News • Multiple sclerosis MRI imaging

Software finds white matter damage in brain tissue

Random Walk Imaging (RWI), a company developing novel software solutions for magnetic resonance imaging (MRI), announced positive data from a study in multiple sclerosis (MS) patients using its proprietary scanning method and software protocol.

Data from the study, which was conducted at the Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital Hvidovre, demonstrated a significant improvement in the sensitivity of MRI images to disease induced changes in the brain's normal-appearing white matter. By enhancing MRI scanned images to the microscopic level, the unprecedented detail of the damage caused enabled the researchers to determine a stronger correlation to disease clinical and cognitive scores. The results were published in Brain Communications.

This information, which cannot be seen using standard MRI techniques such as diffusion tensor imaging (DTI), could provide a unique opportunity for precision imaging

Tim Dyrby

“The data from this study provide convincing evidence that microscopic mapping substantially advances the assessment of cerebral white matter degeneration in MS. Using the analysis tool from RWI, we were able to evaluate the damage to the white matter with remarkable detail, by separately analyzing tissue shape and orientation. This information, which cannot be seen using standard MRI techniques such as diffusion tensor imaging (DTI), could provide a unique opportunity for precision imaging, leading to a more accurate diagnosis both in MS and other degenerative CNS diseases,” said Associate Professor Tim Dyrby who led the study at the Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital Hvidovre and Technical University of Denmark.

Photo
Graphical abstract

Image source: Andersen et al., Brain Communications 2020 (CC BY 4.0)

Multiple sclerosis attacks the nerve myelin and fibers of the central nervous system, leading to diffuse damage of the brain network. MRI scans are used to determine the extent of this damage and provide a tool for doctors to help with diagnosis and treatment. Apart from the visually detected lesions on the MRI scan, MS also affects the normal-appearing white matter. The degeneration of white matter can be measured with fractional anisotropy (FA), a metric that aims to assess the structural integrity of the nerve fibers. FA measurement is mapped with DTI on the MRI scanner. However, this standard FA metric also picks up physiological variations in how the white matter fibers are oriented. This dual sensitivity distorts and complicates the detection of disease-related damage in large parts of the cerebral white matter, where the fibers are oriented in many different directions. To resolve this ambiguity, RWI has developed a novel methodology for diffusion tensor MRI using a proprietary software algorithm. RWI’s approach yields a microscopic FA (μFA) metric that is not affected by regional variations in white matter orientation.

The software, once launched, could be integrated as an in-line clinical tool compatible with most clinical MRI machines

Peter Hoffmann-Fischer

In the study, the researchers compared normal-appearing white matter of 26 patients with relapsing-remitting MS, 14 patients with primary progressive MS, and 27 age-matched healthy controls using standard FA to μFA mapping using RWI’s proprietary software protocol. Mean standard FA and μFA of normal-appearing white matter was significantly reduced in MS patients relative to healthy controls, but μFA significantly improved detection of disease-related white-matter alterations in the MS patient group.

In addition, the reduction in mean μFA, representing degenerated fibers, showed:

  • a significant positive linear relationship with physical disability as reflected by the expanded disability status scale (EDSS), an internationally recognized measurement of MS disability;
  • a positive correlation with individual cognitive dysfunction, as measured with the symbol digit modality test (SDMT); and
  • a positive relationship with total white matter lesion load as well as lesion load in specific tract systems.

Standard mean FA was not able to reveal any of these relationships between normal-appearing white matter microstructure and clinical, cognitive or structural measures. “These findings are highly interesting, and I hope that this new diffusion MRI analysis will prove valuable in diagnosing and monitoring treatment of MS in the future,” commented Finn Sellebjerg, Professor of Neurology at the University of Copenhagen and head of the Danish Multiple Sclerosis Center.

RWI is currently conducting multiple studies in Australia, China and the US at leading research institutions in collaboration with MRI vendors to assess how the software can be optimized clinically for various anatomies. “We see this study as significant validation of our approach and are developing our protocol into a stand alone, post-processing software product to support scientists and radiologists in their research of the brain as well as other anatomies, such as breast and prostate. The software, once launched, could be integrated as an in-line clinical tool compatible with most clinical MRI machines,” said Peter Hoffmann-Fischer, Executive in Residence at Random Walk Imaging.


Source: Random Walk Imaging

12.06.2020

More on the subject:
Read all latest stories

Related articles

Photo

News • Ultrahigh field strength

14 Tesla: Researchers to build world's strongest MRI scanner

The world's first MRI scanner with a magnetic field strength of 14 Tesla will be built in Nijmegen. Its high sensitivity will allow scientists to image the brain in more detail.

Photo

News • Understanding the mechanisms

New ultrafast fMRI technique to improve brain stimulation

Researchers from Queensland have developed a new fMRI technique with vastly increased temporal resolutions, enabling them to capture the dynamics of brain activity at a sub-second level.

Photo

News • Key findings in perivascular spaces

Ultra-high-res MRI reveals how migraine changes the brain

For the first time, a new study has identified enlarged perivascular spaces in the brains of migraine sufferers. Results of the study will be presented at the annual RSNA meeting.

Related products

Accutron MR

Injectors

Medtron AG · Accutron MR

MEDTRON AG
Accutron MR3

Injectors

Medtron AG · Accutron MR3

MEDTRON AG
Advanced intelligent Clear-IQ Engine for MR

Artificial Intelligence

Canon · Advanced intelligent Clear-IQ Engine for MR

Canon Medical Systems Europe B.V.
Airis Vento Plus

Open

Fujifilm · Airis Vento Plus

FUJIFILM Europe GmbH
Aperto Lucent Plus

Open

Fujifilm · Aperto Lucent Plus

FUJIFILM Europe GmbH
BI 6 Comfort Coil

MRI Coils

Noras · BI 6 Comfort Coil

Noras MRI products GmbH
Subscribe to Newsletter