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Research ArticleBRAIN

Voxel-Based Analysis of Quantitative T1 Maps Demonstrates That Multiple Sclerosis Acts throughout the Normal-Appearing White Matter

H. Vrenken, S.A.R.B. Rombouts, P.J.W. Pouwels and F. Barkhof
American Journal of Neuroradiology April 2006, 27 (4) 868-874;
H. Vrenken
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S.A.R.B. Rombouts
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P.J.W. Pouwels
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F. Barkhof
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    Fig 2.

    Mean T1 values in the 4 subject groups as fitted by the general linear model illustrate how T1 relaxation times increase throughout the normal-appearing white matter (NAWM) when going from control subjects (top row) to primary progressive multiple sclerosis (MS) (second row) to relapsing-remitting MS (third row) to secondary progressive MS (bottom row). The color range represents the T1 range of 700 to 900 ms, as indicated by the color bar.

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    Fig 3.

    Results of pairwise contrasts between multiple sclerosis (MS) groups (primary progressive [PP], relapsing-remitting [RR], and secondary progressive [SP]) and control subjects (C) are displayed as Z scores for PP MS > control subjects (top), RR MS > control subjects (middle), and SP MS > control subjects (bottom). The color range represents a Z score range of 3.1 to 8.0, as indicated by the color bar. Statistically significant T1 increases involve large fractions of normal-appearing white matter (NAWM) in RR and SP MS. The spatial extent of statistically significant T1 increases is small in PP MS.

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    Fig 4.

    Results of pairwise contrasts of secondary progressive (SP) multiple sclerosis (MS) with relapsing-remitting (RR) MS (top, SP>RR) and with primary progressive (PP) MS (bottom, SP>PP) are displayed as Z scores. The color range represents a Z score range of 3.1–8.0, as indicated by the color bar. The effects of disease progression in RR/SP MS are visible as large areas with increased T1 in SP compared with RR MS. SP MS also has significantly higher T1 than PP MS in voxels throughout normal-appearing white matter (NAWM).

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    PP MSRR MSSP MSControls
    No. of subjects (M/F)13 (7/6)36 (11/25)18 (7/11)23 (12/11)
    Age (y)57.2 ± 6.339.0 ± 7.344.3 ± 10.530.6 ± 7.4
    Supratentorial lesion load (range) (mL)8.6 ± 8.7 (0.2–27.8)8.8 ± 9.4 (0.3–41.2)14.6 ± 13.1 (2.5–54.7)
    Infratentorial lesion load (range) (mL)0.2 ± 0.3 (0.0–0.8)0.2 ± 0.3 (0.0–0.9)0.5 ± 1.0 (0.0–4.2)
    Normalized brain volume (mL)1417 ± 481473 ± 641406 ± 521518 ± 42
    Median EDSS score (range)4.5 (3.0–6.5)2.0 (1.0–4.5)6.0 (2.5–8.0)
    MSFC score0.32 ± 0.190.56 ± 0.31−0.27 ± 0.72
    • Note:— PP MS, RR MS, and SP MS indicate, respectively, primary progressive, relapsing-remitting, and secondary progressive multiple sclerosis; EDSS, expanded disability status scale; MSFC, multiple sclerosis functional composite.

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American Journal of Neuroradiology: 27 (4)
American Journal of Neuroradiology
Vol. 27, Issue 4
April 2006
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Cite this article
H. Vrenken, S.A.R.B. Rombouts, P.J.W. Pouwels, F. Barkhof
Voxel-Based Analysis of Quantitative T1 Maps Demonstrates That Multiple Sclerosis Acts throughout the Normal-Appearing White Matter
American Journal of Neuroradiology Apr 2006, 27 (4) 868-874;

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Voxel-Based Analysis of Quantitative T1 Maps Demonstrates That Multiple Sclerosis Acts throughout the Normal-Appearing White Matter
H. Vrenken, S.A.R.B. Rombouts, P.J.W. Pouwels, F. Barkhof
American Journal of Neuroradiology Apr 2006, 27 (4) 868-874;
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