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Abstract #2208

Pathological Differences in Neuromyelitis Optica Reflected Differently by Two Myelin Water Imaging Techniques

Shannon Kolind 1 , Praveena Manogaran 1 , Irene Vavasour 2 , Bretta Russell-Schulz 2 , Katrina McMullen 1 , Jing Zhang 2 , Cornelia Laule 2,3 , Alexander MacKay 2,4 , Alexander Rauscher 2 , David Li 2 , and Anthony Traboulsee 1

1 Medicine, University of British Columbia, Vancouver, BC, Canada, 2 Radiology, University of British Columbia, Vancouver, BC, Canada, 3 Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada, 4 Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada

Neuromyelitis optica (NMO), while similar to multiple sclerosis (MS), has a different mechanism for demyelination and primarily affects the optic nerve and spinal cord. We measured myelin water fraction using a multi-echo GRASE approach (MWF) as well as mcDESPOT (fM) in the optic radiations and corticospinal tract (hypothesized to be demyelinated due to NMOs primary optic nerve and spinal cord involvement), and the corpus callosum (hypothesized to be unaffected). MWF was reduced in NMO optic radiations and corticospinal tract but not corpus callosum. Contrary to MS findings, fM was not reduced in any region. This finding highlights how differences in pathology are reflected by each approach.

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