2022
Quantitative MR Markers in Non-Myelopathic Spinal Cord Compression: A Narrative Review
VALOSEK, Jan, Petr BEDNARIK, Miloš KEŘKOVSKÝ, Petr HLUSTIK, Josef BEDNAŘÍK et. al.Základní údaje
Originální název
Quantitative MR Markers in Non-Myelopathic Spinal Cord Compression: A Narrative Review
Autoři
VALOSEK, Jan (203 Česká republika), Petr BEDNARIK (203 Česká republika), Miloš KEŘKOVSKÝ (203 Česká republika, domácí), Petr HLUSTIK (203 Česká republika), Josef BEDNAŘÍK (203 Česká republika, domácí) a Alena SVATKOVA (203 Česká republika)
Vydání
Journal of Clinical Medicine, BASEL, MDPI, 2022, 2077-0383
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30210 Clinical neurology
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.900
Kód RIV
RIV/00216224:14110/22:00128326
Organizační jednotka
Lékařská fakulta
UT WoS
000794815500001
Klíčová slova anglicky
non-myelopathic cervical spinal cord compression; degenerative cervical myelopathy; diffusion magnetic resonance imaging; quantitative magnetic resonance imaging
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 10. 10. 2024 09:47, Ing. Jana Kuchtová
Anotace
V originále
Degenerative spinal cord compression is a frequent pathological condition with increasing prevalence throughout aging. Initial non-myelopathic cervical spinal cord compression (NMDC) might progress over time into potentially irreversible degenerative cervical myelopathy (DCM). While quantitative MRI (qMRI) techniques demonstrated the ability to depict intrinsic tissue properties, longitudinal in-vivo biomarkers to identify NMDC patients who will eventually develop DCM are still missing. Thus, we aim to review the ability of qMRI techniques (such as diffusion MRI, diffusion tensor imaging (DTI), magnetization transfer (MT) imaging, and magnetic resonance spectroscopy (H-1-MRS)) to serve as prognostic markers in NMDC. While DTI in NMDC patients consistently detected lower fractional anisotropy and higher mean diffusivity at compressed levels, caused by demyelination and axonal injury, MT and H-1-MRS, along with advanced and tract-specific diffusion MRI, recently revealed microstructural alterations, also rostrally pointing to Wallerian degeneration. Recent studies also disclosed a significant relationship between microstructural damage and functional deficits, as assessed by qMRI and electrophysiology, respectively. Thus, tract-specific qMRI, in combination with electrophysiology, critically extends our understanding of the underlying pathophysiology of degenerative spinal cord compression and may provide predictive markers of DCM development for accurate patient management. However, the prognostic value must be validated in longitudinal studies.
Návaznosti
NU22-04-00024, projekt VaV |
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NV18-04-00159, projekt VaV |
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90129, velká výzkumná infrastruktura |
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