Imaging multiple sclerosis pathology at 160 μm isotropic resolution by human whole-brain ex vivo magnetic resonance

Matthias Weigel1,2,3,4, Peter Dechent5, Riccardo Galbusera6,7,8

  • 1Translational Imaging in Neurology (ThINk) Basel, Department of Biomedical Engineering, University Hospital Basel and University of Basel, Gewerbestrasse 14, 4123, Allschwil, Switzerland. matthias.weigel@unibas.ch.

Scientific Reports
|July 30, 2021
PubMed

Insights

Postmortem MRI at 3 Tesla reveals detailed human brain anatomy and multiple sclerosis pathology. This ultra-high-resolution imaging approach offers unprecedented insights into neurological disorders.

Area of Science:

  • Neuroimaging
  • Neuropathology
  • Magnetic Resonance Imaging

Background:

  • Postmortem MRI of fixed human brains offers superior resolution compared to in vivo scans.
  • High-field MRI (7T) is typically required for detailed ex vivo brain imaging, limiting accessibility.
  • Understanding neuroanatomy and pathology in neurological disorders requires high-detail brain imaging.

Purpose of the Study:

  • To develop a 3D isotropic ultra-high-resolution imaging method for whole human brain ex vivo scans using a clinical 3T MRI system.
  • To assess the sensitivity and specificity of this 3T ex vivo MRI approach for detecting multiple sclerosis (MS) pathoanatomical features.

Main Methods:

  • Development of a 3D isotropic ultra-high-resolution imaging protocol for ex vivo whole human brain acquisition.
  • Acquisition of fixed human brain samples using a standard clinical 3T MRI scanner.
  • Image reconstruction and analysis focusing on soft tissue contrast and resolution for pathological features.

Main Results:

  • Achieved unprecedented resolution and soft tissue contrast for ex vivo human brain imaging at 3T.
  • Visualized sub-millimetric lesions in cortical and cerebellar layers, characteristic of multiple sclerosis.
  • Identified unique cortical lesion features, including incomplete/complete iron rims and iron accumulation patterns.

Conclusions:

  • A 3T ex vivo MRI approach enables ultra-high-resolution imaging of the human brain, comparable to higher field strengths.
  • This method effectively visualizes subtle neuropathological features, such as MS lesions and iron deposition patterns.
  • The developed technique provides valuable insights into neuroanatomy and pathology, advancing the study of neurological disorders.