Diffusion-weighted MRI and the evaluation of spinal cord axonal integrity following injury and treatment

Exp Neurol. 2003 Dec;184(2):570-89. doi: 10.1016/S0014-4886(03)00295-4.

Abstract

Diffusion-based magnetic resonance imaging (MRI) (DWI) has been shown experimentally to detect both injury and functionally significant neuroprotection of injured spinal cord white matter that would otherwise go undetected with conventional MRI techniques. The diffusion of water in the central nervous system (CNS) is thought to be affected by both its location (intracellular or extracellular), and by diffusion barriers formed by cell membranes and myelin sheaths. There is, however, controversy concerning how to obtain, interpret, and present DWI data. Computer simulations and MR microscopy have been helpful in resolving some of these issues, as well as determining exact histologic correlates to DWI findings.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Animals
  • Axons / pathology*
  • Computer Simulation
  • Diffusion Magnetic Resonance Imaging*
  • Humans
  • Magnetic Resonance Imaging
  • Models, Neurological
  • Spinal Cord / pathology
  • Spinal Cord Injuries / diagnosis*
  • Spinal Cord Injuries / pathology