Diffusion Tensor Imaging in Radiation-Induced Myelopathy

Miloš Keřkovský1, Jana Zitterbartová2, Luděk Pour3

  • 1University Hospital Brno and Masaryk University, Department of Radiology, Central European Institute of Technology, Multimodal and Functional Imaging Laboratory.

Insights

Radiation myelopathy (RM) is a rare spinal cord complication. Diffusion tensor imaging revealed restricted diffusion in delayed RM, supporting ischemic changes as the cause.

Area of Science:

  • Neurology
  • Radiology
  • Oncology

Background:

  • Radiation myelopathy (RM) is a rare but serious complication following spinal cord irradiation.
  • Diagnosis often relies on radiotherapy history, lab tests, and conventional MRI, which can be unspecific.

Observation:

  • This study details diffusion tensor imaging (DTI) findings in a patient with delayed-onset RM.
  • Specific areas of restricted diffusion were identified within the spinal cord.

Findings:

  • The observed restricted diffusion on DTI likely represents ischemic changes within the spinal cord.
  • These findings align with the established pathogenetic theory of radiation myelopathy.

Implications:

  • DTI may offer improved diagnostic capabilities for detecting early ischemic changes in radiation myelopathy.
  • This technique could enhance the understanding and management of post-radiation spinal cord injury.