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Published on: April 14, 2014
Visualization of perivascular spaces in Alzheimer's disease using 5.0 T MRI: A preliminary study
Lijun Dong1,2, Chang Liu1, Xinyi Lv3
1Department of Radiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China.
Abstract:
BackgroundPerivascular spaces (PVS) have been associated with neurodegenerative diseases such as Alzheimer's disease (AD); however, the added value of 5.0 T magnetic resonance imaging (MRI) for PVS visualization in AD remains unclear.ObjectiveThis study aimed to investigate the utility of 5.0 T MRI for PVS in AD patients and healthy controls (HCs).MethodsA total of 186 participants were enrolled, including 62 AD patients and 124 age- and sex-matched HCs. All AD patients underwent paired 3.0 T and 5.0 T MRI scans on the same day, while 62 HCs underwent only 3.0 T MRI and 62 HCs underwent only 5.0 T MRI. Axial T2-weighted imaging was used for PVS assessment. Evaluations included qualitative and quantitative analysis in the basal ganglia (BG) and centrum semiovale (CSO).ResultsIn AD patients, 5.0 T MRI demonstrated significantly higher PVS image quality scores and severity scores in the BG and CSO than 3.0 T MRI (p < 0.05). Quantitatively, 5.0 T MRI detected a greater PVS burden, evidenced by increased number, larger volume, longer length, and higher curvature of PVS in the bilateral BG (p < 0.001), and increased number and volume of PVS in the bilateral CSO (p < 0.05) compared to 3.0 T MRI. Furthermore, when compared to HCs using 5.0 T MRI, AD patients exhibited higher PVS severity scores and greater PVS burden in most regions than HCs (p < 0.05).Conclusions5.0 T high-resolution images provide superior image quality for PVS visualization and reveal more detailed morphological information of PVS in AD patients compared to 3.0 T MRI.
Insights
High-resolution 5.0 Tesla MRI significantly improves visualization of perivascular spaces (PVS) in Alzheimer
Area of Science:
- Neuroimaging
- Neurology
- Radiology
Background:
- Perivascular spaces (PVS) are implicated in neurodegenerative diseases like Alzheimer's disease (AD).
- The diagnostic value of 5.0 Tesla (T) magnetic resonance imaging (MRI) for visualizing PVS in AD is not well-established.
- Understanding PVS in AD is crucial for disease progression and therapeutic strategies.
Purpose of the Study:
- To evaluate the utility of 5.0 T MRI for assessing PVS in Alzheimer's disease patients.
- To compare PVS visualization and quantification using 5.0 T MRI versus 3.0 T MRI.
- To investigate differences in PVS characteristics between AD patients and healthy controls (HCs) using 5.0 T MRI.
Main Methods:
- 186 participants (62 AD patients, 124 HCs) underwent MRI scans.
- AD patients received paired 3.0 T and 5.0 T MRI scans; HCs received either 3.0 T or 5.0 T scans.
- Axial T2-weighted imaging was used for qualitative and quantitative PVS assessment in basal ganglia (BG) and centrum semiovale (CSO).
Main Results:
- 5.0 T MRI showed significantly higher PVS image quality and severity scores in AD patients compared to 3.0 T MRI.
- Quantitatively, 5.0 T MRI revealed a greater PVS burden (number, volume, length, curvature) in AD patients' BG and CSO.
- AD patients exhibited higher PVS severity and burden compared to HCs when assessed with 5.0 T MRI.
Conclusions:
- 5.0 T high-resolution MRI offers superior image quality for PVS visualization in Alzheimer's disease.
- This advanced imaging technique provides more detailed morphological information of PVS in AD patients.
- 5.0 T MRI enhances the detection and characterization of PVS abnormalities associated with Alzheimer's disease.
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