Multimodal Quantitative MRI Reveals No Evidence for Tissue Pathology in Idiopathic Cervical Dystonia

Background: While in symptomatic forms of dystonia cerebral pathology is by definition present, it is unclear so far whether disease is associated with microstructural cerebral changes in idiopathic dystonia. Previous quantitative MRI (qMRI) studies assessing cerebral tissue composition in idiopathi...

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Main Authors: René-Maxime Gracien, Franca Petrov, Pavel Hok, Alexandra van Wijnen, Michelle Maiworm, Alexander Seiler, Ralf Deichmann, Simon Baudrexel
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2019.00914/full
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author René-Maxime Gracien
René-Maxime Gracien
Franca Petrov
Franca Petrov
Pavel Hok
Pavel Hok
Alexandra van Wijnen
Alexandra van Wijnen
Michelle Maiworm
Michelle Maiworm
Alexander Seiler
Alexander Seiler
Ralf Deichmann
Simon Baudrexel
Simon Baudrexel
author_facet René-Maxime Gracien
René-Maxime Gracien
Franca Petrov
Franca Petrov
Pavel Hok
Pavel Hok
Alexandra van Wijnen
Alexandra van Wijnen
Michelle Maiworm
Michelle Maiworm
Alexander Seiler
Alexander Seiler
Ralf Deichmann
Simon Baudrexel
Simon Baudrexel
author_sort René-Maxime Gracien
collection DOAJ
description Background: While in symptomatic forms of dystonia cerebral pathology is by definition present, it is unclear so far whether disease is associated with microstructural cerebral changes in idiopathic dystonia. Previous quantitative MRI (qMRI) studies assessing cerebral tissue composition in idiopathic dystonia revealed conflicting results.Objective: Using multimodal qMRI, the presented study aimed to investigate alterations in different cerebral microstructural compartments associated with idiopathic cervical dystonia in vivo.Methods: Mapping of T1, T2, T2*, and proton density (PD) was performed in 17 patients with idiopathic cervical dystonia and 29 matched healthy control subjects. Statistical comparisons of the parametric maps between groups were conducted for various regions of interest (ROI), including major basal ganglia nuclei, the thalamus, white matter, and the cerebellum, and voxel-wise for the whole brain.Results: Neither whole brain voxel-wise statistics nor ROI-based analyses revealed significant group differences for any qMRI parameter under investigation.Conclusions: The negative findings of this qMRI study argue against the presence of overt microstructural tissue change in patients with idiopathic cervical dystonia. The results seem to support a common view that idiopathic cervical dystonia might primarily resemble a functional network disease.
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spelling doaj.art-f025c139d436410f9411a9bbdf550d272022-12-21T22:22:08ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-08-011010.3389/fneur.2019.00914468899Multimodal Quantitative MRI Reveals No Evidence for Tissue Pathology in Idiopathic Cervical DystoniaRené-Maxime Gracien0René-Maxime Gracien1Franca Petrov2Franca Petrov3Pavel Hok4Pavel Hok5Alexandra van Wijnen6Alexandra van Wijnen7Michelle Maiworm8Michelle Maiworm9Alexander Seiler10Alexander Seiler11Ralf Deichmann12Simon Baudrexel13Simon Baudrexel14Department of Neurology, Goethe University, Frankfurt, GermanyBrain Imaging Center, Goethe University, Frankfurt, GermanyDepartment of Neurology, Goethe University, Frankfurt, GermanyBrain Imaging Center, Goethe University, Frankfurt, GermanyDepartment of Neurology, Goethe University, Frankfurt, GermanyDepartment of Neurology, Palacký University Olomouc and University Hospital Olomouc, Olomouc, CzechiaDepartment of Neurology, Goethe University, Frankfurt, GermanyBrain Imaging Center, Goethe University, Frankfurt, GermanyDepartment of Neurology, Goethe University, Frankfurt, GermanyBrain Imaging Center, Goethe University, Frankfurt, GermanyDepartment of Neurology, Goethe University, Frankfurt, GermanyBrain Imaging Center, Goethe University, Frankfurt, GermanyBrain Imaging Center, Goethe University, Frankfurt, GermanyDepartment of Neurology, Goethe University, Frankfurt, GermanyBrain Imaging Center, Goethe University, Frankfurt, GermanyBackground: While in symptomatic forms of dystonia cerebral pathology is by definition present, it is unclear so far whether disease is associated with microstructural cerebral changes in idiopathic dystonia. Previous quantitative MRI (qMRI) studies assessing cerebral tissue composition in idiopathic dystonia revealed conflicting results.Objective: Using multimodal qMRI, the presented study aimed to investigate alterations in different cerebral microstructural compartments associated with idiopathic cervical dystonia in vivo.Methods: Mapping of T1, T2, T2*, and proton density (PD) was performed in 17 patients with idiopathic cervical dystonia and 29 matched healthy control subjects. Statistical comparisons of the parametric maps between groups were conducted for various regions of interest (ROI), including major basal ganglia nuclei, the thalamus, white matter, and the cerebellum, and voxel-wise for the whole brain.Results: Neither whole brain voxel-wise statistics nor ROI-based analyses revealed significant group differences for any qMRI parameter under investigation.Conclusions: The negative findings of this qMRI study argue against the presence of overt microstructural tissue change in patients with idiopathic cervical dystonia. The results seem to support a common view that idiopathic cervical dystonia might primarily resemble a functional network disease.https://www.frontiersin.org/article/10.3389/fneur.2019.00914/fullidiopathic dystoniaquantitative MRIrelaxometryproton densitymovement disorders
spellingShingle René-Maxime Gracien
René-Maxime Gracien
Franca Petrov
Franca Petrov
Pavel Hok
Pavel Hok
Alexandra van Wijnen
Alexandra van Wijnen
Michelle Maiworm
Michelle Maiworm
Alexander Seiler
Alexander Seiler
Ralf Deichmann
Simon Baudrexel
Simon Baudrexel
Multimodal Quantitative MRI Reveals No Evidence for Tissue Pathology in Idiopathic Cervical Dystonia
Frontiers in Neurology
idiopathic dystonia
quantitative MRI
relaxometry
proton density
movement disorders
title Multimodal Quantitative MRI Reveals No Evidence for Tissue Pathology in Idiopathic Cervical Dystonia
title_full Multimodal Quantitative MRI Reveals No Evidence for Tissue Pathology in Idiopathic Cervical Dystonia
title_fullStr Multimodal Quantitative MRI Reveals No Evidence for Tissue Pathology in Idiopathic Cervical Dystonia
title_full_unstemmed Multimodal Quantitative MRI Reveals No Evidence for Tissue Pathology in Idiopathic Cervical Dystonia
title_short Multimodal Quantitative MRI Reveals No Evidence for Tissue Pathology in Idiopathic Cervical Dystonia
title_sort multimodal quantitative mri reveals no evidence for tissue pathology in idiopathic cervical dystonia
topic idiopathic dystonia
quantitative MRI
relaxometry
proton density
movement disorders
url https://www.frontiersin.org/article/10.3389/fneur.2019.00914/full
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