Role of Diffusion Tensor Imaging in Evaluation of Myelopathy
试验速览
- 阶段
- 不适用
- 入组人数
- 70
- 主要终点
- To determine the usefulness of diffusion tensor imaging (DTI) and fiber tracking in evaluation of myelopathy.
研究概览
简要总结
Myelopathy describes any neurologic deficit related to the spinal cord. Myelopathy is caused by various pathological states of the human spinal cord, including tumors, inflammatory lesions, spinal cord compression and degenerative myelopathy. Clinically, the diagnosis of myelopathy depends on localization of the neurologic finding to the spinal cord, rather than the brain or peripheral nervous system and then to a particular segment of the spinal cord.
Magnetic resonance imaging (MRI) plays an essential role in the diagnosis and follow-up of the lesions of the spinal cord using conventional MRI T1- and T2-weighted sequences. Sometimes a studied spinal cord may appear normal on conventional MRI even though patients have symptoms of myelopathy causing a discrepancy between MRI findings and clinical findings.
Diffusion tensor imaging (DTI) is an advanced non-invasive MR imaging technique which assesses the microstructural integrity of nerve fiber tracts.
详细描述
A number of 70 patient with myelopathy included within the study.
DTI is used primarily for assessing white matter of the brain and spinal cord. DTI can depict alterations to the white matter tract and quantify these changes. Disturbances of diffusion (restriction or increase) may be assessed quantitatively by measurements of apparent diffusion coefficient (ADC). The apparent diffusion coefficient (ADC), is used to measure diffusive strength. Diffusion anisotropy can be assessed quantitatively by using the fractional anisotropy (FA) parameter, which may be also visualized on fractional anisotropy maps. FA is considered as a marker of white matter integrity.
Image acquisition will be conducted on a 1.5-Tesla MR scanner.
The imaging will be done throughout the following sequences:
- Conventional MRI sequences: sagittal T1W, sagittal and axial T2W sequences.
- DTI sequence: Single-shot spin-echo echo-planar imaging (EPI) and parallel imaging techniques to achieve motion-free and higher signal-to-noise ratio (SNR) DTI.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Clinical symptoms of myelopathy
排除标准
- •Previous spine surgery
- •Spine radiation therapy
- •Cerebral palsy
- •Contraindication to MR imaging.
结局指标
主要结局
To determine the usefulness of diffusion tensor imaging (DTI) and fiber tracking in evaluation of myelopathy.
时间窗: one year
assessing white matter tract affection in various disease and damage involving the spinal cord using the DTI indices, quantitatively using ADC and FA measurement and qualitatively using tractogram to assess spinal cord lesions and compare the results to conventional MRI sequences
次要结局
未报告次要终点
研究者
MGMaghrabi
principle investigator
Assiut University