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Research ArticleBRAIN

Magnetization Transfer and Diffusion Tensor MR Imaging of Acute Disseminated Encephalomyelitis

Matilde Inglese, Fabrizio Salvi, Giuseppe Iannucci, Gian Luigi Mancardi, Mario Mascalchi and Massimo Filippi
American Journal of Neuroradiology February 2002, 23 (2) 267-272;
Matilde Inglese
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Fabrizio Salvi
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Giuseppe Iannucci
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Gian Luigi Mancardi
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Mario Mascalchi
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Massimo Filippi
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Article Figures & Data

Tables

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    TABLE 1:

    Clinical, laboratory, and MR imaging findings in patients with ADEM at presentation

    Patient No./Age(y)/SexMain Clinical FeaturesClinical OutcomeMR Imaging Findings at PresentationMR Imaging Findings at ≥6 MoCSF Findings
    1/47/MConfusion, left hemiparesisComplete recoveryMultiple brain WM lesionsComplete resolution of lesionsNot obtained
    2/22/MTetraparesis, urine retentionComplete recoveryMultiple brain and spinal cord WM lesions, one hyperintense lesion in the left thalamusMarked but incomplete resolution of brain lesions, complete resolution of cord lesionsCells increased, OB
    3/21/FDrowsiness, right hemiparesisComplete recoveryMultiple brain WM lesions, one hyperintense lesion in the left basal gangliaIncomplete resolution of lesionsCells and protein level increased
    4/37/FConfusion, left hemiparesisAlmost complete recoveryMultiple brain WM lesionsIncomplete resolution of lesionsCells increased
    5/31/FDrowsiness, right hemiparesisComplete recoveryMultiple brain WM lesionsComplete resolution of lesionsNormal
    6/40/FParaparesis, urine retentionComplete recoveryMultiple brain and spinal cord WM lesionsMarked but incomplete resolution of brain and cord lesionsCells and protein level increase, OB
    7/22/MDrowsiness, diplopia, tetraparesis, ataxiaComplete recoveryMultiple brain WM lesionsIncomplete resolution of lesionsProtein level increased
    8/51/MAtaxia, paraparesisMarked improvementMultiple brain and spinal cord WM lesionsIncomplete resolution of brain and cord lesionsProtein level increased, OB
    • Note.—OB indicates oligoclonal bands; WM, white matter.

    • View popup
    TABLE 2:

    Brain lesion volume, MTR, and D̅ in the patients with ADEM and patients with MS

    FindingPatients with ADEMPatients with MS
    Lesion volume on T2-weighted image (mL)2.5 (0.0–16.4)5.1 (0.4–16.0)
    Lesion MTR (%)38.2 (31.5–43.2)37.2 (31.5–40.6)
    Lesion D̅ (× 10−3 mm2/s)0.97 (0.82–1.30)0.93 (0.82–1.03)
    • Note.—Data are the means; data in parentheses are the ranges.

    • View popup
    TABLE 3:

    MTR and D̅ histogram metrics in NABT in healthy volunteers, patients with ADEM, and patients with MS

    FindingControl SubjectsPatients with ADEMPatients with MSP Value
    Patients with ADEM vs Patients with MSControl Subjects vs Patients with MS
    MTR (%)40.6 (1.4)41.3 (1.24)38.6 (1.08)<.001.003
    MTR peak height117.7 (13.0)105.6 (19.2)104.4 (14.3)>.05.05
    MTR peak position (%)35.7 (1.7)36.8 (1.5)33.2 (1.7)<.001.007
    D̅ (× 10−3 mm2/s)0.93 (0.05)0.92 (0.03)0.98 (0.06).03.009
    D̅ peak height110.7 (12.5)97.3 (19.0)89.9 (11.0)>.05<.001
    D̅ peak position (× 10−3 mm2/s)0.77 (0.04)0.75 (0.02)0.77 (0.04)>.05>.05
    • Note.—Data are the means; data in parentheses are the SDs. No significant difference between control subjects and patients with ADEM was found.

    • View popup
    TABLE 4:

    MTR histogram metrics in cervical cord tissue in healthy volunteers, patients with ADEM, and patients with MS

    FindingControl SubjectsPatients with ADEMPatients with MSP Value
    Patients with ADEM vs Patients with MSControl Subjects vs Patients with MS
    MTR (%)45.7 (2.3)43.7 (2.5)39.2 (3.2).005<.001
    MTR peak height69.6 (27.7)67.8 (10.3)65.4 (14.9)>.05>.05
    MTR peak position (%)40.8 (2.3)39.0 (4.0)34.3 (2.6).008<.001
    • Note.—Data are the means; data in parentheses are the SDs. No significant difference between control subjects and patients with ADEM was found.

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American Journal of Neuroradiology: 23 (2)
American Journal of Neuroradiology
Vol. 23, Issue 2
1 Feb 2002
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Matilde Inglese, Fabrizio Salvi, Giuseppe Iannucci, Gian Luigi Mancardi, Mario Mascalchi, Massimo Filippi
Magnetization Transfer and Diffusion Tensor MR Imaging of Acute Disseminated Encephalomyelitis
American Journal of Neuroradiology Feb 2002, 23 (2) 267-272;

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Magnetization Transfer and Diffusion Tensor MR Imaging of Acute Disseminated Encephalomyelitis
Matilde Inglese, Fabrizio Salvi, Giuseppe Iannucci, Gian Luigi Mancardi, Mario Mascalchi, Massimo Filippi
American Journal of Neuroradiology Feb 2002, 23 (2) 267-272;
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