Quantifying spinal cord demyelination with magnetic transfer imaging
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MRI plays a critical role in diagnosing and monitoring cerebral changes in demyelinating disorders such as multiple sclerosis (MS) and adrenoleukodystrophy (ALD). Conventional T2-weighted and gadolinium-enhanced MRI have established utility for visualizing inflammatory demyelinating lesions in MS and ALD. However, characterization of subtle changes that escape detection by these modalities requires quantitative MR techniques such as magnetization transfer (MT) imaging. Cerebral MT imaging has a recognized role in demyelinating disease,1 but spinal cord imaging is complicated by the small cord size, interference from surrounding structures, and contamination by CSF pulsation artifacts. Because of these limitations, the potential of MT imaging for evaluation of demyelinating cord lesions remains largely unrealized.
Compared with MS, relatively little is known about the degree of spinal cord involvement in …
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