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Abstract #0322

Formalin Tissue Fixation Biases Myelin Density Measurement by Quantitative Magnetization Transfer and Myelin Water Imaging

Alan C Seifert1,2,3, Melissa Umphlett4, Mary Fowkes4, and Junqian Xu1,2,3,5

1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 3Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 4Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 5Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States

Quantitative magnetization transfer (qMT) and multi-exponential T2-based myelin water imaging (MWI) are commonly-used MRI methods to quantify myelin content. Ex vivo MRI remains an essential step for validating these quantitative in vivo MRI biomarkers. However, ex vivo tissue is often preserved using formalin, which cross-links proteins and directly impacts these methods. We performed qMT and MWI on human spinal cord tissue before and after formalin fixation to quantify the effect of fixation on these biomarkers. QMT bound pool fraction (F) increased by 37.5% and MWI myelin water fraction (MWF) increased by 35.5-38.6%, but myelin-related image contrast was preserved.

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