T2 relaxometry in the central nervous system of solvent misusers

The purpose of this study was to investigate T2 changes in the central nervous system of solvent misusers and to validate a classification of white matter changes (restricted, intermediate and diffuse) proposed in our previous study by visual inspection of magnetic resonance images. T2 values were calculated from the intensity measurements at nine regions in the brain of eight solvent misusers, six of whom showed white matter changes on MRI (two patients for each type), compared with age and gender-matched controls. The misusers with white matter changes on MRI showed significantly prolonged T2 in the centrum semiovale (p= 0.002), periventricular white matter (p= 0.016), internal capsule (p= 0.040), and cerebellar white matter surrounding the dentate nucleus (p= 0.001) and shortened T2 in the thalamus (p= 0.025) compared to controls by ANOVA with post hoc comparison of Scheffe. In addition, each type of white matter changes showed different distribution of T2 changes corresponding to the findings from visual inspection. These results confirmed T2 prolongation in the white matter with T2 shortening in the thalamus of solvent misusers with white matter changes, and provided further support for our classification of white matter changes.