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2015 ; 8
(ä): 337-44
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A multimodal MRI approach to identify and characterize microstructural brain
changes in neuropsychiatric systemic lupus erythematosus
#MMPMID26106559
Ercan E
; Ingo C
; Tritanon O
; Magro-Checa C
; Smith A
; Smith S
; Huizinga T
; van Buchem MA
; Ronen I
Neuroimage Clin
2015[]; 8
(ä): 337-44
PMID26106559
show ga
Systemic lupus erythematosus (SLE) is an autoimmune disease with multi-organ
involvement and results in neurological and psychiatric (NP) symptoms in up to
40% of the patients. To date, the diagnosis of neuropsychiatric systemic lupus
erythematosus (NPSLE) poses a challenge due to the lack of neuroradiological gold
standards. In this study, we aimed to better localize and characterize normal
appearing white matter (NAWM) changes in NPSLE by combining data from two
quantitative MRI techniques, diffusion tensor imaging (DTI) and magnetization
transfer imaging (MTI). 9 active NPSLE patients (37 ± 13 years, all females), 9
SLE patients without NP symptoms (44 ± 11 years, all females), and 14 healthy
controls (HC) (40 ± 9 years, all females) were included in the study. MTI, DTI
and fluid attenuated inversion recovery (FLAIR) images were collected from all
subjects on a 3 T MRI scanner. Magnetization transfer ratio (MTR), mean
diffusivity (MD), fractional anisotropy (FA), radial diffusivity (RD), axial
diffusivity (AD) maps and white matter lesion maps based on the FLAIR images were
created for each subject. MTR and DTI data were then co-analyzed using
tract-based spatial statistics and a cumulative lesion map to exclude lesions.
Significantly lower MTR and FA and significantly higher AD, RD and MD were found
in NPSLE compared to HC in NAWM regions. The differences in DTI measures and in
MTR, however, were only moderately co-localized. Additionally, significant
differences in DTI measures, but not in MTR, were found between NPSLE and SLE
patients, suggesting that the underlying microstructural changes detected by MD
are linked to the onset of NPSLE. The co-analysis of the anatomical distribution
of MTI and DTI measures can potentially improve the diagnosis of NPSLE and
contribute to the understanding of the underlying microstructural damage.
|Adult
[MESH]
|Diffusion Tensor Imaging/methods
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Lupus Vasculitis, Central Nervous System/*pathology
[MESH]