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Research ArticleHEAD AND NECK

Optic Nerve Diffusion Measurement from Diffusion-Weighted Imaging in Optic Neuritis

Simon J. Hickman, Claudia A. M. Wheeler-Kingshott, Stephen J. Jones, Katherine A. Miszkiel, Gareth J. Barker, Gordon T. Plant and David H. Miller
American Journal of Neuroradiology April 2005, 26 (4) 951-956;
Simon J. Hickman
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Claudia A. M. Wheeler-Kingshott
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Stephen J. Jones
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Katherine A. Miszkiel
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Gareth J. Barker
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Gordon T. Plant
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David H. Miller
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  • Fig 1.
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    Fig 1.

    Orbital images from a 36-year-old woman 1 year after right-sided optic neuritis. Diseased optic nerve indicated by arrowhead, and contralateral healthy optic nerve indicated by arrow.

    A, Nondiffusion weighted (b = 0) image.

    B, ADC map.

    C, FSE image demonstrating high signal intensity lesion in the right optic nerve.

    D, sTE fFLAIR image demonstrating right optic nerve atrophy.

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    Fig 2.

    Scatter graph showing ADCs for diseased optic nerves 1 year after acute optic neuritis, healthy contralateral optic nerves, and control optic nerves.

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    Fig 3.

    Association between logMAR visual acuity and diseased optic nerve ADC (rS = 0.73; P = .001).

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    Fig 4.

    Association between 1-year VEP central field amplitude and diseased optic nerve ADC (rS = −0.57, P = .021).

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    TABLE 1:

    ADC measurement reproducibility for the different subgroups

    VariableMean (×10−6 mm2/s)Within-Subject SD95% Reference RangeaCV (%)bReliability Coefficientc
    Analysis/re-analysis:
        Control mean (n = 10)92823±452.50.99
        Diseased optic nerves (n = 16)132497±1897.30.94
        Healthy contralateral optic nerves (n = 14)99031±613.20.96
    Image/reimage:
        Control mean (n = 7)94695±18610.00.58
    • a 1.96 × within-subject SD; 95% of measurements are expected to lie within this departure from the true value.

    • b CV, coefficient of variation.

    • c The proportion of total variance due to between-subject variation. Under assumptions that are plausible here, 1 minus this value is the proportion of variation due to measurement error.

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    TABLE 2:

    Association between diseased optic nerve ADC and clinical and electrophysiologic measurements

    SRCCP Value
    logMAR visual acuity0.730.001
    30-2 Humphrey mean deviation (dB)−0.80<0.001
    FM 100 Hue square root of error score0.83<0.001
    VEP whole-field amplitude (μV)−0.640.008
    VEP whole-field latency (ms)0.580.019
    VEP central-field amplitude (μV)−0.570.021
    VEP central-field latency (ms)0.580.019
    • Note.—FM 100 Hue, Farnsworth Munsell 100 Hue test; SRCC, Spearman’s rank correlation coefficient; VEP = visual evoked potentials.

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American Journal of Neuroradiology: 26 (4)
American Journal of Neuroradiology
Vol. 26, Issue 4
1 Apr 2005
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Cite this article
Simon J. Hickman, Claudia A. M. Wheeler-Kingshott, Stephen J. Jones, Katherine A. Miszkiel, Gareth J. Barker, Gordon T. Plant, David H. Miller
Optic Nerve Diffusion Measurement from Diffusion-Weighted Imaging in Optic Neuritis
American Journal of Neuroradiology Apr 2005, 26 (4) 951-956;

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Optic Nerve Diffusion Measurement from Diffusion-Weighted Imaging in Optic Neuritis
Simon J. Hickman, Claudia A. M. Wheeler-Kingshott, Stephen J. Jones, Katherine A. Miszkiel, Gareth J. Barker, Gordon T. Plant, David H. Miller
American Journal of Neuroradiology Apr 2005, 26 (4) 951-956;
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