Meeting Banner
Abstract #0353

7T MRI of the Pathological Spinal Cord

Julien Cohen-Adad1, Wei Zhao2, Anne Louise Oaklander3, Merit Cudkowicz3, Nazem Atassi3, Lawrence L. Wald2, 4

1Department of Electrical Engineering, Ecole Polytechnique de Montreal, Montreal, Quebec, Canada; 2A.A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States; 3Department of Neurology, Massachusetts General Hospital, Boston, MA, United States; 4Harvard-MIT Division of Health Sciences and Technology, MIT, cambridge, MA, United States

Recent advances in 7T MRI of the spinal cord yield images of unprecedented quality, with immediate clinical applicability and potential for new scientific understanding. Here we present clinical case studies of 7T MRI applied to spinal cord injury and amyotrophic lateral sclerosis. High spatial resolution (0.35 mm in-plane) enabled visualization of abnormalities previously unseen on the clinical scans, such as Wallerian degeneration in the injury case and degeneration of the corticospinal tracts in ALS, thus bringing relevant information to the diagnosis of the two patients.

Keywords

ability achieved acquisition advanced advances affected affecting anatomy ascending atrophy audience averaging axial benefit beyond biomedical body bottom brain central channel characterize characterizing choice clear clinical coil coils column contrast control cord correction covering custom degeneration delayed delineation details detected detecting developed diagnosis disease diseases done dorsal electrical enabled encoded engineering fast field fields finding functional general gradient gray happened health help hemorrhage history horn hospital hypothesis identifying improved improvements includes induced inform initial injury iron itch lateral lesion localized location loss lumbar medical might mild modality monitoring month motor muscle neighboring neurological neurology neuron noise overall paper parametric partial pathological pathways patient patients potential press previous previously progression recent recurred relevant reported resection resolution responses revised scale scanner school sciences sclerosis score segment segments shimming slices spatial spinal structural subject suggesting suggests target technologies tracts translate transmit traumas treatment ultra understanding unprecedented unseen upper vertebral visible volume white year years