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Poster Sessions<br />

2090. Absolute Quantification of Myelin Related Volume in the Brain<br />

J. B.M. Warntjes 1 , J. West 1,2 , A. M. Landtblom 1,3 , P. Lundberg 2<br />

1 Center for Medical Imaging Science and Visualization (CMIV), Linköping, Sweden; 2 Department of Medicine and Health, Division<br />

of radiation physics, Linköping, Sweden; 3 Department of Clinical Neuroscience, Linköping, Sweden<br />

A method is described to measure the myelin related volume fraction for each voxel for a complete brain within a scan time of 5 to 6 minutes, based on<br />

absolute quantification of the relaxation rates R1 and R2 and proton density. The absolute decrease of visible PD with a simultaneous increase of R1 and R2<br />

corresponds to an increase of myelin. Myelin related volume is correlated with Fractional Anisotropy maps and conventional T1W, T2W and FLAIR<br />

images. Repeated measurements show a standard deviation of 1-2% in myelin volume for the whole brain.<br />

2091. Changes in Multiple Sclerosis Over 6 Months as Seen with T2 Relaxation and Diffusion Histograms<br />

Irene Margaret Vavasour 1 , Shannon Heather Kolind 2 , Cornelia Laule 1 , Burkhard Maedler 3 , David K.B.<br />

Li 1 , Anthony L. Traboulsee 4 , Alex L. MacKay 1,3<br />

1 Radiology, University of British Columbia, Vancouver, BC, Canada; 2 FMRIB Centre, University of Oxford, Oxford, United<br />

Kingdom; 3 Physics and Astronomy, University of British Columbia; 4 Medicine, Univeristy of British Columbia<br />

Twelve multiple sclerosis subjects and 12 healthy age and gender matched controls were scanned twice at a 6 month interval to compare histograms derived<br />

from normal white matter (NWM), normal appearing white matter (NAWM) and multiple sclerosis lesions. Myelin water fraction (MWF), geometric mean<br />

T 2 (GMT 2 ), fractional anisotropy, mean diffusivity and the eigenvalues were measured. Mean MWF and GMT 2 histograms did not differ between the two<br />

time points although histograms from NWM, NAWM and lesions were different. Histograms from the diffusion metrics differed slightly between month 0<br />

and 6. T 2 relaxation and diffusion metrics give complementary information about MS tissue.<br />

2092. Myelin Water Fraction Reduction in Multiple Sclerosis Normal Appearing White Matter: Where Are<br />

All the Zeroes?<br />

Cornelia Laule 1,2 , Shannon H. Kolind 3 , Irene M. Vavasour 1 , Burkhard Mädler 2 , Joel Oger 4 , Anthony L.<br />

Traboulsee 4 , Wayne Moore 5 , David KB Li 1 , Alex L. MacKay 1<br />

1 Radiology, University of British Columbia, Vancouver, BC, Canada; 2 Physics & Astronomy, University of British Columbia,<br />

Vancouver, BC, Canada; 3 FMRIB Centre, University of Oxford, Oxford, United Kingdom; 4 Medicine, University of British<br />

Columbia, Vancouver, BC, Canada; 5 Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada<br />

Using T 2 relaxation it is possible to measure myelin water fraction in multiple sclerosis (MS) normal appearing white matter (NAWM). Previous work<br />

employing a region of interest based approach found reduced myelin water fraction (MWF) in MS NAWM relative to normal white matter in controls. Using<br />

an improved 3D T2 relaxation sequence at higher field strength, we also found reduced MWF in MS NAWM which correlated with EDSS. Voxels with<br />

lowest MWF values were not uniformly distributed throughout the NAWM, but rather tended to arise near grey/white matter interfaces in the periphery of<br />

the brain.<br />

2093. Individual Voxel Based Analysis of Brain Magnetization Transfer Maps Evidences High Variability of<br />

Grey Matter Injury in Patients at the First Stage of Multiple Sclerosis<br />

Lorena Jure 1 , Wafaa Zaaraoui 1 , Celia Rousseau 1 , Françoise Reuter 1 , Audrey Rico 1 , Irina Malikova 1 ,<br />

Sylviane Confort-Gouny 1 , Patrick J. Cozzone 1 , Jean Pelletier 1 , Bertrand Audoin 1 , Jean-Philippe Ranjeva 1<br />

1 CRMBM UMR CNRS 6612, Marseille, France<br />

Various MR studies, based on group comparison have demonstrated a common pattern of grey matter (GM) injury in patients since the early stage of<br />

multiple sclerosis (MS). However, little is know about the potential variability of this early GM involvement which may determine the high variability of the<br />

functional prognosis. We propose an optimized method to obtain from statistical mapping analyses applied on MTR data, the GM MTR abnormalities of<br />

subjects at the individual level. Feasibility is demonstrated in early MS patients showing variable individual patterns of GM injury that could explain<br />

heterogeneity of clinical progression for this disease.<br />

2094. Definition of Regional Distribution of Gray Matter Loss in MS Patients with Fatigue: A Voxel-Based<br />

Morphometry Study<br />

Maria A. Rocca 1 , Gianna Riccitelli 1 , Cristina Forn 1 , Bruno Colombo 2 , Giancarlo Comi 2 , Massimo Filippi 1<br />

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

Hospital San Raffaele, Milan, Italy; 2 Department of Neurology, Scientific Institute and University Hospital San Raffaele, Milan, Italy<br />

Using voxel-based morphometry, we defined the topographical distribution of gray matter (GM) atrophy in multiple sclerosis (MS) patients with fatigue.<br />

Compared to healthy volunteers and to MS patients without fatigue, patients with fatigue had reduced GM volume in several areas of the left frontal lobe,<br />

including the middle frontal gyrus (MFG), the precentral gyrus, the superior and inferior frontal gyrus, and the cingulate gyrus. Fatigue severity was<br />

significantly correlated with atrophy of the precentral gyrus, suggesting that structural damage in areas that are part of the sensorimotor network might be<br />

among the mechanisms responsible for the presence of MS-related fatigue.

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