patients with Active, Remitted, and Cured Cushing Syndrome: A DTI Study
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