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Iron desposition and disability in MS<br />

Robert Zivadinov 1,2 , MD, PhD, Jesper Hagemeier 1 , MS, Mari-Heininen Brown 1 , BA, Guy U. Poloni 1 , PhD, Niels Bergsland 1 , MS,<br />

Christopher R. Magnano 1 , MS, Cheryl Kennedy 1 , LMSW, MPH, Ellen Carl 1 , BA, MS, Michael G. Dwyer 1 , MS, Bianca Weinstock-Guttman 2 , MD<br />

1<br />

Buffalo Neuroimaging Analysis Center, State University of New York, Buffalo, NY, USA;<br />

2<br />

The Jacobs Neurological Institute, Department of Neurology, University at Buffalo, State University of New York, Buffalo, NY, USA<br />

Background<br />

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Results<br />

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Table 4. Backward stepwise regression between<br />

total SDGM variables and clinical outcomes,<br />

when conventional MRI measures are<br />

added to the model<br />

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Abbreviations: EDSS: expanded disability status scale; SDGM:<br />

subcortical deep gray matter; MP-APT: mean phase of the abnormal<br />

phase tissue; LV: lesion volume; NCV: normalized cortical volume;<br />

NWMV: normalized white matter volume<br />

Effect sizes representing the variance explained by the outcome<br />

variables: 1 adjusted R 2 = .328, 2 adjusted R 2 = .326,<br />

Increase in effect size compared to models including only<br />

conventional MRI measures: 1 adjusted R 2 increase = ---,<br />

2<br />

adjusted R 2 increase = .049<br />

The models were adjusted for age and gender<br />

Table 1. Demographic, clinical and conventional MRI characteristics<br />

in MS patients<br />

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RR<br />

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Abbreviations: MS: multiple sclerosis; RR: relapsing-remitting;<br />

SP: secondary progressive; SD: standard deviation<br />

All lesion and brain volumes are expressed in milliliters. Differences between RR and SPMS<br />

groups were tested using the chi-square test, Student’s t-test and the Mann-Whitney U test,<br />

as appropriate<br />

Table 2. Comparison of SDGM MP-APT and volume structures between RR and SPMS patients<br />

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Abbreviations: MP-APT: mean phase of the abnormal phase tissue; SDGM: subcortical deep gray matter;<br />

RR: relapsing-remitting; SP: secondary progressive<br />

MP-APT is expressed in radians. All normalized deep GM volumes are expressed in milliliters.<br />

Differences between groups were assessed using the Mann-Whitney U test<br />

Methods<br />

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Table 3. Backward stepwise regression between<br />

MRI variables and clinical outcomes<br />

Conclusions<br />

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Abbreviations: EDSS: Expanded Disability Status Scale;<br />

SDGM: subcortical deep gray matter; MP-APT: mean phase of the<br />

abnormal phase tissue; LV: lesion volume; NCV: normalized cortical<br />

volume; NWMV: normalized white matter volume<br />

Effect sizes representing the variance explained by the outcome<br />

variables: 1 adjusted R 2 = .329, 2 adjusted R 2 = .304<br />

The models were adjusted for age and gender<br />

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Table 5. Backward stepwise regression between<br />

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Abbreviations: EDSS: Expanded Disability Status Scale;<br />

MP-APT: mean phase of abnormal phase tissue<br />

Effect sizes representing the variance explained by the outcome<br />

variables: 1 adjusted R 2 = .371, 1 adjusted R 2 = .354<br />

The models were adjusted for age and gender<br />

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References<br />

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