Meeting Banner
Abstract #1097

Technique Development for Accurate Whole Brain White Matter and Lesion Myelin Water Fraction Analysis for Multiple Sclerosis Using Multi-Component T2 Relaxometry

Kyoko Fujimoto1, Eve LoCastro2, Sneha N. Pandya2, Elizabeth Monohan1, Ashish Raj2, Xiaobo Shen3, Thanh Nguyen2, Susan A. Gauthier1

1Department of Neurology, Weill Cornell Medical College, New York, NY, United States; 2Department of Radiology, Weill Cornell Medical College, New York, NY, United States; 3Department of Computer Science, Cornell University, Ithaca, NY, United States

A major hurdle to conducting clinical trials for remyelinating agents in multiple sclerosis is the lack of a clinically feasible imaging method to assess myelin content. T2 relaxometry is a magnetic resonance imaging technique in which the contribution of water associated with myelin can be represented as myelin water fraction (MWF). Here we introduce the technique to combine and analyze our whole brain MWF T2prep spiral gradient-echo sequence and our post-processing algorithm with FreeSufer WM segmentation and a semi-automated lesion mapping method. We were able to integrate lesion and MWF maps for the efficient comparison of WM and lesion MWF.

Keywords

ability able accurate accurately acquisition adiabatic agents among analyze analyzed anatomical appearing array artifacts assess audience automated axial bias black blue brain bravo cellular challenging channel checked chosen clinical clinically clinicians coil college combine comparative component computer conducting conformed content contours contribution controlling corrected critical dale decrease detect developed development diagnosis directive disorders distinct distinguish distribution edited efficient eight exist extra feasible flair fraction framework gradient histogram hurdle informed integrate intra isotropic label lack lesion lesions longitudinal major manually mapping maps mask masked medical merged methodology mirrored native neurology newly optimized orientation others overlaid overlaying pathological patients peaks post prep previously process processing proposed pulses quality quantification radiology refocusing regional registered registration relatively relaxing researchers restricting reveals science sclerosis segmentation segmentations segmented selected semi series shaped significantly similarly space spiral statistical studies successfully suggests surface table target tissue tool trans trials true types unpaired utilizing variability variation water white whole yellow