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Diffusion Tensor Magnetic Resonance Imaging in the Analysis of Neurodegenerative Diseases
Published on: July 28, 2013
Diffusion tensor imaging detects rarefaction of optic radiation in glaucoma patients
Tobias Engelhorn1, Georg Michelson, Simone Waerntges
1Department of Neuroradiology, University Erlangen-Nuremberg, Germany. tobias.engelhorn@uk-erlangen.de
Academic Radiology
|March 8, 2011
Summary
Diffusion tensor imaging (DTI) reveals optic radiation rarefaction in glaucoma patients, correlating with optic nerve damage. This technique assesses pathological changes in vivo, aiding glaucoma diagnosis.
Area of Science:
- Neuroimaging
- Ophthalmology
- Medical Physics
Background:
- Glaucoma is characterized by optic nerve damage.
- Optic radiation fibers can undergo rarefaction.
- Diffusion tensor imaging (DTI) is a neuroimaging technique capable of visualizing white matter tracts.
Purpose of the Study:
- To assess pathological changes in the optic radiation of glaucoma patients using DTI.
- To correlate DTI findings with ophthalmological examinations.
Main Methods:
- Fifty glaucoma patients and 50 healthy controls underwent 3T MRI.
- Fiber tracts were analyzed for rarefaction using volume rendering.
- Results were correlated with optic nerve atrophy and retinal contrast sensitivity.
Main Results:
- 44% of glaucoma patients showed significant optic radiation rarefaction (reduced volume to 67%).
- Rarefaction correlated with the stage of optic nerve atrophy (Kendall tau-b 0.272, P = .016).
- Cerebral microangiopathy affecting the optic radiation was more prevalent in glaucoma patients (P < .05).
Conclusions:
- Glaucomatous optic nerve atrophy involves anterograde and retrograde transneuronal rarefaction of the optic radiation.
- DTI can assess these in vivo changes.
- DTI findings correlate well with established ophthalmological examinations.
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