Ultra-high-field 7 Tesla (7T) MRI was acquired to examine and compare white matter microstructure and quantitative susceptibility in patients with premanifest (PM) and early manifest (EM) Huntington’s disease (HD) and age-matched healthy control (HC) subjects. Tract-averaged and along-tract fractional anisotropy (FA) and susceptibility (PPM) were calculated to determine the spatial spread of disease along motor tracks originating from the striatum and ending in the cortex. HC and PM patients demonstrated different areas of significantly increased susceptibility compared to EM at the tract-averaged level as well as significant focal along-tract variations in FA and susceptibility which were undetected by tract-averaged analysis.
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