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Updated: Aug 9, 2026

Registered Bioimaging of Nanomaterials for Diagnostic and Therapeutic Monitoring
Published on: December 9, 2010
Bone marrow diffusion measures correlate with dementia severity in HIV patients
1Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill, USA.
Background And Purpose:
Escalation in monocyte trafficking from the bone marrow into the brain may play a critical role in central nervous system injury and cognitive deterioration in patients with HIV infection. This study tested the hypothesis that the mean diffusivity is sensitive to marrow changes in HIV patients and that these quantitative imaging measurements correlate with the severity of dementia.
Methods:
The mean diffusivity (MD), determined for clival and calvarial marrow regions, was compared in 11 HIV-infected patients and 9 control subjects. The imaging measurements were also evaluated for relationships with dementia severity and markers of disease progression (CD4 and viral load in plasma).
Results:
The MD was significantly reduced in both clival and calvarial marrow in HIV-infected patients (P =.006). Diffusion measurements for clival (P =.02) and for calvarial (P =.03) regions were significantly correlated with the severity of dementia.
Conclusion:
The results of this investigation support the utility of diffusion strategies for monitoring the marrow and provide further evidence of a relationship between marrow status changes and neurologic progression in HIV patients.
Insights
Quantitative imaging reveals reduced bone marrow diffusion in HIV patients, correlating with dementia severity. This finding highlights diffusion imaging as a tool for monitoring HIV-associated neurologic progression.
Area of Science:
- Neuroimaging
- Hematology
- Infectious Diseases
Background:
- Monocyte trafficking from bone marrow to the brain contributes to central nervous system injury in HIV.
- Cognitive deterioration in HIV patients may be linked to bone marrow changes.
Purpose of the Study:
- To test if mean diffusivity (MD) is sensitive to bone marrow changes in HIV patients.
- To determine if quantitative imaging measurements correlate with dementia severity in HIV.
Main Methods:
- Compared mean diffusivity (MD) in clival and calvarial marrow between 11 HIV patients and 9 controls.
- Evaluated imaging measurements against dementia severity, CD4 counts, and plasma viral load.
Main Results:
- HIV patients showed significantly reduced MD in both clival and calvarial marrow (P =.006).
- Diffusion measurements in clival (P =.02) and calvarial (P =.03) marrow correlated significantly with dementia severity.
Conclusions:
- Diffusion imaging strategies are useful for monitoring bone marrow status.
- Results support a link between bone marrow changes and neurologic progression in HIV patients.
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