Myelin water imaging (MWI) provides quantitative and specific mapping of myelin content in-vivo. Water trapped between myelin bilayers have a short T2 relaxation time; the fractional proportion of this myelin water signal correlates strongly with histological staining for myelin. MWI has successfully been used to study both the brain and spinal cord where it can increase our understanding of development, aging and disease processes, and may also improve accuracy of diagnosis, prognosis and assessment of therapeutic response. Moving forward, MWI is expected to play an important role in the development and monitoring of new treatments targeted at remyelination and neuroprotection.
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