2019
DOI: 10.1002/hbm.24510
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Quantitative neuroimaging measures of myelin in the healthy brain and in multiple sclerosis

Abstract: Quantitative magnetic resonance imaging (MRI) techniques have been developed as imaging biomarkers, aiming to improve the specificity of MRI to underlying pathology compared to conventional weighted MRI. For assessing the integrity of white matter (WM), myelin, in particular, several techniques have been proposed and investigated individually. However, comparisons between these methods are lacking. In this study, we compared four established myelin‐sensitive MRI techniques in 56 patients with relapsing–remitti… Show more

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Cited by 58 publications
(70 citation statements)
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“…MT saturation is one of several MRI metrics commonly used to index myelin, including estimations of the myelin water fraction (MWF) (e.g., derived from multicomponent T1 and T2 relaxometry, Deoni, Rutt, Arun, Pierpaoli, & Jones, ), T1w/T2w ratio, or the longitudinal relaxation rate R1. While there is evidence for substantial correlations with histological measures of myelin for MT (Schmierer et al, ), MWF (Laule et al, ) and R1 (Stueber et al, ), imperfect correlations between these metrics suggest that each may be differentially sensitive to distinct aspects of tissue microstructure (Geeraert et al, ; Hagiwara et al, ; O'Muircheartaigh et al, ). Quantitative, or semi‐quantitative, MT related metrics are suggested as more robust measures of myelin compared to MWF (Dula, Gochberg, Valentine, Valentine, & Does, ) and T1w/T2w ratio (Hagiwara et al, ), as well as more specific to myelin compared to R1 and R2* (Callaghan et al, ), which show additional sensitivity to iron content.…”
Section: Discussionmentioning
confidence: 99%
“…MT saturation is one of several MRI metrics commonly used to index myelin, including estimations of the myelin water fraction (MWF) (e.g., derived from multicomponent T1 and T2 relaxometry, Deoni, Rutt, Arun, Pierpaoli, & Jones, ), T1w/T2w ratio, or the longitudinal relaxation rate R1. While there is evidence for substantial correlations with histological measures of myelin for MT (Schmierer et al, ), MWF (Laule et al, ) and R1 (Stueber et al, ), imperfect correlations between these metrics suggest that each may be differentially sensitive to distinct aspects of tissue microstructure (Geeraert et al, ; Hagiwara et al, ; O'Muircheartaigh et al, ). Quantitative, or semi‐quantitative, MT related metrics are suggested as more robust measures of myelin compared to MWF (Dula, Gochberg, Valentine, Valentine, & Does, ) and T1w/T2w ratio (Hagiwara et al, ), as well as more specific to myelin compared to R1 and R2* (Callaghan et al, ), which show additional sensitivity to iron content.…”
Section: Discussionmentioning
confidence: 99%
“…A strong correlation between the MWF and independent measures of myelin has been demonstrated in various post-mortem studies (8)(9)(10). Over the past two decades, myelin water imaging (MWI) has been applied to mild traumatic brain injury (11), aging (12), spinal cord injury (13), neonates (14), and multiple sclerosis (15)(16)(17)(18), among others. The human brain's white matter is highly anisotropic.…”
Section: Introductionmentioning
confidence: 99%
“…In the theory section we propose a framework that relates MRI measurements of averages 74 of microstructure features to single axon conduction models, in order to predict white 75 matter conduction in vivo. For this purpose, we first identify a relevant axon model, and 76 the essential parameters in the model (section 2.1). Then, we describe the available qMRI 77 parameters that can be used to estimate those model parameters (section 2.2).…”
Section: Theorypredicting Conduction Latencies 73mentioning
confidence: 99%
“…Therefore, some of these methods require calibration, and/or may provide a poor estimate 168 of MVF in tissue that is not healthy white matter tissue (63,70,76). The myelin water 169 fraction is arguably the only specific MVF MRI measurement (67), yet it is currently hard 170 to measure in clinical scanners which often comes with a reduced signal to noise ratio 171 (SNR).…”
Section: Diffusion and Axon Properties 137mentioning
confidence: 99%