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Related Experiment Videos

Serial magnetization transfer imaging in acute optic neuritis.

S J Hickman1, A T Toosy, S J Jones

  • 1NMR Research Unit, Department of Neuroinflammation, Institute of Neurology, University College London, Queen Square, London WC1N 3BG, UK.

Brain : a Journal of Neurology
|January 23, 2004
PubMed
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Magnetization transfer ratio (MTR) changes in acute optic neuritis reflect tissue integrity, mirroring multiple sclerosis lesions. MTR monitoring can track demyelinating lesions and recovery.

Area of Science:

  • Neuroimaging
  • Demyelinating Diseases

Background:

  • Reductions in Magnetization Transfer Ratio (MTR) in multiple sclerosis lesions indicate demyelination and axonal loss.
  • Later increases in MTR are attributed to remyelination.
  • MTR is a potential biomarker for tissue integrity in neurological conditions.

Purpose of the Study:

  • To investigate serial changes in MTR in acute optic neuritis.
  • To correlate MTR changes with clinical and electrophysiological measurements.
  • To validate MTR as a marker of tissue integrity in demyelinating lesions.

Main Methods:

  • Twenty-nine patients with acute optic neuritis and 27 controls underwent serial optic nerve imaging using fat-saturated fast spin echo (FSE) and magnetization transfer sequences.
  • Clinical examinations and visual evoked potentials (VEP) were recorded.

Related Experiment Videos

  • Lesion MTR was analyzed relative to healthy nerve MTR over one year.
  • Main Results:

    • Diseased optic nerve MTR and lesion ratio declined over time, reaching a nadir around 240 days.
    • A subsequent rise in MTR was observed, though not significantly different from the nadir at one year.
    • Improved visual acuity and VEP latency correlated with MTR values.

    Conclusions:

    • The early MTR fall suggests demyelination and axonal degeneration.
    • The delayed nadir may be due to slow myelin debris clearance, with later changes potentially reflecting remyelination.
    • MTR is a valuable tool for monitoring symptomatic demyelinating lesions.