2021
Diffusion magnetic resonance imaging reveals tract-specific microstructural correlates of electrophysiological impairments in non-myelopathic and myelopathic spinal cord compression
VALOSEK, Jan, Rene LABOUNEK, Tomáš HORÁK, Magda HORÁKOVÁ, Petr BEDNAŘÍK et. al.Základní údaje
Originální název
Diffusion magnetic resonance imaging reveals tract-specific microstructural correlates of electrophysiological impairments in non-myelopathic and myelopathic spinal cord compression
Autoři
VALOSEK, Jan (203 Česká republika), Rene LABOUNEK (203 Česká republika), Tomáš HORÁK (203 Česká republika, domácí), Magda HORÁKOVÁ (203 Česká republika, domácí), Petr BEDNAŘÍK (203 Česká republika, domácí), Miloš KEŘKOVSKÝ (203 Česká republika, domácí), Jan KOČICA (203 Česká republika, domácí), Tomáš ROHAN (203 Česká republika, domácí), Christophe LENGLET, Julien COHEN-ADAD, Petr HLUSTIK (203 Česká republika), Eva VLČKOVÁ (203 Česká republika, domácí), Zdeněk KADAŇKA (203 Česká republika, domácí), Josef BEDNAŘÍK (203 Česká republika, domácí) a Alena SVÁTKOVÁ (703 Slovensko, domácí)
Vydání
European Journal of Neurology, Oxford, Rapid Science Ltd. 2021, 1351-5101
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30210 Clinical neurology
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 6.288
Kód RIV
RIV/00216224:14110/21:00120165
Organizační jednotka
Lékařská fakulta
UT WoS
000680930200001
Klíčová slova anglicky
diffusion magnetic resonance imaging; diffusion tensor imaging; spinal cord compression
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 9. 10. 2024 13:40, Ing. Jana Kuchtová
Anotace
V originále
Background and purpose Non-myelopathic degenerative cervical spinal cord compression (NMDC) frequently occurs throughout aging and may progress to potentially irreversible degenerative cervical myelopathy (DCM). Whereas standard clinical magnetic resonance imaging (MRI) and electrophysiological measures assess compression severity and neurological dysfunction, respectively, underlying microstructural deficits still have to be established in NMDC and DCM patients. The study aims to establish tract-specific diffusion MRI markers of electrophysiological deficits to predict the progression of asymptomatic NMDC to symptomatic DCM. Methods High-resolution 3 T diffusion MRI was acquired for 103 NMDC and 21 DCM patients compared to 60 healthy controls to reveal diffusion alterations and relationships between tract-specific diffusion metrics and corresponding electrophysiological measures and compression severity. Relationship between the degree of DCM disability, assessed by the modified Japanese Orthopaedic Association scale, and tract-specific microstructural changes in DCM patients was also explored. Results The study identified diffusion-derived abnormalities in the gray matter, dorsal and lateral tracts congruent with trans-synaptic degeneration and demyelination in chronic degenerative spinal cord compression with more profound alterations in DCM than NMDC. Diffusion metrics were affected in the C3-6 area as well as above the compression level at C3 with more profound rostral deficits in DCM than NMDC. Alterations in lateral motor and dorsal sensory tracts correlated with motor and sensory evoked potentials, respectively, whereas electromyography outcomes corresponded with gray matter microstructure. DCM disability corresponded with microstructure alteration in lateral columns. Conclusions Outcomes imply the necessity of high-resolution tract-specific diffusion MRI for monitoring degenerative spinal pathology in longitudinal studies.
Návaznosti
LM2018140, projekt VaV |
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NV18-04-00159, projekt VaV |
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90129, velká výzkumná infrastruktura |
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