We assessed microglia activation in the cerebellum and its relationship to clinical parameters in 27 subjects with multiple sclerosis (MS) and 18 healthy controls by using integrated 3 Tesla magnetic resonance-positron emission tomography imaging with 11C-PBR28.
The MS cohort showed increased cerebellar microglia activation in both lesioned and normal appearing cerebellum. The highest microglia activation was found in lesions, mainly concentrated in the cerebellar white matter in relapsing remitting patients, and extensively involving the cortical grey matter in progressive patients. In MS, the tracer uptake in the cerebellar white matter correlated with neurological disability and impaired cognitive performance.
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