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多发性硬化症中的髓鞘水成像:与组织病理学的定量相关性

Myelin water imaging in multiple sclerosis: quantitative correlations with histopathology.

作者信息

Laule C, Leung E, Lis D K B, Traboulsee A L, Paty D W, MacKay A L, Moore G R W

机构信息

Department of Physics and Astronomy, University of British Columbia, Canada.

出版信息

Mult Scler. 2006 Dec;12(6):747-53. doi: 10.1177/1352458506070928.

Abstract

Various magnetic resonance (MR) techniques are used to study the pathological evolution of demyelinating diseases, such as multiple sclerosis (MS). However, few studies have validated MR derived measurements with histopathology. Here, we determine the correlation of myelin water imaging, an MR measure of myelin content, with quantitative histopathologic measures of myelin density. The multi-component T2 distribution of water was determined from 25 formalin-fixed MS brain samples using a multi-echo T2 relaxation MR experiment. The myelin water fraction (MWF), defined as T2 signal below 30 milliseconds divided by the total signal, was determined for various regions of interest and compared to Luxol fast blue (myelin stain) mean optical density (OD) for each sample. MWF had a strong correlation with myelin stain [mean (range) R2 = 0.67 (0.45-0.92)], validating MWF as a measure of myelin density. This quantitative technique has many practical applications for the in vivo monitoring of demyelination and remyelination in a variety of disorders of myelin.

摘要

各种磁共振(MR)技术被用于研究脱髓鞘疾病(如多发性硬化症,MS)的病理演变。然而,很少有研究用组织病理学来验证从MR得出的测量结果。在此,我们确定髓鞘水成像(一种测量髓鞘含量的MR方法)与髓鞘密度的定量组织病理学测量之间的相关性。使用多回波T2弛豫MR实验,从25个福尔马林固定的MS脑样本中确定水的多组分T2分布。针对各个感兴趣区域确定髓鞘水分数(MWF,定义为低于30毫秒的T2信号除以总信号),并将其与每个样本的Luxol固蓝(髓鞘染色)平均光密度(OD)进行比较。MWF与髓鞘染色有很强的相关性[平均值(范围)R2 = 0.67(0.45 - 0.92)],验证了MWF作为髓鞘密度测量指标的有效性。这种定量技术在体内监测多种髓鞘疾病中的脱髓鞘和髓鞘再生方面有许多实际应用。

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