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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain
Open Access

Quantitative Susceptibility Mapping of Time-Dependent Susceptibility Changes in Multiple Sclerosis Lesions

S. Zhang, T.D. Nguyen, S.M. Hurtado Rúa, U.W. Kaunzner, S. Pandya, I. Kovanlikaya, P. Spincemaille, Y. Wang and S.A. Gauthier
American Journal of Neuroradiology June 2019, 40 (6) 987-993; DOI: https://doi.org/10.3174/ajnr.A6071
S. Zhang
aFrom the Departments of Radiology (S.Z., T.D.N., S.P., I.K., P.S., Y.W., S.A.G.)
dDepartment of Radiology (S.Z.), Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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T.D. Nguyen
aFrom the Departments of Radiology (S.Z., T.D.N., S.P., I.K., P.S., Y.W., S.A.G.)
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S.M. Hurtado Rúa
eDepartment of Mathematics and Statistics (S.M.H.R.), College of Science and Health Professions, Cleveland State University, Cleveland, Ohio
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U.W. Kaunzner
bNeurology (U.W.K., S.A.G.)
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S. Pandya
aFrom the Departments of Radiology (S.Z., T.D.N., S.P., I.K., P.S., Y.W., S.A.G.)
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I. Kovanlikaya
aFrom the Departments of Radiology (S.Z., T.D.N., S.P., I.K., P.S., Y.W., S.A.G.)
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P. Spincemaille
aFrom the Departments of Radiology (S.Z., T.D.N., S.P., I.K., P.S., Y.W., S.A.G.)
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Y. Wang
aFrom the Departments of Radiology (S.Z., T.D.N., S.P., I.K., P.S., Y.W., S.A.G.)
fDepartment of Biomedical Engineering (Y.W.), Cornell University, Ithaca, New York.
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S.A. Gauthier
aFrom the Departments of Radiology (S.Z., T.D.N., S.P., I.K., P.S., Y.W., S.A.G.)
bNeurology (U.W.K., S.A.G.)
cFeil Family Brain and Mind Research Institute (S.A.G.), Weill Cornell Medicine, New York, New York
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  • Fig 1.
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    Fig 1.

    Longitudinal QSM and T2-weighted FLAIR images of a new Gd-enhancing MS lesion without a QSM rim appearance (rim−). At baseline, the enhancing lesion was isointense on QSM (mean lesion susceptibility = −3.31 ppb), became most hyperintense at 1 year (22.50 ppb), and gradually disappeared in subsequent years (−1.18 ppb at year 5).

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    Fig 2.

    Longitudinal QSM and T2-weighted FLAIR images of a new Gd-enhancing MS lesion with a QSM rim appearance (rim+). This lesion was slightly hyperintense on QSM at the time of Gd-enhancement (mean lesion susceptibility = 12.74 ppb), became most hyperintense at 3 years (34.28 ppb), and remained hyperintense at 6 years (25.15 ppb).

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    Fig 3.

    Longitudinal QSM and T2-weighted FLAIR images of a new Gd-enhancing MS lesion with a QSM rim appearance (rim+). This lesion was isointense on QSM at baseline and demonstrated an increase in susceptibility and rim appearance on subsequent QSM scans. The lesion susceptibility increased continually from −0.34 ppb at baseline to 26.35 ppb at 28 months. Gd-enhancement remained in this lesion until month 2.

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    Fig 4.

    Longitudinal lesion-volume evolution changes among QSM rim+ and rim− lesions. Rim+ lesions were statistically larger at Gd-enhancement (time = 0), 0.5, 2, and 4 years (all P < .0001).

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    Fig 5.

    Longitudinal lesion age-dependent susceptibility time course of QSM rim+ and rim− MS lesions. Rim+ lesions demonstrate a higher peak QSM value and significantly slower decay rate compared with rim− (see text).

Tables

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  • The mean susceptibility of rim+ and rim− lesions derived from the regression model

    Time (yr)Rim+Rim−
    No. of LesionsMean (ppb)95% CINo. of LesionsMean (ppb)95% CI
    01613.5111.09–15.93167.776.27–9.26
    0.51023.4019.47–27.33924.3923.11–25.67
    1725.6920.78–30.601124.2222.79–25.64
    1.5528.9926.00–31.98526.2523.86–28.63
    2627.3323.22–31.44716.6613.57–19.76
    2.5826.1722.10–30.251018.2915.27–21.31
    3721.4518.31–24.59912.5010.19–14.81
    4822.0216.92–27.121012.009.40–14.61
    6513.429.64–17.2165.904.36–7.45
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American Journal of Neuroradiology: 40 (6)
American Journal of Neuroradiology
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Cite this article
S. Zhang, T.D. Nguyen, S.M. Hurtado Rúa, U.W. Kaunzner, S. Pandya, I. Kovanlikaya, P. Spincemaille, Y. Wang, S.A. Gauthier
Quantitative Susceptibility Mapping of Time-Dependent Susceptibility Changes in Multiple Sclerosis Lesions
American Journal of Neuroradiology Jun 2019, 40 (6) 987-993; DOI: 10.3174/ajnr.A6071

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Quantitative Susceptibility Mapping of Time-Dependent Susceptibility Changes in Multiple Sclerosis Lesions
S. Zhang, T.D. Nguyen, S.M. Hurtado Rúa, U.W. Kaunzner, S. Pandya, I. Kovanlikaya, P. Spincemaille, Y. Wang, S.A. Gauthier
American Journal of Neuroradiology Jun 2019, 40 (6) 987-993; DOI: 10.3174/ajnr.A6071
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