Comparative Sensitivity of MRI Indices for Myelin Assessment in Spinal Cord Regions

<b>Background/Objectives:</b> Although multiple magnetic resonance imaging (MRI) indices are known to be sensitive to the noninvasive assessment of myelin integrity, their relative sensitivities have not been directly compared. This study aimed to identify the most sensitive MRI index fo...

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Main Authors: Philip Kyeremeh Jnr Oppong, Hiroyuki Hamaguchi, Maho Kitagawa, Nina Patzke, Kevin C. Wakeman, Khin Khin Tha
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Tomography
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Online Access:https://www.mdpi.com/2379-139X/11/1/8
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author Philip Kyeremeh Jnr Oppong
Hiroyuki Hamaguchi
Maho Kitagawa
Nina Patzke
Kevin C. Wakeman
Khin Khin Tha
author_facet Philip Kyeremeh Jnr Oppong
Hiroyuki Hamaguchi
Maho Kitagawa
Nina Patzke
Kevin C. Wakeman
Khin Khin Tha
author_sort Philip Kyeremeh Jnr Oppong
collection DOAJ
description <b>Background/Objectives:</b> Although multiple magnetic resonance imaging (MRI) indices are known to be sensitive to the noninvasive assessment of myelin integrity, their relative sensitivities have not been directly compared. This study aimed to identify the most sensitive MRI index for characterizing myelin composition in the spinal cord’s gray matter (GM) and white matter (WM). <b>Methods:</b> MRI was performed on a deer’s ex vivo cervical spinal cord. Quantitative indices known to be sensitive to myelin, including the myelin water fraction (MWF), magnetization transfer ratio (MTR), the signal ratio between T1- and T2-weighted images (T1W/T2W), fractional anisotropy (FA), mean diffusivity (MD), electrical conductivity (σ), and T1, T2, and T1ρ relaxation times were calculated. Their mean values were compared using repeated measures analysis of variance (ANOVA) and post hoc Bonferroni tests or Friedman and post hoc Wilcoxon tests to identify differences across GM and WM columns possessing distinct myelin distributions, as revealed by histological analysis. Relationships among the indices were examined using Spearman’s rank-order correlation analysis. Corrected <i>p</i> < 0.05 was considered statistically significant. <b>Results:</b> All indices except σ differed significantly between GM and all WM columns. Two of the three WM columns had significantly different MWF, FA, MD, and T2, whereas one WM column had significantly different MTR, σ, T1, and T1ρ from the others. A significant moderate to very strong correlation was observed among most indices. <b>Conclusions:</b> The sensitivity of MRI indices in distinguishing spinal cord regions varied. A strategic combination of two or more indices may allow the accurate differentiation of spinal cord regions.
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spelling doaj-art-359b7fad6bed4c50a74a110e639a11012025-01-24T13:50:52ZengMDPI AGTomography2379-13812379-139X2025-01-01111810.3390/tomography11010008Comparative Sensitivity of MRI Indices for Myelin Assessment in Spinal Cord RegionsPhilip Kyeremeh Jnr Oppong0Hiroyuki Hamaguchi1Maho Kitagawa2Nina Patzke3Kevin C. Wakeman4Khin Khin Tha5Laboratory for Biomarker Imaging Science, Graduate School of Biomedical Science and Engineering, Hokkaido University, N15 W7, Kita-ku, Sapporo 060-8638, JapanLaboratory for Biomarker Imaging Science, Graduate School of Biomedical Science and Engineering, Hokkaido University, N15 W7, Kita-ku, Sapporo 060-8638, JapanLaboratory for Biomarker Imaging Science, Graduate School of Biomedical Science and Engineering, Hokkaido University, N15 W7, Kita-ku, Sapporo 060-8638, JapanDepartment of Biological Sciences, Faculty of Science, Hokkaido University, N10 W8, Kita-ku, Sapporo 060-0810, JapanDepartment of Biological Sciences, Faculty of Science, Hokkaido University, N10 W8, Kita-ku, Sapporo 060-0810, JapanLaboratory for Biomarker Imaging Science, Graduate School of Biomedical Science and Engineering, Hokkaido University, N15 W7, Kita-ku, Sapporo 060-8638, Japan<b>Background/Objectives:</b> Although multiple magnetic resonance imaging (MRI) indices are known to be sensitive to the noninvasive assessment of myelin integrity, their relative sensitivities have not been directly compared. This study aimed to identify the most sensitive MRI index for characterizing myelin composition in the spinal cord’s gray matter (GM) and white matter (WM). <b>Methods:</b> MRI was performed on a deer’s ex vivo cervical spinal cord. Quantitative indices known to be sensitive to myelin, including the myelin water fraction (MWF), magnetization transfer ratio (MTR), the signal ratio between T1- and T2-weighted images (T1W/T2W), fractional anisotropy (FA), mean diffusivity (MD), electrical conductivity (σ), and T1, T2, and T1ρ relaxation times were calculated. Their mean values were compared using repeated measures analysis of variance (ANOVA) and post hoc Bonferroni tests or Friedman and post hoc Wilcoxon tests to identify differences across GM and WM columns possessing distinct myelin distributions, as revealed by histological analysis. Relationships among the indices were examined using Spearman’s rank-order correlation analysis. Corrected <i>p</i> < 0.05 was considered statistically significant. <b>Results:</b> All indices except σ differed significantly between GM and all WM columns. Two of the three WM columns had significantly different MWF, FA, MD, and T2, whereas one WM column had significantly different MTR, σ, T1, and T1ρ from the others. A significant moderate to very strong correlation was observed among most indices. <b>Conclusions:</b> The sensitivity of MRI indices in distinguishing spinal cord regions varied. A strategic combination of two or more indices may allow the accurate differentiation of spinal cord regions.https://www.mdpi.com/2379-139X/11/1/8sensitivityMRIspinal cordmyelinmyelin water fractionmagnetization transfer
spellingShingle Philip Kyeremeh Jnr Oppong
Hiroyuki Hamaguchi
Maho Kitagawa
Nina Patzke
Kevin C. Wakeman
Khin Khin Tha
Comparative Sensitivity of MRI Indices for Myelin Assessment in Spinal Cord Regions
Tomography
sensitivity
MRI
spinal cord
myelin
myelin water fraction
magnetization transfer
title Comparative Sensitivity of MRI Indices for Myelin Assessment in Spinal Cord Regions
title_full Comparative Sensitivity of MRI Indices for Myelin Assessment in Spinal Cord Regions
title_fullStr Comparative Sensitivity of MRI Indices for Myelin Assessment in Spinal Cord Regions
title_full_unstemmed Comparative Sensitivity of MRI Indices for Myelin Assessment in Spinal Cord Regions
title_short Comparative Sensitivity of MRI Indices for Myelin Assessment in Spinal Cord Regions
title_sort comparative sensitivity of mri indices for myelin assessment in spinal cord regions
topic sensitivity
MRI
spinal cord
myelin
myelin water fraction
magnetization transfer
url https://www.mdpi.com/2379-139X/11/1/8
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