http://link.springer.de/link/service/journals/00415/bibs/1248012/12481019.htm
Journal of Neurology
Volume 248 Issue 12 (2001) pp 1019-1029
Massimo Filippi
Neuroimaging Research Unit, Department
of Neuroscience, Scientific Institute and University Ospedale San Raffaele,
Via Olgettina 60, 20132 Milan, Italy, Tel.: +39-02/26 43 30 32, Fax: +39-02/26
43 30 54
Abstract
In several white matter diseases
of the central nervous system (CNS), and in particular in multiple sclerosis
(MS), conventional magnetic resonance imaging (MRI) has proved to be sensitive
for detecting lesions and their changes over time.
However, conventional MRI is not
able to characterize and quantify the tissue damage within and outside
such lesions.
Other quantitative MR techniques,
including proton MR spectroscopy (1H-MRS), magnetization transfer MRI (MT-MRI)
and diffusion-weighted MRI (DW-MRI) have the potential to overcome this
limitation and, as a consequence, to provide additional information about
the nature and the extent of tissue damage, which would be inevitably lost
when only conventional MRI is obtained.
Metrics derived from MT- and DW-MRI
can quantify the structural changes occurring within and outside lesions
visible on conventional MRI scans.
1H-MRS could add information on the
biochemical nature of such changes.
The application of these MR techniques
to the study of MS is increasing dramatically our understanding of how
MS causes irreversible disability and it is likely to provide useful insights
into the pathophysiology of other diseases of the CNS in the near future.
© Steinkopff Verlag 2001