Yan Xie, Shaolong Wu, Houming Su, Yihao Yao, Hongquan Zhu, Yan Zhang, Wenzhen Zhu
{"title":"通过自动纤维量化技术识别多发性硬化症和神经性脊髓炎谱系障碍中白质微观结构的节段性异常","authors":"Yan Xie, Shaolong Wu, Houming Su, Yihao Yao, Hongquan Zhu, Yan Zhang, Wenzhen Zhu","doi":"10.1016/j.msard.2024.106147","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Multiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD) are different in pathogenesis, but both could lead to white matter (WM) microstructural damage. The aim of this study was to explore the differences in the patterns of WM fiber tract damage in relapsing-remitting MS (RRMS) and NMOSD by automated fiber quantification (AFQ).</div></div><div><h3>Materials and Methods</h3><div>Forty-one RRMS patients, 30 NMOSD patients and 30 healthy controls (HC) underwent MRI examination. AFQ was applied to identify and quantify 100 equally spaced nodes of specific WM fiber tracts for each participant. Measurements of fractional anisotropy (FA), mean diffusion (MD), axial diffusivity (AD) and radial diffusivity (RD) for each segment of a specific fiber tract were compared between RRMS, NMOSD and HC.</div></div><div><h3>Results</h3><div>The decrease in FA was found in 7 fiber tracts in entire tract comparison and 9 fiber tracts in pointwise comparison in RRMS patients. However, the FA in left thalamic radiation (TR) and right uncinate fasciculus showed significant differences between RRMS and HC only in the pointwise comparison, but not in the entire tract comparison. The MD, AD and RD of WM fiber tracts in RRMS patients were extensively increased both in the entire level and in the pointwise level. NMOSD patients showed significant FA decrease in left TR and callosum forceps minor (CF_minor), and significant RD increase in CF_minor in the pointwise level. In the pointwise comparison between RRMS and NMOSD, significant FA decrease was found in right inferior fronto-occipital fasciculus and bilateral inferior longitudinal fasciculus in RRMS patients, focal or widespread MD, AD and RD increase was found in multiple fiber tracts.</div></div><div><h3>Conclusion</h3><div>The AFQ approach is a more sensitive way to reflect WM microstructural abnormalities, revealing extensive WM microstructural damage in RRMS and limited WM fiber tract damage in NMOSD.</div></div>","PeriodicalId":18958,"journal":{"name":"Multiple sclerosis and related disorders","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Segmental abnormalities of white matter microstructure in multiple sclerosis and neuromyelitis optica spectrum disorder identified by automated fiber quantification\",\"authors\":\"Yan Xie, Shaolong Wu, Houming Su, Yihao Yao, Hongquan Zhu, Yan Zhang, Wenzhen Zhu\",\"doi\":\"10.1016/j.msard.2024.106147\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Multiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD) are different in pathogenesis, but both could lead to white matter (WM) microstructural damage. The aim of this study was to explore the differences in the patterns of WM fiber tract damage in relapsing-remitting MS (RRMS) and NMOSD by automated fiber quantification (AFQ).</div></div><div><h3>Materials and Methods</h3><div>Forty-one RRMS patients, 30 NMOSD patients and 30 healthy controls (HC) underwent MRI examination. AFQ was applied to identify and quantify 100 equally spaced nodes of specific WM fiber tracts for each participant. Measurements of fractional anisotropy (FA), mean diffusion (MD), axial diffusivity (AD) and radial diffusivity (RD) for each segment of a specific fiber tract were compared between RRMS, NMOSD and HC.</div></div><div><h3>Results</h3><div>The decrease in FA was found in 7 fiber tracts in entire tract comparison and 9 fiber tracts in pointwise comparison in RRMS patients. However, the FA in left thalamic radiation (TR) and right uncinate fasciculus showed significant differences between RRMS and HC only in the pointwise comparison, but not in the entire tract comparison. The MD, AD and RD of WM fiber tracts in RRMS patients were extensively increased both in the entire level and in the pointwise level. NMOSD patients showed significant FA decrease in left TR and callosum forceps minor (CF_minor), and significant RD increase in CF_minor in the pointwise level. In the pointwise comparison between RRMS and NMOSD, significant FA decrease was found in right inferior fronto-occipital fasciculus and bilateral inferior longitudinal fasciculus in RRMS patients, focal or widespread MD, AD and RD increase was found in multiple fiber tracts.</div></div><div><h3>Conclusion</h3><div>The AFQ approach is a more sensitive way to reflect WM microstructural abnormalities, revealing extensive WM microstructural damage in RRMS and limited WM fiber tract damage in NMOSD.</div></div>\",\"PeriodicalId\":18958,\"journal\":{\"name\":\"Multiple sclerosis and related disorders\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2024-10-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Multiple sclerosis and related disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2211034824007235\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Multiple sclerosis and related disorders","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2211034824007235","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Segmental abnormalities of white matter microstructure in multiple sclerosis and neuromyelitis optica spectrum disorder identified by automated fiber quantification
Background
Multiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD) are different in pathogenesis, but both could lead to white matter (WM) microstructural damage. The aim of this study was to explore the differences in the patterns of WM fiber tract damage in relapsing-remitting MS (RRMS) and NMOSD by automated fiber quantification (AFQ).
Materials and Methods
Forty-one RRMS patients, 30 NMOSD patients and 30 healthy controls (HC) underwent MRI examination. AFQ was applied to identify and quantify 100 equally spaced nodes of specific WM fiber tracts for each participant. Measurements of fractional anisotropy (FA), mean diffusion (MD), axial diffusivity (AD) and radial diffusivity (RD) for each segment of a specific fiber tract were compared between RRMS, NMOSD and HC.
Results
The decrease in FA was found in 7 fiber tracts in entire tract comparison and 9 fiber tracts in pointwise comparison in RRMS patients. However, the FA in left thalamic radiation (TR) and right uncinate fasciculus showed significant differences between RRMS and HC only in the pointwise comparison, but not in the entire tract comparison. The MD, AD and RD of WM fiber tracts in RRMS patients were extensively increased both in the entire level and in the pointwise level. NMOSD patients showed significant FA decrease in left TR and callosum forceps minor (CF_minor), and significant RD increase in CF_minor in the pointwise level. In the pointwise comparison between RRMS and NMOSD, significant FA decrease was found in right inferior fronto-occipital fasciculus and bilateral inferior longitudinal fasciculus in RRMS patients, focal or widespread MD, AD and RD increase was found in multiple fiber tracts.
Conclusion
The AFQ approach is a more sensitive way to reflect WM microstructural abnormalities, revealing extensive WM microstructural damage in RRMS and limited WM fiber tract damage in NMOSD.
期刊介绍：
Multiple Sclerosis is an area of ever expanding research and escalating publications. Multiple Sclerosis and Related Disorders is a wide ranging international journal supported by key researchers from all neuroscience domains that focus on MS and associated disease of the central nervous system. The primary aim of this new journal is the rapid publication of high quality original research in the field. Important secondary aims will be timely updates and editorials on important scientific and clinical care advances, controversies in the field, and invited opinion articles from current thought leaders on topical issues. One section of the journal will focus on teaching, written to enhance the practice of community and academic neurologists involved in the care of MS patients. Summaries of key articles written for a lay audience will be provided as an on-line resource.
A team of four chief editors is supported by leading section editors who will commission and appraise original and review articles concerning: clinical neurology, neuroimaging, neuropathology, neuroepidemiology, therapeutics, genetics / transcriptomics, experimental models, neuroimmunology, biomarkers, neuropsychology, neurorehabilitation, measurement scales, teaching, neuroethics and lay communication.
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