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T1- vs. T2-based MRI measures of spinal cord volume in healthy subjects and patients with multiple sclerosis

Overview of attention for article published in BMC Neurology, July 2015
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Title
T1- vs. T2-based MRI measures of spinal cord volume in healthy subjects and patients with multiple sclerosis
Published in
BMC Neurology, July 2015
DOI 10.1186/s12883-015-0387-0
Pubmed ID
Authors

Gloria Kim, Fariha Khalid, Vinit V. Oommen, Shahamat Tauhid, Renxin Chu, Mark A. Horsfield, Brian C. Healy, Rohit Bakshi

Abstract

The reliable and efficient measurement of spinal cord atrophy is of growing interest in monitoring disease progression in multiple sclerosis (MS). We compared T1- and T2-weighted MRI for measuring cervical spinal cord volume in 31 patients with MS and 18 age-matched controls (NC) from T1-weighted gradient recalled echo and T2-weighted fast spin-echo 1.5 T axial acquisitions. The two sequences were matched on slice thickness, signal averages and voxel size. An active surface software tool determined the normalized mean cervical cord cross-sectional area. T1-derived cord areas were higher than T2 areas in the whole cohort (estimated mean difference = 7.03 mm(2) (8.89 %); 95 % Confidence Interval (CI): 5.91, 8.14; p < 0.0001) and in both groups separately. There were trends for lower spinal cord areas in MS vs. NC with both sequences. For the T1 cord area, the mean difference was 3.7 mm(2) (4.55 %) (95 % CI: -1.36, 8.78; p = 0.15). For the T2 cord area, the difference was larger [mean difference 4.9 mm(2) (6.52 %) (95 % CI: -0.83, 10.67); p = 0.091]. The T1 and T2 cord areas showed similar weak to moderate correlations with measures of clinical status and T2 spinal cord lesion volume in the MS group. Superficial spinal cord T2 lesions had no apparent confounding effect on the outlining tool. The mean intra-rater and inter-rater coefficients of variation ranged from 0.27 to 0.91 % for T1- and 0.66 to 0.99 % for T2-derived cord areas. T2-weighted images may prove efficient for measuring cervical spinal cord atrophy in MS, with the added advantage of lesion detectability.

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The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 43 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 9 21%
Researcher 9 21%
Student > Bachelor 4 9%
Student > Master 3 7%
Other 3 7%
Other 7 16%
Unknown 8 19%
Readers by discipline Count As %
Medicine and Dentistry 12 28%
Neuroscience 10 23%
Engineering 4 9%
Agricultural and Biological Sciences 2 5%
Physics and Astronomy 1 2%
Other 3 7%
Unknown 11 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 August 2015.
All research outputs
#20,284,384
of 22,818,766 outputs
Outputs from BMC Neurology
#2,139
of 2,435 outputs
Outputs of similar age
#219,626
of 262,895 outputs
Outputs of similar age from BMC Neurology
#50
of 59 outputs
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