Serial Diffusion Tensor Imaging of the Optic Radiations after Acute Optic Neuritis

Previous studies have reported diffusion tensor imaging (DTI) changes within the optic radiations of patients after optic neuritis (ON). We aimed to study optic radiation DTI changes over 12 months following acute ON and to study correlations between DTI parameters and damage to the optic nerve and...

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Main Authors: Scott C. Kolbe, Anneke van der Walt, Helmut Butzkueven, Alexander Klistorner, Gary F. Egan, Trevor J. Kilpatrick
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/2764538
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author Scott C. Kolbe
Anneke van der Walt
Helmut Butzkueven
Alexander Klistorner
Gary F. Egan
Trevor J. Kilpatrick
author_facet Scott C. Kolbe
Anneke van der Walt
Helmut Butzkueven
Alexander Klistorner
Gary F. Egan
Trevor J. Kilpatrick
author_sort Scott C. Kolbe
collection DOAJ
description Previous studies have reported diffusion tensor imaging (DTI) changes within the optic radiations of patients after optic neuritis (ON). We aimed to study optic radiation DTI changes over 12 months following acute ON and to study correlations between DTI parameters and damage to the optic nerve and primary visual cortex (V1). We measured DTI parameters [fractional anisotropy (FA), axial diffusivity (AD), radial diffusivity (RD), and mean diffusivity (MD)] from the optic radiations of 38 acute ON patients at presentation and 6 and 12 months after acute ON. In addition, we measured retinal nerve fibre layer thickness, visual evoked potential amplitude, optic radiation lesion load, and V1 thickness. At baseline, FA was reduced and RD and MD were increased compared to control. Over 12 months, FA reduced in patients at an average rate of −2.6% per annum (control = −0.51%; p=0.006). Change in FA, RD, and MD correlated with V1 thinning over 12 months (FA: R=0.450, p=0.006; RD: R=-0.428, p=0.009; MD: R=-0.365, p=0.029). In patients with no optic radiation lesions, AD significantly correlated with RNFL thinning at 12 months (R=0.489, p=0.039). In conclusion, DTI can detect optic radiation changes over 12 months following acute ON that correlate with optic nerve and V1 damage.
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spelling doaj-art-1597f4410ea342f99de45a7e712b47e62025-02-03T05:54:20ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/27645382764538Serial Diffusion Tensor Imaging of the Optic Radiations after Acute Optic NeuritisScott C. Kolbe0Anneke van der Walt1Helmut Butzkueven2Alexander Klistorner3Gary F. Egan4Trevor J. Kilpatrick5Department of Anatomy and Neuroscience, University of Melbourne, Parkville, VIC 3010, AustraliaDepartment of Anatomy and Neuroscience, University of Melbourne, Parkville, VIC 3010, AustraliaDepartment of Neurology, Royal Melbourne Hospital, Parkville, VIC 3052, AustraliaSave Sight Institute, University of Sydney, Sydney, NSW 2000, AustraliaMonash Biomedical Imaging, Monash University, Clayton, VIC 3800, AustraliaDepartment of Anatomy and Neuroscience, University of Melbourne, Parkville, VIC 3010, AustraliaPrevious studies have reported diffusion tensor imaging (DTI) changes within the optic radiations of patients after optic neuritis (ON). We aimed to study optic radiation DTI changes over 12 months following acute ON and to study correlations between DTI parameters and damage to the optic nerve and primary visual cortex (V1). We measured DTI parameters [fractional anisotropy (FA), axial diffusivity (AD), radial diffusivity (RD), and mean diffusivity (MD)] from the optic radiations of 38 acute ON patients at presentation and 6 and 12 months after acute ON. In addition, we measured retinal nerve fibre layer thickness, visual evoked potential amplitude, optic radiation lesion load, and V1 thickness. At baseline, FA was reduced and RD and MD were increased compared to control. Over 12 months, FA reduced in patients at an average rate of −2.6% per annum (control = −0.51%; p=0.006). Change in FA, RD, and MD correlated with V1 thinning over 12 months (FA: R=0.450, p=0.006; RD: R=-0.428, p=0.009; MD: R=-0.365, p=0.029). In patients with no optic radiation lesions, AD significantly correlated with RNFL thinning at 12 months (R=0.489, p=0.039). In conclusion, DTI can detect optic radiation changes over 12 months following acute ON that correlate with optic nerve and V1 damage.http://dx.doi.org/10.1155/2016/2764538
spellingShingle Scott C. Kolbe
Anneke van der Walt
Helmut Butzkueven
Alexander Klistorner
Gary F. Egan
Trevor J. Kilpatrick
Serial Diffusion Tensor Imaging of the Optic Radiations after Acute Optic Neuritis
Journal of Ophthalmology
title Serial Diffusion Tensor Imaging of the Optic Radiations after Acute Optic Neuritis
title_full Serial Diffusion Tensor Imaging of the Optic Radiations after Acute Optic Neuritis
title_fullStr Serial Diffusion Tensor Imaging of the Optic Radiations after Acute Optic Neuritis
title_full_unstemmed Serial Diffusion Tensor Imaging of the Optic Radiations after Acute Optic Neuritis
title_short Serial Diffusion Tensor Imaging of the Optic Radiations after Acute Optic Neuritis
title_sort serial diffusion tensor imaging of the optic radiations after acute optic neuritis
url http://dx.doi.org/10.1155/2016/2764538
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AT alexanderklistorner serialdiffusiontensorimagingoftheopticradiationsafteracuteopticneuritis
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