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15:00 4325. Abnormal Iron Content in Deep Grey Matter Structures of MS Patients as a<br />

Function of Age<br />

Charbel Abdo Habib 1 , James Garbern, 1,2 , Manju Liu 1 , Ewart Mark Haacke 1<br />

1 Radiology, Wayne State University, Detroit, MI, United States; 2 Neurology, Wayne State University, Detroit,<br />

MI, United States<br />

Multiple sclerosis (MS) is a disease whose etiology until recently has remained a mystery. A possible explanation for MS has been put<br />

forward by Zamboni et al that it is caused by a chronic cerebrospinal venous insufficiency (CCSVI). In this abstract, we show that the<br />

iron deposition seen by susceptibility weighted imaging (SWI) in MS patients is abnormal compared to normal controls and appears in<br />

areas drained by the medial venous drainage system. This finding is consistent with the CCSVI hypothesis.<br />

Multiple Sclerosis II<br />

Hall B Monday 14:00-16:00 Computer 77<br />

14:00 4326. Deep Gray Matter Atrophy in a Large Sample of Clinically Isolated Syndrome and<br />

Early Relapsing-Remitting Multiple Sclerosis Patients<br />

Niels Bergsland 1 , Michael G. Dwyer 1 , Dana Horakova 2 , Ondrej Dolezal 1 , Zdenek Seidl 3 ,<br />

Manuela Vaneckova 3 , Eva Havrdova 2 , Robert Zivadinov 4<br />

1 University at Buffalo, Buffalo Neuroimaging Analysis Center, Buffalo, NY, United States; 2 Charles<br />

University, Department of Neurology, Prague, Czech Republic; 3 Charles University, Department of Radiology,<br />

Prague, Czech Republic; 4 Neurology, Buffalo Neuroimaging Analysis Center, Buffalo , NY , United States<br />

To quantify deep gray matter (DGM) atrophy in a large sample of clinically isolated syndrome (CIS) patients, early relapsingremitting<br />

(RR) multiple sclerosis (MS) patients, and healthy controls (HC). To investigate the relationship between DGM atrophy and<br />

disability in CIS patients.<br />

14:30 4327. Exploring the Relations Between Emotional Disability and Subcortical Atrophy in<br />

Patients with Multiple Sclerosis<br />

Francesca Bagnato 1 , Clelia Pellicano 1 , Fredric Cantor 1 , Antonio Gallo 1 , Sungyoung<br />

Auh 2 , Mary Ehrmantraut 1 , Iordanis Evangelou 1 , Vasiliki Ikonomidou 1 , Robert Kane 3 ,<br />

Joan Ohayon 1 , Susan Stern 1 , Henry McFarland 1<br />

1 NIB-NINDS-NIH, Bethesda, MD, United States; 2 Clinical Director Office-NINDS-NIH, Bethesda, MD,<br />

United States; 3 VA, Baltimore<br />

Pathophysiological mechanisms underlying the development of depression in patients with multiple sclerosis (MS) remain unknown.<br />

We here demonstrate that atrophy of deep grey matter (GM) structures of the limbic circuit, such as thalamus and hippocampus, may<br />

explain up to 30% of the variance of depression in MS. The relation between depression and GM atrophy holds significant when the<br />

effect of patients’ physical disability is taken into account. The results highlight the role of neurodegeneration in specific brain sites as<br />

an important factor associated with depression in MS patients.<br />

15:00 4328. A Five-Year Serial Longitudinal Study of Deep Gray Matter Atrophy in Patients<br />

with Multiple Sclerosis<br />

Robert Zivadinov 1 , Dana Horakova 2 , Michael G. Dwyer 3 , Deepa Ramasamy 3 , Eva<br />

Havrdova 2 , Zdenek Seidl 4 , Ondrej Dolezal 3 , Sara Hussein 3 , Ellen Carl 3 , Manuela<br />

Vaneckova 4 , Niels Bergsland 3<br />

1 Neurology, Buffalo Neuroimaging Analysis Center, Buffalo , NY , United States; 2 Charles University,<br />

Department of Neurology, Prague, Czech Republic; 3 University at Buffalo, Buffalo Neuroimaging Analysis<br />

Center, Buffalo, NY, United States; 4 Charles University, Department of Radiology, Prague, Czech Republic<br />

To compare the evolution of deep gray matter (DGM) atrophy in early relapsing-remitting (RR) multiple sclerosis (MS) patients and<br />

in normal controls (NC) over 2 years. To investigate the extent of DGM atrophy progression in MS patients over 5 years.<br />

15:30 4329. Relation Between Thalamic Atrophy and Long-Term Disability Progression in<br />

Multiple Sclerosis: A 8-Year Follow Up Study<br />

Maria A. Rocca 1 , Sarlota Mesaros 1 , Elisabetta Pagani 1 , Maria Pia Sormani 1,2 , Vittorio<br />

Martinelli 3 , Giancarlo Comi 3 , Massimo Filippi 1<br />

1 Neuroimaging Research Unit, Institute of Experimental Neurology, Division of Neuroscience, Scientific<br />

Institute and University Hospital San Raffaele, Milan, Italy; 2 Unit of Biostatistics, DISSAL, University of<br />

Genoa, Genoa, Italy; 3 Department of Neurology, Scientific Institute and University Hospital San Raffaele,<br />

Milan, Italy<br />

We assessed the value of thalamic damage (in terms of atrophy and magnetization transfer ratio-MTR), taken in isolation, and its<br />

short-term changes in predicting accumulation of disability over an 8-year period in 73 patients with relapse-onset multiple sclerosis<br />

(MS). At the end of follow up, 44 patients (60%) showed a significant disability worsening. A multivariable model included baseline<br />

thalamic fraction [p=0.01, odds ratio (OR)=0.62], and average lesion MTR percentage change after 12 months (p=0.04, OR=0.90) as

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