Bone marrow diffusion measures correlate with dementia severity in HIV patients

A B Ragin1, Y Wu, P Storey

  • 1Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill, USA.

Abstract

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.