Quantitative FLAIR MRI in amyotrophic lateral sclerosis

<strong>Rationale and Objectives</strong> T2-weighted MRI hyperintensity assessed visually in the corticospinal tract (CST) lacks sensitivity for a diagnosis of amyotrophic lateral sclerosis (ALS). We sought to explore a quantitative approach to FLAIR MRI intensity across a range of ALS...

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Հիմնական հեղինակներ: Fabes, J, Matthews, L, Filippini, N, Talbot, K, Jenkinson, M, Turner, M
Ձևաչափ: Journal article
Հրապարակվել է: Elsevier 2017
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author Fabes, J
Matthews, L
Filippini, N
Talbot, K
Jenkinson, M
Turner, M
author_facet Fabes, J
Matthews, L
Filippini, N
Talbot, K
Jenkinson, M
Turner, M
author_sort Fabes, J
collection OXFORD
description <strong>Rationale and Objectives</strong> T2-weighted MRI hyperintensity assessed visually in the corticospinal tract (CST) lacks sensitivity for a diagnosis of amyotrophic lateral sclerosis (ALS). We sought to explore a quantitative approach to FLAIR MRI intensity across a range of ALS phenotypes. <strong>Materials &amp; Methods</strong> Thirty three classical ALS patients, 10 with a flail arm presentation, and 6 with primary lateral sclerosis underwent MRI at 3 Tesla. Comparisons of quantitative FLAIR intensity in the corticospinal tract (CST) and corpus callosum were made between 21 healthy controls and within patient phenotypic sub-groups, some of who were studied longitudinally. <strong>Results</strong> Mean FLAIR intensity was greater in patient groups. The cerebral peduncle intensity provided the strongest sub-group classification. FLAIR intensity increased longitudinally. The rate of change of FLAIR within CST correlated with rate of decline in executive function and ALS Functional Rating Score. <strong>Conclusion</strong> FLAIR MRI encodes quantifiable information of potential diagnostic, stratification and monitoring value.
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spelling oxford-uuid:17bdb15b-f1aa-4f51-8100-ed7aac25a5932022-03-26T10:39:19ZQuantitative FLAIR MRI in amyotrophic lateral sclerosisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:17bdb15b-f1aa-4f51-8100-ed7aac25a593Symplectic Elements at OxfordElsevier2017Fabes, JMatthews, LFilippini, NTalbot, KJenkinson, MTurner, M<strong>Rationale and Objectives</strong> T2-weighted MRI hyperintensity assessed visually in the corticospinal tract (CST) lacks sensitivity for a diagnosis of amyotrophic lateral sclerosis (ALS). We sought to explore a quantitative approach to FLAIR MRI intensity across a range of ALS phenotypes. <strong>Materials &amp; Methods</strong> Thirty three classical ALS patients, 10 with a flail arm presentation, and 6 with primary lateral sclerosis underwent MRI at 3 Tesla. Comparisons of quantitative FLAIR intensity in the corticospinal tract (CST) and corpus callosum were made between 21 healthy controls and within patient phenotypic sub-groups, some of who were studied longitudinally. <strong>Results</strong> Mean FLAIR intensity was greater in patient groups. The cerebral peduncle intensity provided the strongest sub-group classification. FLAIR intensity increased longitudinally. The rate of change of FLAIR within CST correlated with rate of decline in executive function and ALS Functional Rating Score. <strong>Conclusion</strong> FLAIR MRI encodes quantifiable information of potential diagnostic, stratification and monitoring value.
spellingShingle Fabes, J
Matthews, L
Filippini, N
Talbot, K
Jenkinson, M
Turner, M
Quantitative FLAIR MRI in amyotrophic lateral sclerosis
title Quantitative FLAIR MRI in amyotrophic lateral sclerosis
title_full Quantitative FLAIR MRI in amyotrophic lateral sclerosis
title_fullStr Quantitative FLAIR MRI in amyotrophic lateral sclerosis
title_full_unstemmed Quantitative FLAIR MRI in amyotrophic lateral sclerosis
title_short Quantitative FLAIR MRI in amyotrophic lateral sclerosis
title_sort quantitative flair mri in amyotrophic lateral sclerosis
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AT matthewsl quantitativeflairmriinamyotrophiclateralsclerosis
AT filippinin quantitativeflairmriinamyotrophiclateralsclerosis
AT talbotk quantitativeflairmriinamyotrophiclateralsclerosis
AT jenkinsonm quantitativeflairmriinamyotrophiclateralsclerosis
AT turnerm quantitativeflairmriinamyotrophiclateralsclerosis