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Research ArticleBrain

Coefficient Dav Is More Sensitive Than Fractional Anisotropy in Monitoring Progression of Irreversible Tissue Damage in Focal Nonactive Multiple Sclerosis Lesions

Alessandro Castriota-Scanderbeg, Fabrizio Fasano, Gisela Hagberg, Ugo Nocentini, Massimo Filippi and Carlo Caltagirone
American Journal of Neuroradiology April 2003, 24 (4) 663-670;
Alessandro Castriota-Scanderbeg
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Fabrizio Fasano
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Gisela Hagberg
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Ugo Nocentini
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Massimo Filippi
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Carlo Caltagirone
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    Fig 1.

    Three examples of MS lesions (arrows) with different T1 appearance. Top, isointense lesion (FA=0.30 ± 0.06, coefficient Dav=1.10 ± 0.07 × 10−3 mm2/s); middle, mildly hypointense lesion (FA=0.27 ± 0.05, coefficient Dav=1.24 ± 0.06 × 10−3 mm2/s); bottom, severely hypointense lesion (FA=0.19 ± 0.04, coefficient Dav = 1.76 ± 0.07 × 10−3 mm2/s). For each row, from left to right: axial view fast spin-echo T2-weighted image, spin-echo T1-weighted image, coefficient Dav map, and FA map.

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    Fig 2.

    Scatter plots for the 76 lesions studied.

    A, Coefficient Dav versus SIlesion/SICSF ratio. Significant inverse correlation was shown.

    B, FA versus SIlesion/SICSF ratio. No correlation was shown.

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    TABLE 1:

    Mean values (± SD) for fractional anisotropy and coefficient Dav in the various investigated white matter brain regions

    FADav (×10−3 mm2/s)
    All plaques (n = 76)0.22 ± 0.071.54 ± 0.33
    NAWM regions (n=76)0.32 ± 0.091.00 ± 0.14
    NWM regions (n=76)0.37 ± 0.090.89 ± 0.08
    • Note.—FA indicates fractional anisotropy; Dav, average diffusivity; NAWM, normal appearing white matter; NWM, normal white matter. Note that FA is expressed as a unitless number that may range from 0 to 1 and that Dav is equal to one-third of the trace of the diffusion tensor.

      The P value was <.001 for all paired t tests between groups (plaques and NAWM regions, plaques and NWM regions, NAWM and NWM regions).

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    TABLE 2:

    Mean values (± SD) for absolute and relative fractional anisotropy and coefficient Dav in the three groups of lesions of increasing hypointensity on the T1-weighted images

    FADav (×10−3 mm2/s)ΔFA
    T1 isointense (n = 25)0.26 ± 0.071.29 ± 0.1719 ± 4
    T1 mildly hypointense (n=26)0.21 ± 0.061.54 ± 0.3123 ± 6
    T1 severely hypointense (n=25)0.19 ± 0.061.80 ± 0.3236 ± 4
    • Note.—FA indicates fractional anisotropy; Dav, averaged diffusivity; ΔFA, percentage FA variation in the lesion, obtained in relation to a symmetric normal appearing white matter area in the contralateral hemisphere.

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American Journal of Neuroradiology: 24 (4)
American Journal of Neuroradiology
Vol. 24, Issue 4
1 Apr 2003
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Cite this article
Alessandro Castriota-Scanderbeg, Fabrizio Fasano, Gisela Hagberg, Ugo Nocentini, Massimo Filippi, Carlo Caltagirone
Coefficient Dav Is More Sensitive Than Fractional Anisotropy in Monitoring Progression of Irreversible Tissue Damage in Focal Nonactive Multiple Sclerosis Lesions
American Journal of Neuroradiology Apr 2003, 24 (4) 663-670;

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Coefficient Dav Is More Sensitive Than Fractional Anisotropy in Monitoring Progression of Irreversible Tissue Damage in Focal Nonactive Multiple Sclerosis Lesions
Alessandro Castriota-Scanderbeg, Fabrizio Fasano, Gisela Hagberg, Ugo Nocentini, Massimo Filippi, Carlo Caltagirone
American Journal of Neuroradiology Apr 2003, 24 (4) 663-670;
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