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Abstract #1292

Edema-Correction is Essential for Monitoring Brain Atrophy with BPF

Marcel Warntjes1,2, Anders Tisell1,3, Irene Håkansson4, and Peter Lundberg1

1Center for Medical Imaging Science and Visualization, Linköping, Sweden, 2SyntheticMR AB, Linköping, Sweden, 3Department of Medical and Health Sciences, Radiation Physics, Linköping, Sweden, 4Department of Clinical and Experimental Medicine, Neurology, Linköping, Sweden

The rate of brain atrophy in neuro-degenerative diseases is monitored using the brain parenchymal fraction (BPF, the ratio of brain volume and intracranial volume). The true atrophy, however, may be obscured by the simultaneous brain swelling due to inflammatory processes, disease activity and medication. Measurement of the average relaxation rates and proton density of the brain allows correction for the presence of edemic water. The edema-corrected BPF showed a higher rate of atrophy, 0.495%/year (p = 0.003), in comparison to the uncorrected BPF, 0.175%/year (p = 0.12), in a group of early-onset Multiple Sclerosis patients.

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