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      T1-/T2-weighted ratio differs in demyelinated cortex in multiple sclerosis.

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          Abstract

          Detecting cortical demyelination in patients with multiple sclerosis (MS) is difficult. Using magnetic resonance imaging (MRI), ratio maps of T1-weighted (T1w) and T2-weighted (T2w) images may be sensitive to cortical myelin levels. In this MRI-histological study, postmortem in situ scans were acquired from 6 cadavers with MS on a 3T MRI machine. Immunocytochemistry was used to correlate myelin status and cortical T1w/T2w measures. The results showed that the T1w/T2w values significantly differed between demyelinated and myelinated cortex (p < 0.001). The T1w/T2w ratio maps may be a relatively simple, clinically feasible method to assess cortical demyelination. Ann Neurol 2017;82:635-639.

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          Author and article information

          Journal
          Ann. Neurol.
          Annals of neurology
          Wiley
          1531-8249
          0364-5134
          Oct 2017
          : 82
          : 4
          Affiliations
          [1 ] Department of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic.
          [2 ] Department of Neuroscience, Lerner Research Institute, Cleveland Clinic.
          [3 ] Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic, Cleveland, OH.
          Article
          10.1002/ana.25019
          28833377
          7a089d50-66ac-4c56-a7d1-11d80fc1a885
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