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Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
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Hemoglobin and mean platelet volume predicts diffuse T1-MRI white matter volume decrease in sickle cell disease

Soyoung Choi1, Adam M Bush2, Matthew T Borzage3

  • 1Neuroscience Graduate Program, University of Southern California, 3641 Watt Way, HNB 120, Los Angeles, CA 90089-2520, USA; Signal and Image Processing Institution, University of Southern California, 3740 McClintock Avenue, EEB 400, Los Angeles, CA 90089-2560, USA; Department of Pediatrics and Radiology, Children's Hospital Los Angeles USC, 4650 Sunset Blvd., MS #81, Los Angeles, CA 90027, USA.

Neuroimage. Clinical
|May 26, 2017
PubMed
Summary
This summary is machine-generated.

Sickle cell disease (SCD) causes significant white matter volume reduction in young adults. Lower brain white matter in SCD patients is linked to hemoglobin levels and mean platelet volume, suggesting microvascular damage.

Keywords:
ACA, anterior cerebral arteryGM, grey matterHemoglobinHgB, hemoglobinMCA, middle cerebral arteryMPV, mean platelet volumeMRI, magnetic resonance imagingMean platelet volumePCA, posterior cerebral arteryROI, region of interestSCD, sickle cell diseaseSickle cell diseaseStructural MRIWM, white matterWMHI, white matter hyperintensitiesWhite matter

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Area of Science:

  • Neurology
  • Radiology
  • Genetics

Background:

  • Sickle cell disease (SCD) is a genetic disorder causing chronic vascular complications and neurological damage.
  • Limited research quantifies SCD's impact on brain morphometry, especially in older patients.

Purpose of the Study:

  • To quantify global and regional brain volumes in adolescent and young adult SCD patients.
  • To differentiate SCD-related brain changes from normal maturation.
  • To identify factors associated with brain morphometry in SCD.

Main Methods:

  • T1-weighted MRI scans were acquired from 33 SCD patients and 32 controls.
  • Brain volumes were compared, correcting for age and sex.
  • Multivariate analysis identified predictors of white matter volume.

Main Results:

  • SCD patients showed significantly lower white matter volume (8.1% right, 6.8% left hemisphere) compared to controls.
  • Hemoglobin, sex, and mean platelet volume were significant predictors of white matter volume.
  • Reduced white matter volume was observed in anterior and middle cerebral artery territories, particularly frontal, parietal, and temporal lobes.

Conclusions:

  • SCD is associated with diffuse white matter abnormalities, especially in younger brain regions.
  • Chronic microvascular insufficiency and hypoxia are likely mechanisms.
  • Longitudinal studies are needed to further elucidate SCD's brain pathophysiology.