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Related Experiment Videos

Brain atrophy in clinically early relapsing-remitting multiple sclerosis.

D T Chard1, C M Griffin, G J M Parker

  • 1NMR Research Unit, Department of Clinical Neurology, Institute of Neurology, University College London, UK.

Brain : a Journal of Neurology
|February 15, 2002
PubMed
Summary

Brain atrophy, impacting grey and white matter, is evident early in multiple sclerosis (MS). Quantitative MRI reveals significant tissue loss, suggesting disease mechanisms independent of visible lesions in early stages.

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Area of Science:

  • Neurology
  • Radiology
  • Neuroimaging

Background:

  • Brain atrophy is a key MRI marker for multiple sclerosis (MS) progression.
  • Understanding early brain atrophy and its relation to lesions is crucial for MS management.
  • Current documentation of early MS brain atrophy mechanisms is limited.

Purpose of the Study:

  • To investigate whole brain, grey matter, and white matter atrophy in early relapsing-remitting MS.
  • To correlate brain atrophy measures with lesion load using quantitative MRI.
  • To elucidate the mechanisms of brain atrophy in early MS.

Main Methods:

  • Quantitative MRI (3D FSPGR, T1-weighted, T2-weighted) was used.
  • Automated segmentation (SPM99) identified grey matter, white matter, and CSF volumes.

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  • Semi-automatic lesion segmentation quantified lesion volumes.
  • Main Results:

    • Significantly reduced brain parenchymal fraction (BPF), grey matter fraction (GMF), and white matter fraction (WMF) in MS patients compared to controls (P < 0.001).
    • T2 hyper-intense and T1 hypo-intense lesion volumes inversely correlated with BPF and GMF (P < 0.006).
    • No significant correlation was found between lesion volumes and WMF, or with T1 post-gadolinium-enhancing lesions.

    Conclusions:

    • Significant brain atrophy affecting both grey and white matter occurs early in MS.
    • White matter atrophy may involve mechanisms independent of overt lesion formation in early MS.
    • Quantitative MRI is valuable for assessing early brain atrophy in MS.