Imaging in motor neuron diseases; biomarker research with MRI
- Conditions
- ALSmuscle disease10029317
- Registration Number
- NL-OMON55454
- Lead Sponsor
- niversitair Medisch Centrum Utrecht
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- 2203
1a) Patients: i) For ALS patients: definite, probable, probable-laboratory
supported or possible ALS according to the revised El Escorial criteria (Brooks
2000); familial ALS is defined only if there is a family history of ALS. ii)
For progressive spinal muscular atrophy (PSMA) or primary lateral sclerosis
(PLS): patients with clinical diagnosis of PSMA or PLS, after excluding other
diseases. iii) Patients with *ALS mimic syndromes*: patients suspected of /with
mimic disorders (e.g. multifocal motor neuropathy, inclusion body myositis,
cervical myeloradiculopathy, myasthenia gravis, Kennedy*s disease, spinal
muscular atrophy).
1b) Healthy controls without manifest diagnosis of motor neuron disease or ALS
mimic
2. Age 18 - 80 years (inclusive).
3. Capable of thoroughly understanding the study information given; has signed
the informed consent.
1) Tracheostomy, tracheostomal ventilation of any type, (non)-invasive
ventilation; 2 ) Any history or presence of brain injury, epilepsy, psychiatric
illness and other cerebral disease; 3) Any intoxication or medication known to
have an association with motor neuron dysfunction, which might confound or
obscure the diagnosis of motor neuron disease; 4) Presence of pronounced
swallowing disorders (which make it dangerous to lie supine in the MRI
scanner); 5) Contra-indication for 3Tesla MRI imaging (as established by the
radiology department); 6) Pregnancy
Study & Design
- Study Type
- Observational invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>1) Cortical thickness, measured in T1 weighted images. The imaging data will be<br /><br>compared in patients (ALS, MND, ALS mimics) and controls (3Tesla);<br /><br>2).Structural connectivity of motor pathways with DTI and deterministic fiber<br /><br>tracking (3Tesla); 3) Brain functional connectivity with resting-state fMRI<br /><br>(3Tesla).</p><br>
- Secondary Outcome Measures
Name Time Method <p>The structural changes will be regarded in relation to genotype and clinical<br /><br>parameters (e.g. disease progression)</p><br>