2021
MR Diffusion Properties of Cervical Spinal Cord as a Predictor of Progression to Multiple Sclerosis in Patients with Clinically Isolated Syndrome
DOSTÁL, Marek, Miloš KEŘKOVSKÝ, Jakub STULÍK, Josef BEDNAŘÍK, Petra PRAKSOVÁ et. al.Základní údaje
Originální název
MR Diffusion Properties of Cervical Spinal Cord as a Predictor of Progression to Multiple Sclerosis in Patients with Clinically Isolated Syndrome
Autoři
DOSTÁL, Marek (203 Česká republika, domácí), Miloš KEŘKOVSKÝ (203 Česká republika, garant, domácí), Jakub STULÍK (203 Česká republika, domácí), Josef BEDNAŘÍK (203 Česká republika, domácí), Petra PRAKSOVÁ (203 Česká republika, domácí), Monika HULOVÁ (203 Česká republika, domácí), Yvonne BENEŠOVÁ (203 Česká republika, domácí), Eva KORIŤÁKOVÁ (203 Česká republika, domácí), Andrea ŠPRLÁKOVÁ-PUKOVÁ (203 Česká republika, domácí) a Marek MECHL (203 Česká republika, domácí)
Vydání
Journal of Neuroimaging, Hoboken, Wiley-Blackwell, 2021, 1051-2284
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30224 Radiology, nuclear medicine and medical imaging
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.324
Kód RIV
RIV/00216224:14110/21:00120081
Organizační jednotka
Lékařská fakulta
UT WoS
000594060100001
Klíčová slova anglicky
clinically isolated syndrome; diffusion tensor imaging; multiple sclerosis; spine
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 2. 2. 2021 14:15, Mgr. Tereza Miškechová
Anotace
V originále
BACKGROUND AND PURPOSE This study's aim was to investigate diffusion properties of the cervical spinal cord in patients with clinically isolated syndrome (CIS) through analysis of diffusion tensor imaging (DTI) data and thereby to assess the capacity of this technique for predicting the progression of CIS to clinically definite multiple sclerosis (CDMS). METHODS The study groups were comprised of 47 patients with CIS (15 of them with progression to CDMS within 2 years of follow-up) and 57 asymptomatic controls. All patients and controls had undergone magnetic resonance imaging (MRI) of the cervical spine including DTI and brain MRI. Methodological approaches included histogram analysis of the cervical cord's diffusion parameters and evaluation of T2 hyperintense lesions of the spinal cord and brain. All parameters were compared between the study groups. Sensitivity and specificity calculations were then performed with a view to predicting conversion to CDMS. RESULTS The patient subgroups defined by progression to CDMS differed significantly in values of fractional anisotropy (FA) kurtosis measured within white matter (WM) and normal-appearing WM (NAWM). The same parameters also differed significantly when patients with progression to CDMS were compared to healthy controls. Receiver operating characteristic (ROC) analysis revealed sensitivity and specificity of FA kurtosis of WM and NAWM of 93% and 72%, respectively, in terms of predicting CIS to CDMS progression. CONCLUSION This study presents evidence that histogram analysis of diffusion parameters of the cervical spinal cord in patients with CIS may be helpful in predicting conversion to CDMS.
Návaznosti
MUNI/A/1488/2019, interní kód MU |
| ||
NV15-32133A, projekt VaV |
|