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Abstract #4087

Voxel-Wise Assessment of White Matter Architecture Integrity in Patients with Relapsing Remitting Multiple Sclerosis

Gianna Riccitelli1, Maria Assunta Rocca1,2, Elisabetta Pagani1, Vittorio Martinelli2, Paolo Rossi2, Andrea Falini3, Giancarlo Comi2, Massimo Filippi1,2

1Neuroimaging Research Unit, Institute of Experimental Neurology, Division of Neuroscience, Scientific Institute & University Hospital San Raffaele, Milan, MI, Italy; 2Department of Neurology, Scientific Institute & University Hospital San Raffaele, Milan, MI, Italy; 3Department of Neuroradiology, Scientific Institute & University Hospital San Raffaele, Milan, Italy


We investigated white matter (WM) integrity in a large sample of relapsing remitting (RR) multiple sclerosis (MS) patients using tract-based spatial statistics, as well as the correlation between the distribution of WM damage and clinical quantities. Compared to healthy controls, RRMS patients had a significant fractional anisotropy (FA) decrease and a mean diffusivity (MD) increase in the majority of skeleton voxels. FA decrease also involved the cerebellar WM. Moderate correlations were found between DT MRI abnormalities and T2- and T1-lesion volumes, suggesting that microstructural abnormalities are related to focal lesion accumulation.

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