基于 3D 多回波 GRASE 的髓鞘水分数的年龄相关性测量反映了脑白质的髓鞘含量。
Age-Related Measurements of the Myelin Water Fraction derived from 3D multi-echo GRASE reflect Myelin Content of the Cerebral White Matter.
机构信息
Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Institute of Neuroimmunology und Multiple Sclerosis, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
出版信息
Sci Rep. 2018 Oct 9;8(1):14991. doi: 10.1038/s41598-018-33112-8.
Myelin Water Fraction (MWF) measurements derived from quantitative Myelin Water Imaging (MWI) may detect demyelinating changes of the cerebral white matter (WM) microstructure. Here, we investigated age-related alterations of the MWF in normal aging brains of healthy volunteers utilizing two fast and clinically feasible 3D gradient and spin echo (GRASE) MWI sequences with 3 mm and 5 mm isotropic voxel size. In 45 healthy subjects (age range: 18-79 years), distinct regions of interest (ROI) were defined in the cerebral WM including corticospinal tracts. For the 3 mm sequence, significant correlations of the mean MWF with age were found for most ROIs (r < -0.8 for WM ROIs; r = -0.55 for splenium of corpus callosum; r = -0.75 for genu of corpus callosum; p < 0.001 for all ROIs). Similar correlations with age were found for the ROIs of the 5 mm sequence. No significant correlations were found for the corticospinal tract and the occipital WM (p > 0.05). Mean MWF values obtained from the 3 mm and 5 mm sequences were strongly comparable. The applied 3D GRASE MWI sequences were found to be sensitive for age-dependent myelin changes of the cerebral WM microstructure. The reported MWF values might be of substantial use as reference for further investigations in patient studies.
髓鞘内水分数(MWF)的测量值来源于定量髓鞘内水成像(MWI),可检测大脑白质(WM)微观结构的脱髓鞘变化。在这里,我们利用两种快速且临床可行的 3D 梯度回波和自旋回波(GRASE)MWI 序列(体素大小为 3mm 和 5mm),研究了正常老化大脑中与年龄相关的 MWF 变化,这些序列在健康志愿者的正常老化大脑中。在 45 名健康受试者(年龄范围:18-79 岁)中,在包括皮质脊髓束在内的大脑 WM 中定义了明确的感兴趣区(ROI)。对于 3mm 序列,大多数 ROI 的平均 MWF 与年龄呈显著负相关(WM ROI 的 r<−0.8;胼胝体体部的 r=−0.55;胼胝体膝部的 r=−0.75;所有 ROI 的 p<0.001)。对于 5mm 序列的 ROI 也发现了类似的与年龄相关的相关性。皮质脊髓束和枕叶 WM 与年龄无显著相关性(p>0.05)。从 3mm 和 5mm 序列获得的平均 MWF 值具有很强的可比性。发现应用的 3D GRASE MWI 序列对大脑 WM 微观结构的年龄相关髓鞘变化敏感。报道的 MWF 值可能作为进一步在患者研究中进行研究的参考值具有重要意义。