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NEUROLOGY 1995;45:478-482
© 1995 American Academy of Neurology

A Magnetization Transfer Imaging Study of Normal-Appearing White Matter in Multiple Sclerosis

M. Filippi, MD, A. Campi, MD, V. Dousset, MD, C. Baratti, MD, V. Martinelli, MD, N. Canal, MD, G. Scotti, MD and G. Comi, MD

Article abstract-We attempted to define the role of subtle changes in the normal-appearing white matter (NAWM) in the development of disability in multiple sclerosis (MS). Twenty-seven clinically definite MS patients with either relapsing-remitting or chronic-progressive courses and 10 sex- and age-matched controls entered the study. For each patient and control, we studied two NAWM areas in the frontal lobe with magnetization transfer imaging (MTI). For patients, we also calculated the MT ratios (MTRs) for three contiguous areas of NAWM progressively further from "isolated" lesions visible on conventional MRI. Frontal NAWM in MS patients had lower mean MTRs than the frontal white matter of the controls (p = 0.02). MTRs in the NAWM adjacent to isolated lesions increased with distance from them to the cortical gray matter (p = 0.04). This pattern was typical for patients with chronic-progressive MS whose MTRs in the first two regions of NAWM adjacent to lesions were lower than those of the same regions of patients with relapsing-remitting MS. This study confirms that there are alterations in the NAWM of MS patients and suggests that such changes might be relevant to the disability in MS.

NEUROLOGY 1995;45: 478-482




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S M Leary, N C Silver, V L Stevenson, G J Barker, D H Miller, and A J Thompson
Magnetisation transfer of normal appearing white matter in primary progressive multiple sclerosis
Multiple Sclerosis, October 1, 1999; 5(5): 313 - 316.
[Abstract] [PDF]


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NeurologyHome page
A. Tourbah, J. L. Stievenart, O. Gout, B. Fontaine, R. Liblau, C. Lubetzki, E. A. Cabanis, and O. Lyon-Caen
Localized proton magnetic resonance spectroscopy in relapsing remitting versus secondary progressive multiple sclerosis
Neurology, September 1, 1999; 53(5): 1091 - 1091.
[Abstract] [Full Text]


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RadiologyHome page
S. J. Graham and R. M. Henkelman
Pulsed Magnetization Transfer Imaging: Evaluation of Technique
Radiology, September 1, 1999; 212(3): 903 - 910.
[Abstract] [Full Text]


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Mult SclerHome page
V L Stevenson and D H Miller
Magnetic resonance imaging in the monitoring of disease progression in multiple sclerosis
Multiple Sclerosis, August 1, 1999; 5(4): 268 - 272.
[Abstract] [PDF]


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Mult SclerHome page
M. Filippi, C. Tortorella, and M. Bozzali
Normal-appearing white matter changes in multiple sclerosis: the contribution of magnetic resonance techniques
Multiple Sclerosis, August 1, 1999; 5(4): 273 - 282.
[Abstract] [PDF]


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Am. J. Neuroradiol.Home page
G. Mastronardo, M. A. Rocca, G. Iannucci, C. Pereira, and M. Filippi
A Longitudinal MR Study of the Presymptomatic Phase in a Patient with Clinically Definite Multiple Sclerosis
AJNR Am. J. Neuroradiol., August 1, 1999; 20(7): 1268 - 1272.
[Abstract] [Full Text]


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BrainHome page
S. J. Camp, V. L. Stevenson, A. J. Thompson, D. H. Miller, C. Borras, S. Auriacombe, B. Brochet, M. Falautano, M. Filippi, L. Herisse-Dulo, et al.
Cognitive function in primary progressive and transitional progressive multiple sclerosis: A controlled study with MRI correlates
Brain, July 1, 1999; 122(7): 1341 - 1348.
[Abstract] [Full Text] [PDF]


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Am. J. Neuroradiol.Home page
L. J. Bagley, R. I. Grossman, S. L. Galetta, G. P. Sinson, M. Kotapka, and J. C. McGowan
Characterization of White Matter Lesions in Multiple Sclerosis and Traumatic Brain Injury as Revealed by Magnetization Transfer Contour Plots
AJNR Am. J. Neuroradiol., June 1, 1999; 20(6): 977 - 981.
[Abstract] [Full Text]


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Am. J. Neuroradiol.Home page
M. Rocca, Mastronardo, Rodegher, Comi, and Filippi
Long-Term Changes of Magnetization Transfer-Derived Measures from Patients with Relapsing-Remitting and Secondary Progressive Multiple
AJNR Am. J. Neuroradiol., May 1, 1999; 20(5): 821 - 827.
[Abstract] [Full Text]


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Am. J. Neuroradiol.Home page
G. Pike, de Stefano, Narayanan, G. Francis, J. Antel, and D. Arnold
Combined Magnetization Transfer and Proton Spectroscopic Imaging in the Assessment of Pathologic Brain Lesions in Multiple
AJNR Am. J. Neuroradiol., May 1, 1999; 20(5): 829 - 837.
[Abstract] [Full Text]


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Am. J. Neuroradiol.Home page
J. Tanabe, Ezekiel, W. Jagust, B. Reed, Norman, Schuff, M. Weiner, Chui, and Fein
Magnetization Transfer Ratio of White Matter Hyperintensities in Subcortical Ischemic Vascular
AJNR Am. J. Neuroradiol., May 1, 1999; 20(5): 839 - 844.
[Abstract] [Full Text]


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NeurologyHome page
C. M. Poser
Serial magnetization transfer imaging to characterize the early evolution of new MS lesions
Neurology, May 1, 1999; 52(8): 1717 - 1717.
[Full Text] [PDF]


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Am. J. Neuroradiol.Home page
J. L. Ostuni, N. D. Richert, B. K. Lewis, and J. A. Frank
Characterization of Differences between Multiple Sclerosis and Normal Brain: A Global Magnetization Transfer Application
AJNR Am. J. Neuroradiol., March 1, 1999; 20(3): 501 - 507.
[Abstract] [Full Text]


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BrainHome page
P. Sarchielli, O. Presciutti, G. P. Pelliccioli, R. Tarducci, G. Gobbi, P. Chiarini, A. Alberti, F. Vicinanza, and V. Gallai
Absolute quantification of brain metabolites by proton magnetic resonance spectroscopy in normal-appearing white matter of multiple sclerosis patients
Brain, March 1, 1999; 122(3): 513 - 521.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
V. L. Stevenson, D. H. Miller, M. Rovaris, F. Barkhof, B. Brochet, V. Dousset, V. Dousset, M. Filippi, X. Montalban, C. H. Polman, et al.
Primary and transitional progressive MS: A clinical and MRI cross-sectional study
Neurology, March 1, 1999; 52(4): 839 - 839.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
M. Filippi, M. A. Rocca, L. Minicucci, V. Martinelli, A. Ghezzi, R. Bergamaschi, and G. Comi
Magnetization transfer imaging of patients with definite MS and negative conventional MRI
Neurology, March 1, 1999; 52(4): 845 - 845.
[Abstract] [Full Text]


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BrainHome page
S. G. M. Edwards, Q. Y. Gong, C. Liu, M. E. Zvartau, T. Jaspan, N. Roberts, and L. D. Blumhardt
Infratentorial atrophy on magnetic resonance imaging and disability in multiple sclerosis
Brain, February 1, 1999; 122(2): 291 - 301.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
M. Filippi, G. Iannucci, C. Tortorella, L. Minicucci, M. A. Horsfield, B. Colombo, M. P. Sormani, and G. Comi
Comparison of MS clinical phenotypes using conventional and magnetization transfer MRI
Neurology, February 1, 1999; 52(3): 588 - 588.
[Abstract] [Full Text] [PDF]


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Am. J. Neuroradiol.Home page
M. Filippi, M. A. Rocca, C. Gasperini, M. P. Sormani, S. Bastianello, M. A. Horsfield, C. Pozzilli, and G. Comi
Interscanner Variation in Brain MR Lesion Load Measurements in Multiple Sclerosis Using Conventional Spin-Echo, Rapid Relaxation-Enhanced, and Fast-FLAIR Sequences
AJNR Am. J. Neuroradiol., January 1, 1999; 20(1): 133 - 137.
[Abstract] [Full Text]


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Mult SclerHome page
O. Vladimirova, J. O'Connor, A. Cahill, H. Alder, C. Butunoi, and B. Kalman
Oxidative damage to DNA in plaques of MS brains
Multiple Sclerosis, October 1, 1998; 4(5): 413 - 418.
[Abstract] [PDF]


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Arch Intern MedHome page
S. J. Khoury and H. L. Weiner
Multiple Sclerosis: What Have We Learned From Magnetic Resonance Imaging Studies?
Arch Intern Med, March 23, 1998; 158(6): 565 - 573.
[Abstract] [Full Text] [PDF]


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Mult SclerHome page
A R Massaro and P Tonali
Cerebrospinal fluid markers in multiple sclerosis: an overview
Multiple Sclerosis, February 1, 1998; 4(1): 1 - 4.
[Abstract] [PDF]


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Mult SclerHome page
W. Rooney, D. Goodkin, N. Schuff, D. Meyerhoff, D. Norman, and M. Weiner
1H MRSI of normal appearing white matter in multiple sclerosis
Multiple Sclerosis, August 1, 1997; 3(4): 231 - 237.
[Abstract] [PDF]




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