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Research ArticlePediatric Neuroimaging

Diffusion Tensor Imaging in Cases of Adrenoleukodystrophy: Preliminary Experience as a Marker for Early Demyelination?

Jacques F. L. Schneider, Kamil A. Il’yasov, Eugen Boltshauser, Jürgen Hennig and Ernst Martin
American Journal of Neuroradiology May 2003, 24 (5) 819-824;
Jacques F. L. Schneider
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Kamil A. Il’yasov
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Eugen Boltshauser
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Jürgen Hennig
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Ernst Martin
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    Fig 1.

    T2-weighed image (T2WI) and D′ and FA maps of the blind patient (patient 2) shows confluent and symmetric abnormalities in the deep white matter of both occipital lobes. Regions of interest are shown on D′ (−r) and FA (−l) maps (yellow outlines).

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    Fig 2.

    T2-weighted images (T2WI) and D′ and FA maps of patient 1.

    A, No signal intensity alteration is shown in the parietal white matter.

    B, No signal intensity alteration is shown in the occipital deep white matter. Regions of interest are shown on D′ (−r) and FA (−l) maps (yellow outlines).

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    Fig 3.

    T2-weighted image (T2WI) and D′ and FA maps of patient 3. No signal intensity alteration is shown in the centrum semiovale. Regions of interest are shown on D′ (−r) and FA (−l) maps (yellow outlines).

Tables

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    TABLE 1:

    Mean diffusivity (D′ × 10−3 mm2/s)

    D′Patient 1Patient 2Patient 3Control ParticipantsMean +1 SDMean +2 SD
    MeanSDROIT2MeanSDROIT2MeanSDROIT2MeanSD
    PLIC-l0.650.02900.700.08910.700.05910.650.020.670.68
    PLIC-r0.670.03800.690.06910.680.0691
    CSO-l0.660.032900.780.083610.700.035100.660.020.680.70
    CSO-r0.660.022500.770.103810.710.03520
    FWM-l0.770.046200.740.048000.750.0510000.740.020.760.78
    FWM-r0.770.048000.740.0510300.730.061050
    PWM-l0.790.088501.100.3616010.660.0911200.710.020.730.76
    PWM-r0.820.087501.080.4220610.710.071580
    TWM-l0.820.089301.130.309110.810.0810000.770.020.790.80
    TWM-r0.810.0811301.320.369410.790.101300
    OWM-l0.810.159001.820.547710.720.216900.700.040.730.77
    OWM-r0.780.177101.720.538510.710.12960
    GCC-l0.840.302400.810.122200.720.202100.810.090.901.00
    GCC-r0.830.201800.800.162000.680.09260
    SCC-l0.780.182801.920.351610.630.252700.730.060.780.84
    SCC-r0.790.132002.130.381810.610.10190
    ALIC-l0.720.061100.770.041300.860.101610.730.050.790.84
    ALIC-r0.750.09900.730.06800.820.11121
    • Note.—D′ indicates isotropic diffusion; ROI, region of interest; T2, T2 value on T2-weighted MR images; -l, on the left side; -r, on the right side; PLIC, posterior limb of the internal capsule; CSO, centrum semiovale; FWM, frontal white matter; PWM, parietal white matter; TWM, temporal white matter; OWM, occipital white matter; GCC, genu corporis callosi; SCC, splenium corporis callosi; ALIC, anterior limb of the internal capsule. Mean diffusivity values for three patients with X-linked adrenoleukodystrophy, indicated as mean values and intra-region of interest SDs (inter-pixel SDs), are compared with those of seven age-matched normal control participants, indicated as mean values and inter-region of interest SDs. Values shown on light gray background are between 1 and 2 SDs of the mean, and values shown on dark gray background are >2 SDs of the mean, compared with values for normal control participants. T2 values are either 0 for T2-weighted images without evidence of demyelination in the specific region or 1 for T2-weighted images with evidence of demyelination.

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    TABLE 2:

    Fractional anisotropy index

    FAPatient 1Patient 2Patient 3Control ParticipantMean −1 SDMean −2 SD
    MeanSDROIT2MeanSDROIT2MeanSDROIT2MeanSD
    PLIC-l0.760.05900.680.06910.730.10910.760.020.750.73
    PLIC-r0.720.06800.650.06910.750.0491
    CSO-l0.560.082900.320.113610.500.065100.540.050.480.43
    CSO-r0.570.072500.320.133810.480.07520
    FWM-l0.360.106200.370.108000.330.0910000.380.040.340.31
    FWM-r0.370.108000.380.0910300.380.111050
    PWM-l0.330.098500.110.0616010.390.0711200.400.020.380.35
    PWM-r0.310.117500.110.0520610.400.081580
    TWM-l0.440.089300.130.049110.400.0710000.470.030.430.40
    TWM-r0.420.1011300.120.039410.410.081300
    OWM-l0.470.109000.110.077710.460.106900.460.040.420.38
    OWM-r0.440.117100.100.058510.440.13960
    GCC-l0.660.132400.680.122200.690.122100.720.070.660.59
    GCC-r0.750.101800.640.132000.670.10260
    SCC-l0.720.102800.210.031610.790.152700.780.050.730.68
    SCC-r0.760.062000.200.021810.810.08190
    ALIC-l0.530.131100.490.091300.380.061610.540.060.480.43
    ALIC-r0.620.08900.600.12800.430.04121
    • Note.—FA indicates fractional anisotropy; ROI, region of interest; T2, T2 value on T2-weighted MR images; -l, on the left side; -r, on the right side; PLIC, posterior limb of the internal capsule; CSO, centrum semiovale; FWM, frontal white matter; PWM, parietal white matter; TWM, temporal white matter; OWM, occipital white matter; GCC, genu corporis callosi; SCC, splenium corporis callosi; ALIC, anterior limb of the internal capsule. Fractional anisotropy values for three patients with X-linked adrenoleukodystrophy, indicated as mean values and intra-region of interest SDs (inter-pixel SDs), are compared with those of seven age-matched normal control participants, indicated as mean values and inter-region of interest SDs. Values shown on light gray background are between 1 and 2 SDs of the mean, and values shown on dark gray background are >2 SDs of the mean, compared with values for normal control participants. T2 values are either 0 for T2-weighted images without evidence of demyelination in the specific region or 1 for T2-weighted images with evidence of demyelination.

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American Journal of Neuroradiology: 24 (5)
American Journal of Neuroradiology
Vol. 24, Issue 5
1 May 2003
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Diffusion Tensor Imaging in Cases of Adrenoleukodystrophy: Preliminary Experience as a Marker for Early Demyelination?
Jacques F. L. Schneider, Kamil A. Il’yasov, Eugen Boltshauser, Jürgen Hennig, Ernst Martin
American Journal of Neuroradiology May 2003, 24 (5) 819-824;
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Jacques F. L. Schneider, Kamil A. Il’yasov, Eugen Boltshauser, Jürgen Hennig, Ernst Martin
Diffusion Tensor Imaging in Cases of Adrenoleukodystrophy: Preliminary Experience as a Marker for Early Demyelination?
American Journal of Neuroradiology May 2003, 24 (5) 819-824;

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