多发性硬化症脊髓病变的高分辨率定量 MRI。
High-resolution quantitative MRI of multiple sclerosis spinal cord lesions.
机构信息
Queen Square Centre for Neuromuscular Diseases, UCL, London, United Kingdom.
The Blizard Institute (Neuroscience, Surgery & Trauma), Queen Mary University of London, Barts and The London School of Medicine & Dentistry, London, United Kingdom.
出版信息
Magn Reson Med. 2022 Jun;87(6):2914-2921. doi: 10.1002/mrm.29152. Epub 2022 Jan 11.
PURPOSE
Validation of quantitative MR measures for myelin imaging in the postmortem multiple sclerosis spinal cord.
METHODS
Four fixed spinal cord samples were imaged first with a 3T clinical MR scanner to identify areas of interest for scanning, and then with a 7T small bore scanner using a multicomponent-driven equilibrium single-pulse observation of T and T protocol to produce apparent proton density, T , T , myelin water, intracellular water, and free-water fraction maps. After imaging, the cords were sectioned and stained with histological markers (hematoxylin and eosin, myelin basic protein, and neurofilament protein), which were quantitatively compared with the MR maps.
RESULTS
Excellent correspondence was found between high-resolution MR parameter maps and histology, particularly for apparent proton density MRI and myelin basic protein staining.
CONCLUSION
High-resolution quantitative MRI of the spinal cord provides biologically meaningful measures, and could be beneficial to diagnose and track multiple sclerosis lesions in the spinal cord.
目的
验证用于多发性硬化症死后脊髓髓鞘成像的定量磁共振测量的有效性。
方法
首先使用 3T 临床磁共振扫描仪对 4 个固定的脊髓样本进行成像,以确定用于扫描的感兴趣区域,然后使用 7T 小口径扫描仪,采用多分量驱动平衡单脉冲观察 T1 和 T2 弛豫时间的方法,生成表观质子密度、T1、T2、髓鞘水、细胞内水和游离水分数图。成像后,将脊髓切片并用组织学标志物(苏木精和伊红、髓鞘碱性蛋白和神经丝蛋白)进行染色,然后与磁共振图谱进行定量比较。
结果
高分辨率磁共振参数图谱与组织学之间存在极好的一致性,特别是与表观质子密度 MRI 和髓鞘碱性蛋白染色之间的一致性。
结论
脊髓的高分辨率定量 MRI 提供了有生物学意义的测量指标,可能有助于诊断和跟踪脊髓中的多发性硬化病变。