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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleHead and Neck Imaging
Open Access

Reduced Field-of-View Diffusion Tensor Imaging of the Optic Nerve in Retinitis Pigmentosa at 3T

Y. Zhang, X. Guo, M. Wang, L. Wang, Q. Tian, D. Zheng and D. Shi
American Journal of Neuroradiology August 2016, 37 (8) 1510-1515; DOI: https://doi.org/10.3174/ajnr.A4767
Y. Zhang
aFrom the Departments of Radiology (Y.Z., M.W., L.W., Q.T., D.S.)
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X. Guo
bOphthalmology (X.G.), Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China
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M. Wang
aFrom the Departments of Radiology (Y.Z., M.W., L.W., Q.T., D.S.)
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L. Wang
aFrom the Departments of Radiology (Y.Z., M.W., L.W., Q.T., D.S.)
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Q. Tian
aFrom the Departments of Radiology (Y.Z., M.W., L.W., Q.T., D.S.)
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D. Zheng
cGE Healthcare (D.Z.), Beijing, China.
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D. Shi
aFrom the Departments of Radiology (Y.Z., M.W., L.W., Q.T., D.S.)
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    Fig 1.

    Non-diffusion-weighted (B0) image and FA, ADC, and eigenvector maps of DTI. Three ROIs are placed over each intraorbital nerve on the b=0 image (A). ROIs on the b=0–averaged image (A) are then transferred onto the FA (B), ADC (C), and eigenvector (D) maps.

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    Fig 2.

    Routine orbital MR imaging of patients with RP together with DTI maps. Axial T1WI (A), axial fat-saturated T2WI (B), coronal fat-saturated T2WI (C), and the corresponding FA (D), ADC (E), and eigenvector maps (F) of DTI in a 48-year-old patient with RP.

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    Fig 3.

    The DTI measures of both right and left ONs of patients are compared with corresponding normal ONs of controls. Bar graphs of mean FA, ADC, principal eigenvalue, and orthogonal eigenvalue averaged across the right and left optic nerves are shown in 38 patients with RP compared with the homolateral optic nerves of 35 controls. The error bars denote the SDs across subjects. The units of the ADC, λ//, and λ⊥ measures are in ×10−3 mm2 per second−1. The asterisk indicates a significant difference compared with the homolateral nerves of controls (*P < .01; **P < .001).

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    Fig 4.

    Correlation of DTI data with visual function. Plot of FA and orthogonal eigenvalue versus mean deviation of the visual field, respectively, averaged across the pixels inside the ROIs along the optic nerves of 38 patients with RP (76 affected eyes).

Tables

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    Table 1:

    Epidemiologic and pathologic information of patients with RP and controls

    Patients (n = 38)Controls (n = 35)P Value
    Sex (male/female)24:1422:13.979
    Age (yr)a37 ± 15 (6∼62)36 ± 14 (9∼60).921
    Eyes (NR/NL)76 (38:38)70 (35:35)/
    MDVF (dB)b
        R−30.26 ± 8.94 (−37.00∼−4.68)−0.69 ± 0.98 (−2.00∼1.23).000c
        L−29.41 ± 9.73 (−35.68∼−3.85)−0.54 ± 1.15 (−2.71∼1.45).000c
    VA (LogMAR)b
        R0.52 ± 0.70 (0∼2)−0.067 ± 0.08 (−0.2∼0.1).000c
        L0.52 ± 0.68 (0∼2)−0.065 ± 0.072 (−0.2∼0.1).000c
    • Note:—LogMAR indicates logarithm of minimal angle of resolution; NR, number of right eyes; NL, number of left eyes; R, right eye; L, left eye; /, not available.

    • ↵a Values are mean ± SD (range).

    • ↵b Values from patient group are median ± interquartile range (range), and values from control group are mean ± SD (range).

    • ↵c Significant difference is noted between patients and controls.

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    Table 2:

    DTI parameter dataa of patients with RP and controls

    Patients (n = 38)Controls (n = 35)t ValueP Value
    FA
        R0.442 ± 0.0770.572 ± 0.046−8.840.000b
        L0.447 ± 0.0670.581 ± 0.044−10.083.000b
    ADC (×10−3mm2s−1)
        R1.367 ± 0.2501.099 ± 0.1665.417.000b
        L1.343 ± 0.2181.068 ± 0.1226.667.000b
    λ// (×10−3mm2s−1)
        R5.548 ± 0.2885.361 ± 0.2313.030.003b
        L5.521 ± 0.2505.333 ± 0.1913.609.001b
    λ⊥ (×10−3mm2s−1)
        R4.526 ± 0.2494.218 ± 0.1466.511.000b
        L4.503 ± 0.2134.187 ± 0.1068.041.000b
    • Note:—R indicates right eye; L, left eye.

    • ↵a Values are mean ± SD.

    • ↵b Significant difference between patient nerves and control nerves as determined by using an independent-samples t test.

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American Journal of Neuroradiology: 37 (8)
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Y. Zhang, X. Guo, M. Wang, L. Wang, Q. Tian, D. Zheng, D. Shi
Reduced Field-of-View Diffusion Tensor Imaging of the Optic Nerve in Retinitis Pigmentosa at 3T
American Journal of Neuroradiology Aug 2016, 37 (8) 1510-1515; DOI: 10.3174/ajnr.A4767

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Reduced Field-of-View Diffusion Tensor Imaging of the Optic Nerve in Retinitis Pigmentosa at 3T
Y. Zhang, X. Guo, M. Wang, L. Wang, Q. Tian, D. Zheng, D. Shi
American Journal of Neuroradiology Aug 2016, 37 (8) 1510-1515; DOI: 10.3174/ajnr.A4767
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