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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain
Open Access

Comparison of Multiple Sclerosis Cortical Lesion Types Detected by Multicontrast 3T and 7T MRI

J. Maranzano, M. Dadar, D.A. Rudko, D. De Nigris, C. Elliott, J.S. Gati, S.A. Morrow, R.S. Menon, D.L. Collins, D.L. Arnold and S. Narayanan
American Journal of Neuroradiology July 2019, 40 (7) 1162-1169; DOI: https://doi.org/10.3174/ajnr.A6099
J. Maranzano
aFrom the Department of Anatomy (J.M.), University of Quebec in Trois-Rivieres, Trois-Rivieres, Quebec, Canada
bMcConnell Brain Imaging Centre (J.M., M.D., D.A.R., D.D.N., C.E., D.L.C., D.L.A., S.N.), Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
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M. Dadar
bMcConnell Brain Imaging Centre (J.M., M.D., D.A.R., D.D.N., C.E., D.L.C., D.L.A., S.N.), Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
cDepartment of Biomedical Engineering (M.D., D.A.R., D.L.C.), McGill University, Montreal, Quebec, Canada
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D.A. Rudko
bMcConnell Brain Imaging Centre (J.M., M.D., D.A.R., D.D.N., C.E., D.L.C., D.L.A., S.N.), Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
cDepartment of Biomedical Engineering (M.D., D.A.R., D.L.C.), McGill University, Montreal, Quebec, Canada
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D. De Nigris
bMcConnell Brain Imaging Centre (J.M., M.D., D.A.R., D.D.N., C.E., D.L.C., D.L.A., S.N.), Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
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C. Elliott
bMcConnell Brain Imaging Centre (J.M., M.D., D.A.R., D.D.N., C.E., D.L.C., D.L.A., S.N.), Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
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J.S. Gati
dCentre for Functional and Metabolic Mapping (J.S.G., R.S.M.), Robarts Research Institute, University of Western Ontario, London, Ontario, Canada
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S.A. Morrow
eDepartment of Clinical Neurological Sciences (S.A.M.), London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
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R.S. Menon
dCentre for Functional and Metabolic Mapping (J.S.G., R.S.M.), Robarts Research Institute, University of Western Ontario, London, Ontario, Canada
fDepartment of Medical Biophysics (R.S.M.), University of Western Ontario, London, Ontario, Canada
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D.L. Collins
bMcConnell Brain Imaging Centre (J.M., M.D., D.A.R., D.D.N., C.E., D.L.C., D.L.A., S.N.), Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
cDepartment of Biomedical Engineering (M.D., D.A.R., D.L.C.), McGill University, Montreal, Quebec, Canada
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D.L. Arnold
bMcConnell Brain Imaging Centre (J.M., M.D., D.A.R., D.D.N., C.E., D.L.C., D.L.A., S.N.), Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
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S. Narayanan
bMcConnell Brain Imaging Centre (J.M., M.D., D.A.R., D.D.N., C.E., D.L.C., D.L.A., S.N.), Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
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    Fig 1.

    Multicontrast protocol volumetric area. Due to the sensitivity of 7T T2*-weighted acquisitions to magnetic susceptibility inhomogeneities present at the level of the posterior fossa and inferior temporal lobes, coverage of this interleaved, multislice acquisition is limited to the superior temporal lobes and above. Representation of the common volume of the brain is considered when comparing CL types detected on 3T and 7T.

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    Fig 2.

    Cortical lesion classification. 7T T2* MR imaging cortical lesion classification (Bø et al 2003).5

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    Fig 3.

    Example of CL lesions detected by 3T and 7T protocols. Example of 3T–7T common SP lesions (upper row) and 7T-negative LC lesions (lower row).

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    Fig 4.

    CL count correlations. Leukocortical and subpial lesion count correlations across scanners: 3T LC lesion counts and 7T LC lesion counts; 3T SP lesion counts and 7T SP lesion counts.

Tables

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    Table 1:

    Demographic and clinical characteristics of the participants

    Patients with RRMSPatients with SPMSSignificant Differences (P Value)
    Male/female3:73:7
    EDSS scoreMedian, 1.5Median, 4.5.001a
    Range, 1–3Range, 3–6.5
    Age at Onset (yr)Mean, 34Mean, 30.15b
    SD, 8.2SD, 6.5
    Disease duration (yr)Mean, 12Mean, 18.04b
    SD, 7.8SD, 6.8
    White matter lesion volume (cm3)Median, 9.3Median, 12.9.18a
    Range, 0.8–44.3Range, 3.7–50.4
    • Note:—EDSS indicates Expanded Disability Status Scale.

    • ↵a Mann-Whitney U test.

    • ↵b T test.

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    Table 2:

    MRI acquisition parameters

    3T T1WI3T PDw/T2WI3T FLAIR3T MT On/Off7T T1WI7T T2*
    Sequence3D-MP2RAGE2D-dual echo TSE3D-TSE3D-GRE3D-MP2RAGE2D-GRE
    OrientationSagittalAxialSagittalAxialSagittalAxial
    TR (ms)5000235060003660001000
    TE (ms)2.98223563.862.722
    87
    TI (ms)700NA2200NA800NA
    25002700
    Flip angle4°120°180°10°4°55°
    5°5°
    Slices17612017619222460 (2 Stacks of 30)
    Voxel size (mm)1 × 1 × 11 × 1 × 1.51 × 1 × 11 × 1 × 10.7 × 0.7 × 0.70.3 × 0.3 × 1
    Scan time (min:sec)8:225:268:448:1010:148:26 (per stack)
    • Note:—PDw indicates proton density-weighted; MT, magnetization transfer; GRE, gradient recalled-echo; NA, not applicable.

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American Journal of Neuroradiology: 40 (7)
American Journal of Neuroradiology
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Cite this article
J. Maranzano, M. Dadar, D.A. Rudko, D. De Nigris, C. Elliott, J.S. Gati, S.A. Morrow, R.S. Menon, D.L. Collins, D.L. Arnold, S. Narayanan
Comparison of Multiple Sclerosis Cortical Lesion Types Detected by Multicontrast 3T and 7T MRI
American Journal of Neuroradiology Jul 2019, 40 (7) 1162-1169; DOI: 10.3174/ajnr.A6099

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Comparison of Multiple Sclerosis Cortical Lesion Types Detected by Multicontrast 3T and 7T MRI
J. Maranzano, M. Dadar, D.A. Rudko, D. De Nigris, C. Elliott, J.S. Gati, S.A. Morrow, R.S. Menon, D.L. Collins, D.L. Arnold, S. Narayanan
American Journal of Neuroradiology Jul 2019, 40 (7) 1162-1169; DOI: 10.3174/ajnr.A6099
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