Advanced Diffusion MRI of the Visual System in Glaucoma: From Experimental Animal Models to Humans

Glaucoma is a group of ophthalmologic conditions characterized by progressive retinal ganglion cell death, optic nerve degeneration, and irreversible vision loss. While intraocular pressure is the only clinically modifiable risk factor, glaucoma may continue to progress at controlled intraocular pre...

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Main Authors: Monica Mendoza, Max Shotbolt, Muneeb A. Faiq, Carlos Parra, Kevin C. Chan
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Biology
Subjects:
Online Access:https://www.mdpi.com/2079-7737/11/3/454
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author Monica Mendoza
Max Shotbolt
Muneeb A. Faiq
Carlos Parra
Kevin C. Chan
author_facet Monica Mendoza
Max Shotbolt
Muneeb A. Faiq
Carlos Parra
Kevin C. Chan
author_sort Monica Mendoza
collection DOAJ
description Glaucoma is a group of ophthalmologic conditions characterized by progressive retinal ganglion cell death, optic nerve degeneration, and irreversible vision loss. While intraocular pressure is the only clinically modifiable risk factor, glaucoma may continue to progress at controlled intraocular pressure, indicating other major factors in contributing to the disease mechanisms. Recent studies demonstrated the feasibility of advanced diffusion magnetic resonance imaging (dMRI) in visualizing the microstructural integrity of the visual system, opening new possibilities for non-invasive characterization of glaucomatous brain changes for guiding earlier and targeted intervention besides intraocular pressure lowering. In this review, we discuss dMRI methods currently used in visual system investigations, focusing on the eye, optic nerve, optic tract, subcortical visual brain nuclei, optic radiations, and visual cortex. We evaluate how conventional diffusion tensor imaging, higher-order diffusion kurtosis imaging, and other extended dMRI techniques can assess the neuronal and glial integrity of the visual system in both humans and experimental animal models of glaucoma, among other optic neuropathies or neurodegenerative diseases. We also compare the pros and cons of these methods against other imaging modalities. A growing body of dMRI research indicates that this modality holds promise in characterizing early glaucomatous changes in the visual system, determining the disease severity, and identifying potential neurotherapeutic targets, offering more options to slow glaucoma progression and to reduce the prevalence of this world’s leading cause of irreversible but preventable blindness.
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spelling doaj.art-5533c73e4da2415caac5ff953c7dda122023-11-30T20:52:26ZengMDPI AGBiology2079-77372022-03-0111345410.3390/biology11030454Advanced Diffusion MRI of the Visual System in Glaucoma: From Experimental Animal Models to HumansMonica Mendoza0Max Shotbolt1Muneeb A. Faiq2Carlos Parra3Kevin C. Chan4Department of Biomedical Engineering, Tandon School of Engineering, New York University, New York, NY 11201, USADepartment of Biomedical Engineering, Tandon School of Engineering, New York University, New York, NY 11201, USADepartment of Ophthalmology, NYU Grossman School of Medicine, NYU Langone Health, New York University, New York, NY 10017, USADepartment of Ophthalmology, NYU Grossman School of Medicine, NYU Langone Health, New York University, New York, NY 10017, USADepartment of Biomedical Engineering, Tandon School of Engineering, New York University, New York, NY 11201, USAGlaucoma is a group of ophthalmologic conditions characterized by progressive retinal ganglion cell death, optic nerve degeneration, and irreversible vision loss. While intraocular pressure is the only clinically modifiable risk factor, glaucoma may continue to progress at controlled intraocular pressure, indicating other major factors in contributing to the disease mechanisms. Recent studies demonstrated the feasibility of advanced diffusion magnetic resonance imaging (dMRI) in visualizing the microstructural integrity of the visual system, opening new possibilities for non-invasive characterization of glaucomatous brain changes for guiding earlier and targeted intervention besides intraocular pressure lowering. In this review, we discuss dMRI methods currently used in visual system investigations, focusing on the eye, optic nerve, optic tract, subcortical visual brain nuclei, optic radiations, and visual cortex. We evaluate how conventional diffusion tensor imaging, higher-order diffusion kurtosis imaging, and other extended dMRI techniques can assess the neuronal and glial integrity of the visual system in both humans and experimental animal models of glaucoma, among other optic neuropathies or neurodegenerative diseases. We also compare the pros and cons of these methods against other imaging modalities. A growing body of dMRI research indicates that this modality holds promise in characterizing early glaucomatous changes in the visual system, determining the disease severity, and identifying potential neurotherapeutic targets, offering more options to slow glaucoma progression and to reduce the prevalence of this world’s leading cause of irreversible but preventable blindness.https://www.mdpi.com/2079-7737/11/3/454glaucomadiffusionmagnetic resonance imagingvisual pathwayeyeoptic nerve
spellingShingle Monica Mendoza
Max Shotbolt
Muneeb A. Faiq
Carlos Parra
Kevin C. Chan
Advanced Diffusion MRI of the Visual System in Glaucoma: From Experimental Animal Models to Humans
Biology
glaucoma
diffusion
magnetic resonance imaging
visual pathway
eye
optic nerve
title Advanced Diffusion MRI of the Visual System in Glaucoma: From Experimental Animal Models to Humans
title_full Advanced Diffusion MRI of the Visual System in Glaucoma: From Experimental Animal Models to Humans
title_fullStr Advanced Diffusion MRI of the Visual System in Glaucoma: From Experimental Animal Models to Humans
title_full_unstemmed Advanced Diffusion MRI of the Visual System in Glaucoma: From Experimental Animal Models to Humans
title_short Advanced Diffusion MRI of the Visual System in Glaucoma: From Experimental Animal Models to Humans
title_sort advanced diffusion mri of the visual system in glaucoma from experimental animal models to humans
topic glaucoma
diffusion
magnetic resonance imaging
visual pathway
eye
optic nerve
url https://www.mdpi.com/2079-7737/11/3/454
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